Iron Deficiency Anaemia
What are the best sources of non haem iron
...
Name some foods that are rich in iron
1 green leafy vegetables such as kale spinach and watercress to beams are all sorts including being products such as tofu 3. Dried fruit of all sorts esp apricots raisins and prunes 4. Red meat 5. Fortified breads and cereals 6. seeds esp pumpkins and sesame
And in woman and children
<12
What are the hemoglobin levels that define anaemia in men
<13
Speak of dietary insufficiency as a cause of ida
Actually fairly uncommon gizmos diets contain sufficient i am vegetarians are the greater risk the meat eaters though there is plenty of iron in
Describe some of the particular signs of ida
Angular stomatitis glossitis koilonychia of course pallor
What are the 3 primary etiology of IDA
Bleeding tour absorption dietary insufficiency and excessive and requirements
What is anisocytosis
Blood cells of variable size
Name some common causes of g i blood loss
Colonic carcinoma gastric carcinoma gastric or duodenal ulceration angiodysplasia varices IBD haemorrhoids
What about in poorer countries
Here infested from from things like bookworm are the common missed calls
Speak of blood loss of the calls i d a
In man and in post menopause home woman the communist calls is g i bleeding in pre menopause woman the commonest cause is heavy menstruation
Once the diagnosis is confirmed what further tests are needed
In post menopausal woman and man it is normally necessary to do gi tract investigations starting with the upper gi tract in addition you need to do to test the urine and also to test for celiac disease if upper gi visualisation is negative then go for a colonoscopy
What is a problem with ferritin as a marker of low iron stores
It goes up in acute infection
What is the effect of you nickelback to repair lorry on absorption
It would use is absorption so will something like celiac disease but here you will see folate deficiency as well
Speak of trtracyclines iron absorption
Leon and the tetris i clean combine and neither are absorbed
Should you do gi investigations on a pre menopausal woman who has iron deficiency but not anaemia
Nope
Give some of the more unusual presenting symptoms of ida
Painful tongue taste disturbance hair loss pruritus tinnitus and angina if there is pre-existing coronary heart disease a very rare thing is dysphagia due to use on the sofa geoweb
What is the eponymous syndrome for the esophageal web
Plummer Vincent
What is the rda for iron in adults and compare woman premenopausal with man and woman postmenopausal
Recommended Daily Allowance (RDA) for iron is 8.7mg/day for men and postmenopausal women. For younger women it is 14.8mg per day, with an additional requirement recommended during pregnancy.
What other causes of bleedng
Renal tract malignancy, heavy periods, blood donation, epistaxis
What is the differential diagnosis of micro citic anaemia
Thalassemia sideroblastic anaemia anaemia of chronic disease lead poisoning
What about ant acids and iron absorption
Things with res the gastric ph will inhibit iron absorption
Whom do you refer under the 2 week wait rule with ida
Think of this as 2 units below the normal definition of anaemia for referral so man with each be less than eleven and woman with each be less than 10 where this is unexplained should be referred to the gastroenterology tests it's only refers to woman who are not menstruating remember this advice refers only to the 2 week rule referral others will need referral but not urgent lee
What about the little bacter pylori
Think of this with normal ogd and colonoscopy
Say something about in am excessive iron requirement as a cause of ida
This is something we see in pregnancy and in puberty this is also something seen in x38 of skin diseases
What common thing aids iron absorption
Vitamin c
What makes you look out for on examination of the id a patient
You might look for abdominal masses you could examine for fibroids or problems with the cervix generally though there isn't a lot to find on examination you should take a pulse
