Anemia Case Presentation. Presented by Hanadi Basha 6 th year Med student Damascus Uni. 58 y/o Male presented with general fatigue, palpitation for 2 months duration with no other complaints.
6thyear Med student
PMH :IHD, previous inferior MI (the pt was hospitalized and stent was placed in LAD artery on 11/3/2008), later the pt was discharged on Clopidogrel , ASA ,Metoprolol , Statin.
Social hx: ex-smoker ,quit 12 years ago.
Employment , live in al-mafrak area .
On physical examination the patient was pallor without other findings.
Wat do u suspect ? High ,low ,normal ? Why ?
Serum iron and ferritin assays should be ordered initially and during the treatment of megaloblastic anemia.
High or low ? Why ?
Vit B12 level .
Schilling test .
Abdominal x-ray films, upper and lower GI series, and CT scans may be useful for detecting and evaluating blind loop syndromes, strictures, and other gastrointestinal tract abnormalities that may cause a blind loop syndrome.
Cyanocobalamin (Crystamine, Cyomin)