Hematology Case: Iron-Deficiency Anemia. Group E Jaclyn Millar – Hx questions, Management, Narrator Jaime Teran -Rocha – Lab Interpretation Jimmy Misurka – Diagnosis, Pathophysiology Navin Tajuddin – DDx , Prognosis/Patient Education Friday June 13, 2014. Hematology Case 2 Overview.
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Jaclyn Millar – Hx questions, Management, Narrator
Jaime Teran-Rocha – Lab Interpretation
Jimmy Misurka – Diagnosis, Pathophysiology
NavinTajuddin – DDx, Prognosis/Patient Education
Friday June 13, 2014
67 year old female with shortness of breath on exertion, easy fatigability, and lack of energy for the past 2 to 3 months.
Denies GI, or vaginal bleeding. Denies hemoptysis. Described a good diet but variable appetite.
Skin pallor noted. The rest of the physical examination is unremarkable.
RBC 3.72 x 1012/L
Hgb 58 g/L
MCV 56.1 fL
MCHC 285 g/L
WBC 5.8 x 109/L
Neutrophils 82 %
Lymphocytes 13 %
M onocytes 1 %
E osinophils 4 %
B asophils 0 %
Platelets 387 x 109/L
serum ferritin <10 µg/L
serum iron 4.5 µmol/L
TIBC 127.5 µmol/L
transferrin saturation 4 %
Fecal occult blood negative
Blood smear analysis
1+ anisocytosis2+ elliptocytes and target cells
2+ hypochromasia2+ microcytosis
WBC morphology normal
Platelet morphology normal
These are all included as differentials, as all present with chief complaint of SOBE, easy fatigability and lack of energy
Anemia Assessment Questionnaire. [Right Diagnosis]. [updated 2014 April 22; cited 2014 June 5]. Available from: http://www.rightdiagnosis.com/symptoms/anemia/questions.htm
Harper, J. Iron Deficiency Anemia. [Medscape]. [updated 2013 Dec; cited 2014 June 6]. Available from: http://emedicine.medscape.com/article/202333-overview#aw2aab6b2b6
Maakaron, J. Anemia. [Medscape]. [updated 2013 July 30; cited 2014 June 5]. Available from:http://emedicine.medscape.com/article/198475-overview
Schrier, S. Patient Information: Anemia caused by low iron (Beyond the Basics). [UpToDate]. [updated 2013 May; cited 2014 June 10]. Available from: http://www.uptodate.com.myacess.library.utoronto.ca/contents/anemia-caused-by-low-iron-beyond-the-basics?source=see_link#H22