Hematology - Anemia.pdfhttps://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
Terms in this set (115)
What are the first tests you should run on a patient that CBC and MCV
you suspect might be anemic?
What are the causes of iron deficiency anemia? 1. Blood loss
2. malabsorption
3. traumatic hemolysis
4. sometimes associated with dialysis
What will RBCs on a peripheral smear look like in iron Hypochromic and microcytic
deficiency anemia
https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
,Hematology - Anemia.pdfhttps://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
A patient presents with PICA and fatigue. Upon Iron deficiency anemia.
physical examination you find that has brittle nails that Iron panel including Ferritin, Retic count, and EPO
show signs of spooning, she has pallor and is slightly
tachycardic. Hgb is 10
MCV is 70
What are you suspicious of and what labs will you run
next?
What results will you expect to find on ferritin and Ferritin low, TIBC high
TIBC in the iron deficient patient?
If you divide the ferritin levels by 3 and they are less Likely has iron deficiency
than 20, what does this indicate?
If the iron deficient patient has a normal retic count, decreased bone marrow production
what does this indicate?
https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
,Hematology - Anemia.pdfhttps://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
If the EPO is increased in the iron deficient patient, The body is attempting to increase RBCs - compensation mechansim
what does this indicate?
How will you treat the iron deficient patient? 1. Oral iron supplement, add Vit C to increase absorption
2. Parental iron supplementation
A patient presents with the typical symptoms of B12 deficiency
anemia that have been slowly developing. She is
complaining of not being able to think clearly, she
states that she has been feeling "mentally sluggish".
She has a + Rhomberg test and has lost her vibratory
senses peripherally.
Hgb 9
MCV 100
What are you suspicious of?
On a CBC, the lab reports the presence of hyper B12 or folate deficiency
segmented neutrophils and pancytopenia. What might
you be suspicious of?
https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
, Hematology - Anemia.pdfhttps://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
What populations are at a higher risk of developing 1. Elderly
B12 or Folate deficiency? 2. alcohol abuse
3. malnutrition
4. vegans
5. history of bariatric surgery
6. blind loop syndrome
https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
Terms in this set (115)
What are the first tests you should run on a patient that CBC and MCV
you suspect might be anemic?
What are the causes of iron deficiency anemia? 1. Blood loss
2. malabsorption
3. traumatic hemolysis
4. sometimes associated with dialysis
What will RBCs on a peripheral smear look like in iron Hypochromic and microcytic
deficiency anemia
https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
,Hematology - Anemia.pdfhttps://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
A patient presents with PICA and fatigue. Upon Iron deficiency anemia.
physical examination you find that has brittle nails that Iron panel including Ferritin, Retic count, and EPO
show signs of spooning, she has pallor and is slightly
tachycardic. Hgb is 10
MCV is 70
What are you suspicious of and what labs will you run
next?
What results will you expect to find on ferritin and Ferritin low, TIBC high
TIBC in the iron deficient patient?
If you divide the ferritin levels by 3 and they are less Likely has iron deficiency
than 20, what does this indicate?
If the iron deficient patient has a normal retic count, decreased bone marrow production
what does this indicate?
https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
,Hematology - Anemia.pdfhttps://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
If the EPO is increased in the iron deficient patient, The body is attempting to increase RBCs - compensation mechansim
what does this indicate?
How will you treat the iron deficient patient? 1. Oral iron supplement, add Vit C to increase absorption
2. Parental iron supplementation
A patient presents with the typical symptoms of B12 deficiency
anemia that have been slowly developing. She is
complaining of not being able to think clearly, she
states that she has been feeling "mentally sluggish".
She has a + Rhomberg test and has lost her vibratory
senses peripherally.
Hgb 9
MCV 100
What are you suspicious of?
On a CBC, the lab reports the presence of hyper B12 or folate deficiency
segmented neutrophils and pancytopenia. What might
you be suspicious of?
https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
, Hematology - Anemia.pdfhttps://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
What populations are at a higher risk of developing 1. Elderly
B12 or Folate deficiency? 2. alcohol abuse
3. malnutrition
4. vegans
5. history of bariatric surgery
6. blind loop syndrome
https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky https://www.stuvia.com/user/gabrielucky
