Anaemia

Question 1

What is pernicious anaemia

Answer 1

Disease caused by Vit B12 deficency

Question 2

What could cause pernicious anaemia

Answer 2

Lack of Vitamin B12 in the diet

Disease of Gastric parietal cells

Inflammatory bowel disease of terminal ileum

Bowel cancer at ileo-coecal junction

Question 3

How do to diagnose pernicious anaemia

Answer 3

complete blood count and look at serum cobalamin levels

Question 4

What in anaemia

Answer 4

reduction of haemoglobin in the blood

Question 5

What could be a production failure cause of reduced normal red cells

Answer 5

Bone marrow failure

Question 6

If a pt has a smooth tongue what could it be a sign of

Answer 6

Iron def.

Question 7

If a pt has a beefy tongue what could it be a sign of

Answer 7

Vit B12 def.

Question 8

What Tx is there for anemia

Answer 8

Treat the cause

replace the haematinics:
-FeSO4 200mg tds for 3months
-1mg IM vit B12 x 6 then 1mg/2 months
-5mg Folic acid daily

If production failure- Transfusions, erythropoetin