7 results
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor
The maturation factor is
Index < 2: • Anemia ... , Vitamin B12, Folate ... Retroperitoneal, Uterine • Hemolysis ... Microangiopathic hemolytic ... differential #diagnosis #calculation
Clinically Important Vitamins and Vitamin Deficiency States
Fat-soluble Vitamins: 
 • Vitamin A - Xerophthalmia, night blindness,
• Vitamin E - Haemolytic ... anaemia, ataxia ... paraesthesiae • Folate ... - Anaemia, neural ... signs #symptoms #nutrition
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
of macrocytic anemia ... Hemorrhage or hemolysis ... elevated, but anemia ... but undiagnosed, folate ... #VitaminB12 #Folate
Pancytopenia - Differential Diagnosis

Congenital Diseases:
• GATA2 deficiency
• Fanconi’s anemia
• Wiskott-Aldrich syndrome
• Ribosomopathy or telomeropathy

Cancer:
• Leukemia
• Lymphoma

Inflammatory
deficiency • Fanconi’s anemia ... Antibody-mediated hemolysis ... Nutritional ... Vitamin B12 • Folate
Etiologies of Folate Deficiency
 • Decreased dietary intake - uncommon in this era
 • Increased requirements
Etiologies of Folate ... pregnant have hemolytic ... anemia, or psoriasis ... In addition, folate ... diagnosis #hematology #nutrition
Scurvy (Vitamin C Deficiency) - Diagnosis and Management

Vitamin C is required for hydroxylation of proline residues
persons with poor nutrition ... breath, wasting, anemia ... Loss of teeth Anemia ... contribute to nonimmune hemolysis ... #Nutrition #Diagnosis
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
- Little or no nutritional ... -DPG -> - hemolysis ... - anemia ... Syndrome #diagnosis #pathophysiology