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Condition Info
ConditionName
Anemia (iron defficiency)
ConditionDescription
Symptoms
Extreme fatigue; Weakness; Pale skin; Chest pain, fast heartbeat or shortness of breath with exertion; Headache, dizziness or lightheadedness; Cold hands and feet; Inflammation or soreness of your tongue; Brittle nails;
PhysicalFindings
Increased pulse rate, pale mucosa, smooth red tongue
ClinicalTests
CBC with indices, serum iron; ferritin, transferrin; Best initial test: CBC with peripheral blood smear; Hgb, Hct (Hgb = 3*Hct), B12;
RiskFactors
Menstruating or postpartum female; Acute or chronic blood loss (cancer, ulcer, burn); Recent surgery; Drugs: PPI, NSAIDs; Celiac disease; Vegetarian diet; H.pylori; Alcohol abuse;
IsRedFlag
IsNPLEX
Consequence
None >30-35% Hct; Dyspnea (worse on exertion), fatigue 25-30% Hct; Light headedness, angina 20-25% Hct; Syncope, chest pain <20-25% Hct; <20 confuse, death from MI;
ProgressionFromCondition
TreatmentOptions
Give iron and check reticular count after 5 days.
PharmOptions
WebLink
https://www.merckmanuals.com/professional/hematology-and-oncology/anemias-caused-by-deficient-erythropoiesis/iron-deficiency-anemia?query=Anemia
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