Anemia Case Study Questions

The Centers for Disease Control and Prevention has developed specific criteria for anemia: hemoglobin levels less than 11.0 g per d L (110 g per L) for children between six months and five years of age.10 In 1993, it was estimated that the prevalence of iron deficiency anemia among children younger than five years was less than 3 percent and most cases were mild11; however, among high-risk groups, the prevalence may be 10 to 30 percent.10 Increased prevalence of iron deficiency anemia occurs among blacks, American Indians, Alaska Natives, persons of low socioeconomic status, preterm and low-birth-weight infants, immigrants from developing countries, and infants whose primary nutritional source is unfortified cow's milk. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.Strategies to prevent iron deficiency anemia among infants are recommended. Guyatt GH, Oxman AD, Ali M, Mc Ilroy W, Patterson C. Contact [email protected] copyright questions and/or permission requests.Reflecting on your last office session, you recall several pediatric visits.

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You ordered blood work for this infant, because it was required by the program.

While most of these blood draws for infants in the WIC program are normal, on occasion, anemia is detected.

Studies of malnourished children in developing countries show enhanced growth and weight gain following iron supplementation.67 However, whether such results can be generalized to the populations in the United States is uncertain.

While capillary blood sampling is often preferred because of the ease of collection, venous specimens are more reliable for the detection of iron deficiency anemia. The characteristics feature of this syndrome is the occurrence of hypoferremia in the presence of ample reticuloendothelial iron stores. Neuropathy Anemia of The chronic Diseases: The mild to moderate anemia that often observed in patients with infectious, inflammatory, or neoplastic diseases that persist for more than 1 or 2 months is called anemia of chronic disease.Results from studies of clinical outcomes following iron supplementation among older children have also reported inconsistent findings for cognitive improvements.13 Multiple observational studies have demonstrated an association between iron deficiency anemia and abnormal growth and development, but it is unclear how much of this is directly attributable to iron deficiency rather than to other environmental factors (e.g., poverty, poor nutrition).Significantly better mental and motor development after four months of therapy among high-risk children with hemoglobin levels less than 10.5 g per d L45 has been demonstrated in the largest of controlled trials on the benefits of correcting iron deficiency, although some other studies have produced inconsistent results.: Ella, a 58-year-old office assistant, presents to a clinic complaining of chronic stomach irritation, fatigue, weight loss, and tingling in her fingers.She reports that she takes a multivitamin every day.Thus, rapid blood loss, especially if plasma volume decreases rapidly, or brisk hemolysis may result in cardiovascular reaction, including tachycardia, postural hypotension, vasoconstriction in skin and extremities, dyspnea on exertion, and faintness. Slow developing anemias, such as those resulting from nutritional deficiency, permit gradual expansion of the plasma volume so that increase cardiac output gradually compensates. Fourth is there evidence for nutritional deficiency or malabsorption? Sixth is there evidence for toxic exposure or drug ingestion that could cause bone marrow depression and anemia? So the subject may remain asymptomatic for long time or noting only slight exertional dyspnea, pallor of skin and mucous membranes, jaundice, cheilosis, beffy red, smooth tongue and koilonychia are signs that accompany more advanced anemias of different types. Finally, dose the patient have chronic inflammatory disease, renal insufficiency, or cancer, each of which is associated with secondary mild anemias, the "anemia of chronic disease" History 1. Evaluation of the anemic patient is best served by a systemic evaluation of the clinical and laboratory findings together. Family History of Anemia, Splenomegaly, Jundice, and Splenoctomy.

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