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There are no apparent chronic disorders. Chronic infection, Rheumatoid arthritis, Chronic renal failure, Malignancy Iron studies in ferritin values, along with RDW suggest iron deficiency anemia. In anemia of chronic disorder, Fe utilization is poor, red cell survival is shorter. Anemia Iron containing enzymes Depletion results in changes in Nails and mucous membranes. Ridges and spoon shaped nails Mal-absorption Esophageal web Normal resource for iron in diet.

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Liver and red meats Apricots, peaches, prunes apples, grapes Eggs Spinach Vitamins and many food items Cereal are fortified with iron. The daily requirement in a adult male is 1mg. In woman it is 1. Pregnancy requires an additional intake of. Therefore, during pregnancy iron supplements are necessary.

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Common causes of iron deficiency anemia. Multiple pregnancies close to each other. About mg of iron lost per pregnancy. Males and Post menopausal women. Hemoglobinuria Hereditary hemorrhagic telengiectasia Nose bleeds, GI bleeds Clinical sequelae to iron deficiency anemia. Asymptomatic until late Pica Angulostomatitis Koilonychias Fatigue Dysphagia Angina High output state Congestive heart failure Therapeutic strategy for treatment of iron deficiency anemia.

Identify the source of blood loss and plan to take care of it Provide iron supplement Patient should be put on iron supplements, along with vitamin supplement for the duration of her pregnancy plus 6 to 8 months afterwards. Prolonged duration of therapy even after normalization of hemoglobin is to restore iron stores in bone marrow. Iron is absorbed in duodenum and proximal jejunum.


Hydrochloric acid produced by the stomach is helpful in iron absorption, as it reduces ferric to ferrous form. Problems associated with iron therapy. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map. Cellular Hb cellular hemoglobin concentration, reticulocyte Immature Reticulocyte Fraction.

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    Please type your message. If you are reporting a problem, please indicate what you were trying to do when the problem occurred, what you expected to happen, and what actually happened: First Name Last Name. Taking blood from some people may be more difficult than from others.

    The test is done to determine if red blood cells are being created in the bone marrow at an appropriate rate. The number of reticulocytes in the blood is a sign of how quickly they are being produced and released by the bone marrow. Conn's Current Therapy Approach to the anemias. Goldman L, Schafer AI, eds.

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    Reticulocyte count — blood. Laboratory Tests and Diagnostic Procedures. URAC's accreditation program is an independent audit to verify that A. Learn more about A.

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