Iron deficient anemia vs B12 Deficiency Flashcards
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4698759904 | EPIDEMIOLOGY I.D.A | 1. Infants (cows milk) 2. Pregnancy 3. Mestruation | 0 | |
4698759905 | ETIOLOGLY I.D.A | iii 1. Intake not sufficient to replace loss 2. Iron not available for erythropoiesis 3. Increase loss of body iron | 1 | |
4698759906 | CLINICAL FINDINGS I.D.A | 1. Pica 2. Pagophagia 3. Koilonychia 4. Cheilosis 5. Headache | 2 | |
4698759907 | LAB FINDINGS I.D.A | 1. Decreased serum ferritin 2. Decreased everything: RBC, Hb, Hct, MCV, MCH, MCHC 3. Hypochromic Microcytic 4. Increased RDW 5. Occult Blood in stool | 3 | |
4698759908 | MANAGEMENT I.D.A | 1. Correct the cause 2. Limit dairy 3. High protein/iron foods 4. 300 mg ferrous sulfate TID | 4 | |
4698759909 | PROGNOSIS I.D.A | 1. 6mo -1yr therapy to rebuild suply 2. Check reticulocyte 7 to 10 days | 5 | |
4698759910 | EPIDEMIOLOGY Viatimin B12 | 1. Liver stores 3 to 5 yrs 2. Synthesis of myelin 3. HX of Gastrectomy 4. Vegans | 6 | |
4698759911 | ETIOLOGLY Viatimin B12 | 1. Pernicious Anemia 2. Blind loop syndrome 3. Medications 4. Malabsorption syndromes | 7 | |
4698759912 | CLINICAL FINDINGS Viatimin B12 | 1. 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 | |
4698759913 | LAB FINDINGS Viatimin B12 | 1. Increased serum ferritin 2. Increased MCV>100 3. Macrocytic Anemia 4. Hypersegmentation 5. Leukopenia | 9 | |
4698759914 | LAB FINDINGS Cont. Viatimin B12 | 6. Thrombocytopenia 7. Increase in serum billirubin 8. Increase in LDH isoenzyme 1 9. Decrease in B12 10. Auto antibodies to parietal and intrinsic factor | 10 | |
4698759915 | MANAGEMENT Viatimin B12 | 1. Correct the cause 2. High meat and animal protein 3. Parenteral Vit. B12 1, 000mcg Sq/week for 1 month 4. Folic acid is contraindicated | 11 | |
4698759916 | PROGNOSIS Viatimin B12 | 1. Reversible with parenteral Vit B12 2. Neuro effects may be permanent if not treated in 6 months | 12 |