L1: Anemia - Iron Deficiency Anemia

Question 1

Incidence of Iron Deficiency Anemia

Answer 1

• It is the most common type of anemia in infancy & childhood in Egypt.
• It usually occurs at age betweer 9 - 24 months.

Question 2

Etiology of Iron Deficiency Anemia

Answer 2

Question 3

Etiology of Iron Deficiency Anemia

• Decreased Intake

Answer 3

Cow milk

Question 4

Etiology of Iron Deficiency Anemia

• decreased Absorbtion

Answer 4

Question 5

Etiology of Iron Deficiency Anemia

• Decreased Stores

Answer 5

Question 6

Etiology of Iron Deficiency Anemia

• Increased Loss

Answer 6

• After hemorrhage
• Parasitic infestations e.g., Anklystoma

Question 7

Etiology of Iron Deficiency Anemia

• Increased Requirments

Answer 7

• During adolescence
• Cyanotic CHD e.g., TOF

Question 8

Pathogenesis of Iron Deficiency Anemia

Answer 8

Question 9

CP of Iron Deficiency Anemia

Answer 9

Question 10

INVx for Iron Deficiency Anemia

Answer 10

Question 11

INVx for Iron Deficiency Anemia

• PBE

Answer 11

Question 12

INVx for Iron Deficiency Anemia

• BM Aspiration

Answer 12

• Erythroid hyperplasia of late normoblastic element é inadequate Hb.
• Increased iron stores (Prussian blue stain)

Question 13

INVx for Iron Deficiency Anemia

• Iron Profile

Answer 13

Question 14

in IDA, The diagnostic test is the ……

Answer 14

low serum ferritin

Question 15

In IDA, However, if the serum ferritin is normal or high
- The diagnosis depends on …….

Answer 15

Question 16

DDx of Iron Deficiency Anemia

Answer 16

Question 17

DDx of Iron Deficiency Anemia

• Thalasemia

Answer 17

Hb electrophoresis

Question 18

DDx of Iron Deficiency Anemia

• Chronic Infection

Answer 18

History

Question 19

DDx of Iron Deficiency Anemia

• CRF

Answer 19

History + serum creatinine

Question 20

DDx of Iron Deficiency Anemia

• Lead Posining

Answer 20

History, occupation, examination, serum lead, Basophil Stippling

Question 21

DDx of Iron Deficiency Anemia

• Sideroblastic Anemia

Answer 21

• BM aspiration Increased Ringed sideroblasts

Question 22

Management of Iron Deficiency Anemia

Answer 22

Question 23

Management of Iron Deficiency Anemia

• Prophylaxis

Answer 23

Question 24

Management of Iron Deficiency Anemia

• TTT

Answer 24

Question 25

TTT of **Iron Deficiency Anemia** - Cause

Answer 25

....

Question 26

TTT of **Iron Deficiency Anemia** - Diet

Answer 26

Diet rich in iron (e.g. liver & meat).

Question 27

TTT of **Iron Deficiency Anemia** - Iron Therapy

Answer 27

Question 28

Iron Therapy in **Iron Deficiency Anemia** - Forms

Answer 28

Question 29

Iron Therapy in **Iron Deficiency Anemia** - Dose

Answer 29

6 mg/kg/day "2 hours after meal"

Question 30

Iron Therapy in **Iron Deficiency Anemia** - Duration

Answer 30

6 - 8 weeks after laboratory improvement

Question 31

Iron Therapy in **Iron Deficiency Anemia** - Response

Answer 31

Question 32

Iron Therapy in **Iron Deficiency Anemia** - Blood transfusion or packed RBCs

Answer 32