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Patient: Mrs. Mamoni Khatun, 30-year-old Female | Date: 08/07/2026

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Report 1 - CBC Findings

Report 2 - USG of Pregnancy (from visual inspection of image 2)

• Single live intrauterine fetus, cephalic presentation
• FHR: 123 bpm (normal)
• Gestational Age (USG): 36 weeks 2 days
• EDD (USG): 03/08/2026
• EFW: 2654 gm ± 409 gm
• Amniotic fluid adequate (largest pocket 7.9 cm)
• Placenta: Fundoposterior, Grade II maturity
• No cord around neck

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Diagnosis

1. Anemia in Pregnancy - Moderate degree

• Hb of 10.5 g/dL at 36 weeks gestation is below the normal range for pregnancy (>11 g/dL per WHO)
• MCV is borderline low (82 fL), and HCT is reduced (31.6%), suggesting a normocytic to mild microcytic pattern - likely iron deficiency anemia or anemia of pregnancy
• This is the primary and most clinically significant finding

2. Thrombocytopenia

• Platelets at 1.0 lakh/cumm (100,000/µL) - below normal range
• In the context of late pregnancy (36 weeks), this raises concern for:
  • Gestational thrombocytopenia (most common, benign)
  • Pre-eclampsia / HELLP syndrome - must be actively ruled out (check BP, liver enzymes, urine protein)
  • Immune thrombocytopenic purpura (ITP)

3. Leukocytosis

• WBC of 12,700 is mildly elevated; mild leukocytosis is physiologically normal in pregnancy (up to ~14,000), but combined with elevated ESR (36 mm/hr), an underlying infection or inflammatory process should be considered

4. Near-term Pregnancy (36 weeks 2 days)

• Fetus is well, cephalic, adequate liquor - reassuring USG

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Key Clinical Recommendations

⚠️ This is not a substitute for medical advice from a qualified doctor. The treating physician should evaluate this patient in person.

1. Check blood pressure - to rule out pre-eclampsia given the thrombocytopenia
2. Urine protein - rule out proteinuria (pre-eclampsia/HELLP)
3. Liver function tests (LFTs) and LDH - to rule out HELLP syndrome
4. Peripheral blood smear - to assess red cell morphology and platelet morphology
5. Iron studies (serum ferritin, TIBC) - to confirm iron deficiency anemia
6. Iron supplementation if confirmed iron deficiency
7. Close monitoring as delivery is expected within 2 weeks