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LAB (3) ANEMIA. Case study 1. 30 years old female come to outpatient clinic suffering from easy fatigability & breathlessness on exertion . by clinical examination she was normal except for some pallor . on doing CBC the fallowing parameters were found.

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Presentation Transcript
slide1

LAB

(3)

ANEMIA

case study 1
Case study 1

30 years old female come to outpatient clinic suffering from easy fatigability & breathlessness on exertion .

by clinical examination she was normal except for some

pallor .

on doing CBC the fallowing parameters were found.

RBC count 4x106 /µL3

HCT 30%

HB% 9mg /dl

MCV 70 fl

MCH 28 pg

MCHC 25 %

questions
questions

1-What is the most probable diagnoses from the clinical picture?

microcytichypochromic Anemia

questions1
questions

2-What type of anemia ?

Iron deficiency anemia

questions2
questions

3-Give causes for iron deficiency anemia ?

 1.lack of iron in the diet (poor diet) as vegetarians

Examples of iron-rich foods include meat, eggs, and green vegetables.

2.chronic blood loss ;heavy periods , peptic ulcer, Gastrointestinal bleeding colorectal cancer ,parasitic infection (hook worm )..

3. An inability to absorb iron; intestinal disorder such as celiac disease and gastroctomy.

*tannate,phtate–present in tea -compete with iron in absorption

4.Increase the demand ; pregnancy.

case study 2
Case study 2

2.65-year-old female reports about 2 months of tiredness, difficulty concentrating, fatigue and gastrointestinal discomfort with some decrease in appetite and numbness and tingling sensation in her hands and feet.

case study 21
Case study 2

Clinical examination

by clinical examination she was normal except for some pallor and smooth, thick, red tongue

lab finding

  • RBC count 4x106 /µL3
  • HCT 34 %
  • HB% 8.5mg /dl
  • MCV 105 fl
  • MCH 25 pg
  • MCHC 23 %
questions3
Questions

1. What is the most probable diagnoses from the clinical picture?

a. Iron deficiency anemia

b. Sickle cell anemia

c. Pernicious anemia

questions4
Questions

2. The high MCV indicatefor;

a.Microcytic RBC

b.Macrocytic RBC

c.Normocytic RBC

questions5
questions

3.Pernicious cousd by :

a. Iron deficiency

b.vit b12 deficiency

c.folicacid deficiency