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Archive:Anemia: Difference between revisions

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Line 20: Line 20:
|Fe deficiency  
|Fe deficiency  
ACD
ACD
|blood loss
|chronic liver disease
chronic liver disease
thalassemia trait
thalassemia trait
liver disease
liver disease
hemolysis
megaloblastic
megaloblastic


Line 35: Line 33:
mets
mets
infection
infection
|blood loss
hemolysis
|lead overload
|lead overload
renal failure (uremia)
renal failure (uremia)

Revision as of 07:59, 17 May 2007

Initial Assessment

1. Is the patient anemic?

  • Hgb < 115 in females, < 125 in males

2. Is this anemia acute or chronic? 3. Is this dilutional anemia? (hematocrit) 4. What is the size of the RBC? (MCV) 5. Is body appropriately responding? (reticulocyte count) 6. What does the peripheral blood smear show?

MCV < 80

(hypochromic)

normocytic (normochromic)

low reticulocytes

normocytic

high reticulocytes

MCV > 100
Fe deficiency

ACD

chronic liver disease

thalassemia trait liver disease megaloblastic

marrow failure (pancytopenia) myelodysplasia leukemia alcohol myeloma hypothyroidism mets infection

blood loss

hemolysis

lead overload

renal failure (uremia) B12 lack sideroblastic endocrine (thyroid) folate lack ACD hematinic lack drugs }