Introduction and Classification of Anaemia PALI Haematology Session 3 rd October 2012 Christopher Mullen. Overview of Presentation. Introduction Classification The Hypochromic Anaemias Megaloblastic and other macrocytic anaemias Haemolytic anaemias Genetic disorders of haemoglobin
PALI Haematology Session
3rd October 2012
The Hypochromic Anaemias
Iron deficiency anaemia is not a diagnosis – an underlying cause must be sought
Secondary to liver and renal disease
Red cells are broken down by macrophages or the reticuloendothelial system
You are a GP trainee and Mrs J, a 24 year old lady, presents to the clinic. She has just moved to your area, her notes haven’t arrived at the surgery, and she is complaining of tiredness. She doesn’t wish to be fully examined but clinically you suspect anaemia and you arrange a full blood count, results of which are shown below.
She returns to health centre and this time you notice that she is also slightly icteric. Urine analysis shows urobilinogen but no bilirubin. There is no glycosuria, haematuria or pyuria. The serum bilirubin concentration is 65 Kmols/l (normal range 15 – 22 Kmols/litre).
QUESTIONS? with fatigue, dyspnoea and palpitations. You note that she is pale and