23 results
Iron Deficiency Anemia vs Anemia of Chronic Disease - Laboratory Testing

SUMMARY:
 - RDW, FEP, serum iron,
of Chronic Disease ... - Laboratory Testing ... , saturation-worthless ... #Chronic #Disease ... #Laboratory #Testing
Iron Panel Interpretation

Iron deficiency - ↓ Iron, ↑-nl Transferrin / TIBC, ↓ Transferrin Saturation,  ↓
, ↓ Ferritin Anemia ... of chronic inflammation ... deficiency + Chronic ... deficiency #diagnosis #differential ... #hematology #laboratory
For an elderly patient with multiple comorbidities it can be challenging to determine if their anemia
is secondary to iron ... of chronic disease ... To you help differentiate ... benefit from IV iron ... #Transferrin #Saturation
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
Causes of Anemia ... Volume (MCV) - Differential ... Volume (<80 fL) • Iron ... of Chronic Disease ... of Chronic Disease
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Deficiency Anemia ... • Additional laboratory ... inflammation or chronic ... Test for celiac disease ... workup #diagnosis #gastroenterology
Causes of False Elevation and Reduction in HbA1c

== False Elevation ==
Decreased RBC turnover 
• Iron, B-12,
Causes of False ... RBC turnover • Iron ... • Hemolytic anemia ... End-stage renal disease ... Diagnosis #DM2 #Differential
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor
The maturation factor is
x (Hct / 45) / Maturation ... Factor The maturation ... deficiencies: Iron ... kidney disease, ... #differential #
Overall Approach to Anemia - Differential Diagnosis Algorithm

Blood Loss
 • Acute Bleed - Normocytic / Normochromic
- Differential ... MCH, MCHC, Serum Iron ... • Anemia of Chronic ... Disease • Marrow ... Diagnosis #Algorithm #Causes
Causes of Iron Deficiency
 • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Inflammation: IBD, Chronic ... disease (↑ hepcidin ... #differential # ... diagnosis #anemia
Causes of Iron Deficiency
 • Inadequate Intake: Vegetarian/vegan diet, Malnutrition
 • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Elite athletes • Chronic ... Loss (without anaemia ... IBD, cancer) #Iron ... #Deficiency #differential