Monday, May 23, 2016

Iron deficiency anemia

   IRON DEFICIENCY ANEMIA

-The commonest nutritional anemia in India

-Causes:
Decreased Intake
Lack of absorption (eg. Celiac disease)
Increased loss ( in the form of blood loss through any system)

- More common in women d/t menstrual bleed, increased requirement in pregnancy and lactation.

 CLINICAL PRESENTATION
Increased fatiguability
Pica
May present as a triad with dysphagia and esophageal web in Plummer Vinson syndrome
Glossitis

INV:
Low Hb
Low Rbc count
Low MCV, MCH And MCHC
Low S. Ferritin
Raised TIBC
Reduced Transferrin saturation
Microcytic hypochromic picture on Peripheral blood smear; Pencil cells may be seen



Treatment:
ORAL IRON
PARENTERAL IRON IN
IDA IN PREGNANCY, LACTATION; WHEN THE RATE OF LOSS OF IRON EXCEEDS THE INTAKE; WHEN IDA IS DUE TO MALABSORPTION (CELIAC DISEASE); WHEN THE PATIENT IS INTOLERANT TO IRON.

That's all!!

Good day!

Pranav Patwardhan

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