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on 13-Jul-2015 (Mon)

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Flashcard 150897704

Tags
#haematology #medicine
Question
What are the causes of Iron deficiency Anaemia ?
Answer
  • Blood loss, eg menorrhagia or GI bleeding
  • Poor diet may cause IDA in babies or children (but rarely in adults), those on special diets, or wherever there is poverty.
  • Malabsorption (eg coeliac disease) is a cause of refractory IDA .
  • In the Tropics, hookworm (GI blood loss) is the most common cause.

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Flashcard 150897711

Tags
#haematology #medicine
Question
What are the signs of Chronic Anaemia ?
Answer
  • Koilonychia
  • Atrophic glossitis
  • Angular cheilosis
  • Post-cricoid webs (Plummer-Vinson syndrome)

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Flashcard 150897718

Tags
#haematology #medicine
Question
What is the blood film finding with Iron Deficiency Anaemia ?
Answer
  • Microcytic, Hypochromic Anaemia
  • Anisocytosis
  • Poikilocytosis

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Flashcard 150897725

Tags
#haematology #medicine
Question
What is Ferritin ?
Answer
Ferritin is an acute phase protein and increases with inflammation, eg infection, malignancy

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Flashcard 150897732

Tags
#haematology #medicine
Question
What are the components of a Full Workup for GI Workup in Anaemia with no clear cause ?
Answer
  • Gastroscopy
  • Sigmoidoscopy
  • Barium enema or Colonoscopy
  • Stool microscopy for ova if hookworm
Faecal occult blood is not recommended as sensitivity is poor.
Iron deficiency with no obvious source of bleeding mandates careful GI workup

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Flashcard 150897739

Tags
#haematology #medicine
Question
What are the side effects of Ferrous Sulfate ?
Answer
  • Nausea
  • Abdominal discomfort
  • Diarrhoea or constipation
  • Black stools

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Flashcard 150897746

Tags
#haematology #medicine
Question
How should Iron Deficiency Anaemia be treated ?
Answer
  1. Treat the causes
  2. Oral iron, eg ferrous sulfate

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Flashcard 150897753

Tags
#haematology #medicine
Question
What conditions cause secondary anaemia (Chronic Anaemia) ?
Answer
  • Chronic Infection
  • Vasculitis
  • Rheumatoid Arthritis
  • Malignancy
  • Renal failure

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