iron deficiency anemia

Question 1

task

Answer 1

556

Question 2

ask examiner what other ix

Answer 2

-serum ferritin 2(10-2000)
-serum iron 4(10–30)
-TIBC 370(maked increase)
-Transferrin sat 8%(15-50)
-b12 and folate normal

Question 3

explain

Answer 3

-explain the initial results
-iron is transported via transferrin>and excess required in stored in ferritin>a level<10 indicates absent iron stores
-therefore the result suggestive of IDA

Question 4

d/d IDA

Answer 4

-peptic ulcer, reflex eosophagitis
-benign tumor small and large bowel
-malignant tumour stomach and small bowel
-NSAID ASPIRIN
-diet : unlikely as she isn’t vegetarian

Question 5

ix

Answer 5

-upper GI and Lower GI endoscopy
-if right side cannot be visualised colonoscopy>barium air contras enema

Question 6

mx

Answer 6

-carcnoma r/s colom need to be excluded
-ferrous sulphate tabs, need to be stopped prior to endoscopy
-s/e:constipation, dark stools
-h2 receptor blocker