Anemia
SX â weakness, palpitations, fainting, breathlessness, dyspnea, pica.
PE â Eyes.
⢠Skin (pallor).
⢠Nails (spooning).
⢠CV (tachycardia).
Next Steps
DX â ⢠CBC w/ Diff (Hb - low, MCV - see above table). ⢠Peripheral smear (microcytic, hypochromic). ⢠Reticulocyte count (low in iron def, high in hemolytic anemia). ⢠Iron (low),
Ferritin (low), TIBC (high). ⢠Vit
B12, Folate, Lead level. ⢠CMP (
Albumin).
Health Tips
TX â Macrocytic Anemia Tx: ⢠Folic Acid 1 mg PO QD. â¢
Vitamin B12 (cyanocobalamin) 1000 mcg PO QD or 1000mcg IM QMonth. Re-check CBC, B12, Folate levels in 3 - 6 months. Microcytic Anemia Tx: ⢠Ferrous Sulfate 150 - 300 mg BID x 3 - 6 months. Re-check CBC, iron studies in 3 - 6 months.