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Iron deficient anemia vs B12 Deficiency Flashcards

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4698759904EPIDEMIOLOGY I.D.A1. Infants (cows milk) 2. Pregnancy 3. Mestruation0
4698759905ETIOLOGLY I.D.Aiii 1. Intake not sufficient to replace loss 2. Iron not available for erythropoiesis 3. Increase loss of body iron1
4698759906CLINICAL FINDINGS I.D.A1. Pica 2. Pagophagia 3. Koilonychia 4. Cheilosis 5. Headache2
4698759907LAB FINDINGS I.D.A1. Decreased serum ferritin 2. Decreased everything: RBC, Hb, Hct, MCV, MCH, MCHC 3. Hypochromic Microcytic 4. Increased RDW 5. Occult Blood in stool3
4698759908MANAGEMENT I.D.A1. Correct the cause 2. Limit dairy 3. High protein/iron foods 4. 300 mg ferrous sulfate TID4
4698759909PROGNOSIS I.D.A1. 6mo -1yr therapy to rebuild suply 2. Check reticulocyte 7 to 10 days5
4698759910EPIDEMIOLOGY Viatimin B121. Liver stores 3 to 5 yrs 2. Synthesis of myelin 3. HX of Gastrectomy 4. Vegans6
4698759911ETIOLOGLY Viatimin B121. Pernicious Anemia 2. Blind loop syndrome 3. Medications 4. Malabsorption syndromes7
4698759912CLINICAL FINDINGS Viatimin B121. Neuro Symptoms (dorsal columns) 2. Anorexia 3. Depression 4. Tinnitus 5. Sock and glove distribution 6. Lemon colored skin 7. Glossitis (beefy red tongue)8
4698759913LAB FINDINGS Viatimin B121. Increased serum ferritin 2. Increased MCV>100 3. Macrocytic Anemia 4. Hypersegmentation 5. Leukopenia9
4698759914LAB FINDINGS Cont. Viatimin B126. Thrombocytopenia 7. Increase in serum billirubin 8. Increase in LDH isoenzyme 1 9. Decrease in B12 10. Auto antibodies to parietal and intrinsic factor10
4698759915MANAGEMENT Viatimin B121. Correct the cause 2. High meat and animal protein 3. Parenteral Vit. B12 1, 000mcg Sq/week for 1 month 4. Folic acid is contraindicated11
4698759916PROGNOSIS Viatimin B121. Reversible with parenteral Vit B12 2. Neuro effects may be permanent if not treated in 6 months12
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