anemia

Question 1

loss of appetite, smooth/ sore tongue, diarrhea or constipation, paresthesias, loss of coordination, tremor, irritability, somnolence, abnormal taste/smell are signs of

Answer 1

B12 deficiency

Question 2

what are some common S/Sx of anemia

Answer 2

pallor, weakness, fatigue, SOB, tachycardia, palpitations, murmur

Question 3

what are some common causes of B12 deficiency anemia

Answer 3

gastric atrophy/surgery, deficiency of intrinsic factor for ilial absorption, IBD, bacterial overgrowth,

Question 4

what drugs commonly cause B12 deficiency

Answer 4

colchicine (for gout), neomycin (Abx), metformin, PPI

Question 5

what are some common causes of folic acid deficiency

Answer 5

ETOH abuse, prego, celiac sprue

Question 6

what drugs commonly cause altered folate metabolism

Answer 6

primidine, phenobarbital, methotrexate, OCP, bactrim

Question 7

what are some common causes of iron deficiency anemia

Answer 7

menorrhagia, PUD, hiatal hernia, gastrectomy, gastritis (2/2 ETOH, ASA, NSAIDS), IBD, GI bleed, bacterial overgrowth of small bowel, pica (starch dec bioavail of ingested iron)

Question 8

microcytic hypochromic anemia

Answer 8

iron deficiency anemia

Question 9

serum ferritin stores are markedly____ in iron deficiency anemia

Answer 9

reduced

Question 10

serum iron ____ and TIBC____ in iron deficiency anemia

Answer 10

decreases, increases