Example of Microcytic anemic patient
Give this one a try later!
, -65 yo woman with a h/o obesity, GERD, type II DM, and arthritis who
presents with progressive fatigue x 2 months and anemia. Endorses
occasional "dark stools" and has recently increased her naproxen use for
better arthritis pain control.
**Naproxen is an NSAID, can lead to peptic ulcer, can lead to bleed.
Tarry/dark stools.
Microcytic anemia
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(MCV <80)
- Bone marrow dysfunction
- IRON DEFICIENCY
- Anemia of chronic disease (inflammation)
- Thalassemia
- Sideroblastic Disease
- Lead exposure
Example of patient with B12 deficiency (Macrocytic)
Give this one a try later!
75 year old man with a history of anxiety, GERD (takes omeprazole),
hypothyroidism, Type II DM (takes metformin) and HTN who presents with
c/o confusion, peripheral neuropathy, and anemia
Omeprazole (or any PPI) with chronic use can give you B12 deficiency
Metformin can give you B12 deficiency
Give this one a try later!
, -65 yo woman with a h/o obesity, GERD, type II DM, and arthritis who
presents with progressive fatigue x 2 months and anemia. Endorses
occasional "dark stools" and has recently increased her naproxen use for
better arthritis pain control.
**Naproxen is an NSAID, can lead to peptic ulcer, can lead to bleed.
Tarry/dark stools.
Microcytic anemia
Give this one a try later!
(MCV <80)
- Bone marrow dysfunction
- IRON DEFICIENCY
- Anemia of chronic disease (inflammation)
- Thalassemia
- Sideroblastic Disease
- Lead exposure
Example of patient with B12 deficiency (Macrocytic)
Give this one a try later!
75 year old man with a history of anxiety, GERD (takes omeprazole),
hypothyroidism, Type II DM (takes metformin) and HTN who presents with
c/o confusion, peripheral neuropathy, and anemia
Omeprazole (or any PPI) with chronic use can give you B12 deficiency
Metformin can give you B12 deficiency
