correctly diagnose iron deficiency anemia in a male patient whose lab report reveals

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The NP correctly diagnoses iron deficiency anemia in a …

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Reticulocyte studies are always indicated when assessing / diagnosing iron deficiency. Iron studies should consist of serum iron, total iron binding capacity (TIBC), percent transferrin saturation (Fe/TIBC) and serum ferritin should suffice to diagnose iron deficiency.

Full Answer

How is the diagnosis of iron deficiency anemia confirmed?

The diagnosis of iron deficiency anemia is confirmed by the findings of low iron stores and a hemoglobin level two standard deviations below normal. Women should be screened during pregnancy, and children screened at one year of age.

Which specialist consultations are beneficial to patients with iron deficiency anemia?

Patients with an underlying condition that causes iron deficiency anemia should be treated or referred to a subspecialist (e.g., gynecologist, gastroenterologist) for definitive treatment.

What follow-up is required for patients with iron deficiency anemia?

There are no standard recommendations for follow-up after initiating therapy for iron deficiency anemia; however, one suggested course is to recheck complete blood counts every three months for one year. If hemoglobin and red blood cell indices remain normal, one additional complete blood count should be obtained 12 months later.

What is iron-deficiency anemia?

Iron-deficiency anemia is a type of anemia that develops if you do not have enough iron in your body. It is the most common type of anemia. What are the symptoms of iron-deficiency anemia? People with mild or moderate iron-deficiency anemia may not have any symptoms.

What lab work indicates iron deficiency anemia?

Iron-deficiency anemia is diagnosed by blood tests that should include a complete blood count (CBC). Additional tests may be ordered to evaluate the levels of serum ferritin, iron, total iron-binding capacity, and/or transferrin.

How was the diagnosis of iron deficiency anemia confirmed in this patient?

The diagnosis of iron deficiency anemia is confirmed by the findings of low iron stores and a hemoglobin level two standard deviations below normal. Women should be screened during pregnancy, and children screened at one year of age.

What is the best indicator of iron deficiency anemia?

Ferritin. Ferritin is the best indicator of iron deficiency and a low ferritin alone is diagnostic of IDA. Iron is stored intracellularly as ferritin and in the presence of infection, malignancy or chronic inflammation, the ferritin rises as it is an acute phase protein.

What CBC results indicate anemia?

CBC results in iron deficiency anemia include the following:Low mean corpuscular volume (MCV)Low mean corpuscular hemoglobin concentration (MCHC)Elevated platelet count (>450,000/µL) in many cases.Normal or elevated white blood cell count.

How do you diagnose anemia?

Often, the first test used to diagnose anemia is a complete blood count (CBC). The CBC measures many parts of your blood. The test checks your hemoglobin and hematocrit (hee-MAT-oh-crit) levels. Hemoglobin is the iron-rich protein in red blood cells that carries oxygen to the body.

What causes iron deficiency in males?

There are many things that can lead to a lack of iron in the body. In men and post-menopausal women, the most common cause is bleeding in the stomach and intestines. This can be caused by a stomach ulcer, stomach cancer, bowel cancer, or by taking non-steroidal anti-inflammatory drugs (NSAIDs).

What does ferritin test indicate?

Ferritin is a blood protein that contains iron. A ferritin test helps your doctor understand how much iron your body stores. If a ferritin test reveals that your blood ferritin level is lower than normal, it indicates your body's iron stores are low and you have iron deficiency. As a result, you could be anemic.

What labs are iron studies?

Transferrin test, which measures transferrin, a protein that moves iron throughout the body. Total iron-binding capacity (TIBC), which measures how well iron attaches to transferrin and other proteins in the blood. Ferritin blood test, which measures how much iron is stored in the body.

Complete blood count

A complete blood count (CBC) test is important for many blood-related issues.

Serum iron test

A serum iron test measures how much iron is in the blood. Low levels of serum iron may indicate iron deficiency.

Ferritin test

A ferritin blood test measures the amount of ferritin in the blood. Ferritin is an iron-containing protein in the blood.

Total iron binding capacity

Total iron binding capacity (TIBC) is a blood test to check for levels of iron in the blood. Doctors may give this test along with transferrin tests to check for signs of anemia.

Soluble transferrin receptor

Iron gets into the cells by binding to a protein called transferrin. Having enough transferrin in the body is important to ensure iron can get into the cells.

Peripheral smear

A peripheral smear takes a small amount of blood and examines it under a microscope. A person with iron deficiency anemia will have red blood cells that appear smaller and paler than typical under a microscope.

What is the criteria for anemia?

According to the WHO, the criteria for anemia is when adult men have hemoglobin levels <13 g / dL and adult women <12 g / dL. As iron deficiency worsens, both Hb and PCV decrease at the same time. Hb >12 g/dl : Not anemic.

What is the condition of a decrease in the number of circulating red blood cells?

Anemia is the condition of a decrease in the number of circulating red blood cells (and therefore hemoglobin) below a normal range for the age and sex of the individual, which results in a decrease in the supply of oxygen to the tissues. . Iron deficiency anemia is a type of microcytic, hypochromic anemia, which is the most common nutritional ...

What is the dimorphic blood picture?

The dimorphic blood picture is seen with a dual population of red blood cells, one of which is macrocytic and the other is microcytic and hypochromic when iron deficiency is associated with severe folate or vitamin B12 deficiency.

Is platelet count normal?

The platelet count is usually normal, but it can increase mildly to moderately, especially in patients who are bleeding. 4. Reticulocyte Count. The reticulocyte count is low in relation to the degree of anemia.

Is iron deficiency anemia a microcytic disorder?

Iron deficiency anemia is a type of microcytic, hypochromic anemia, which is the most common nutritional disorder. Iron is an essential element in the synthesis of hemoglobin. Iron deficiency anemia (IDA) can cause a problem in the differential diagnosis of other hypochromic anemias such as beta-thalassemia trait, alpha-thalassemia trait, ...

Physical Examination

Your doctor will do a physical exam to look for signs that you might have IDA. They may look at your skin, gums, and nailbeds to see if they are pale. 1 They may also listen to your heart for rapid and irregular heartbeats and your lungs for rapid or uneven breaths.

Labs and Tests

Iron deficiency anemia is diagnosed using lab work. Your doctor will request a complete blood count (CBC) to see if your red blood cell counts, hemoglobin, hematocrit, or mean corpuscular volume (MCV) could suggest anemia. 1

Differential Diagnoses

There are many different forms of anemia, often identified by their causes. The signs and symptoms of anemia might be similar, although different underlying causes might cause different symptoms.

Summary

Iron deficiency anemia is diagnosed by reported symptoms, physical examination, and laboratory testing. It must be distinguished from other forms of anemia. Your healthcare professional will also look for underlying conditions that could lead to iron deficiency anemia.

A Word From Verywell

You should make an appointment to see your doctor if you are experiencing high levels of fatigue and don’t know why. Fatigue has many causes, and iron deficiency anemia is only one.