Iron deficiency anemia

Welcome to my short medical articles and to our health blog that provides you with newest health news.
I am going to continue on our previous health topic: iron deficiency anemia.
We reached to clinical picture part in our previous amazing medical article.
So clinical picture of Iron deficiency anemia is:
1.     General features of anemia like pallor, fatigue, headache, angina pain, etc.
2.      Epithelial changes as: koilonychias in nails (spooning), angular stomatitis, glazed skin and tender tongue.
3.     Clinical picture of the cause
·        Esophageal Varices
·        peptic ulcer
·        vaginal bleeding
·        Mal-absorption
·        Ankylostoma.
·        Plumer- vinson syndrome with post cricoid web characterized by:
ü Middle aged female
ü Iron deficiency anemia
ü Spooning of nails
ü Enlarged spleen
ü Dysphagia
ü Post cricoid web
Here is a note and a medical advice:
Menorrhagia, post cricoid web and gastric trophy may be a sequence as well as a cause of iron deficiency anemia.
Lastly, we finished iron deficiency anemia clinical picture and we will go for a health topic known as investigations of iron deficiency anemia.
Investigation of iron deficiency anemia includes:
          1- Investigations to prove anemia:
·        Decreased Hb
·        Decreased RBCs count
·        Decreased Hematocrit value
          2- Investigations for type of anemia:
                   ·  Blood indices            
·  Decreased iron (N = 125 mg%)
·  Decreased IBC (400 mg %)
                             -  Decreased MCV                  
                             -  Decreased MCH                                     
                             -  Decreased MCHC               
· Decreased Transferrin saturation (N = 30%)
·        Decreased free erythrocyte protoporphyrin             
          3- Investigations to prove etiology of anemia e.g.
·        Detect source of bleeding
·        Stool for Ankylostoma
·        Upper or lower Endoscopy
·        occult blood for Hb molecule in stools & not RBCs itself, it is performed as follows
1)      Stop meat in take 3 days before the test.
 It is better to repeated as (GIT bleeding is intermittent).
Cause: e.g. esophageal varices, peptic ulcer and ankylostoma
Now we will go to medical advice on Iron therapy:
1. Oral iron therapy
This is by ferrous sulfate 300 mg tab. (60 mg elemental iron/tab)
1 tab. T. d. s. (give about 200 mg elemental iron/D)
It is best absorbed if given before meals but it is very irritant so it is given after meals.
2. Blood transfusion
3. Multivitamins supplementation.
 iron deficiency
Wow, this article becomes long not short medical article as I see. But we finished our health topic on iron deficiency anemia successfully. Hope you good health and good day, see you soon
Good bye,

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1 التعليقات:

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