normocytic anaemia

Question 1

Define normocytic anaemia

Answer 1

anaemia with a normal MCV

Question 2

what are the causes of normocytic anaemia?

Answer 2

o	Anaemia of chronic disease 
o	Chronic kidney disease 
o	Aplastic anaemia 
o	Sickle cell anaemia 
o	Haemolytic anaemia 
o	Acute blood loss 
o	Pregnancy 
o	Fluid overload

Question 3

what are the presenting symptoms of normocytic anaemia?

Answer 3

•	Non-Specific 
o	Tiredness 
o	Lethargy  
o	Malaise  
o	Dyspnoea 
o	Pallor

Question 4

what are the signs of anaemia?

Answer 4

o Pallor
o Brittle nails and hair
o Koilonychia

Question 5

what investigations are needed?

Answer 5

• FBC - check Hb and MCV
• Check reticulocytes (raised in sickle cell)
• Check iron status: serum transferrin, ferritin TIBC.
• Check history for haemorrhage

Question 6

how should renal anaemia be managed?

Answer 6

• Referral to renal team is necessary

- EPO should be prescribed