RT Book, Section
A1 Hillman, Robert S.
A1 Ault, Kenneth A.
A1 Leporrier, Michel
A1 Rinder, Henry M.
SR Print(0)
ID 1127765512
T1 IRON-DEFICIENCY ANEMIA
T2 Hematology in Clinical Practice, 5e
YR 2016
FD 2016
PB McGraw-Hill Medical
PP New York, NY
SN 9780071626996
LK accessbiomedicalscience.mhmedical.com/content.aspx?aid=1127765512
RD 2024/04/24
AB CASE  HISTORY  •  Part  1A  43-year-old  woman  presents  with  complaints  of  increasing  fatigue,  exercise  intolerance,  and  difficulty  swallowing.  She  also  reports  palpitations  and  shortness  of  breath  when  climbing  stairs.  She  has  a  past  history  of  fibromyalgia  for  more  than  a  decade,  managed  with  liberal  doses  of  aspirin  and  nonsteroidal  preparations.  She  also  reports  prolonged  and  irregular  menstrual  periods  for  the  last  6  months.  Examination  is  notable  for  pallor  of  the  conjunctiva  and  mucous  membranes;  a  beefy,  red,  smooth  tongue;  and  flattened  nails.  She  has  considerable  tenderness  to  palpation  of  the  muscles  of  the  neck  and  shoulders  and  restricted  motion  of  both  shoulders.CBC:  Hematocrit/hemoglobin  -  21%/6  g/dLMCV  -  67  fL  MCH  -  24  pg/cell  MCHC  -  28  g/dLReticulocyte  count/index  -  3.0%/<1White  blood  cell  count  -  NormalPlatelet  count  -  720,000/μLSedimentation  rate  -  42  mm/h(Westergren)  Stool  hemoccult  -  Brown  stool/4+  heme  positive  QuestionsHow  should  this  anemia  be  described?What  is  the  differential  diagnosis?What  other  tests  should  be  ordered?