1 / 26

Clinical Case Presentation #5 Iron Deficiency Anemia

Clinical Case Presentation #5 Iron Deficiency Anemia. Building Blocks of Life. Template for CCP. Chief Complaint (CC) History of Chief Complaint (HCC) Medications (Meds) Social History (SH) Family History (FH) Dental History (DH) Medical History (MH) Review of Systems (RS)

ali-newton
Download Presentation

Clinical Case Presentation #5 Iron Deficiency Anemia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Clinical Case Presentation#5Iron Deficiency Anemia Building Blocks of Life

  2. Template for CCP • Chief Complaint (CC) • History of Chief Complaint (HCC) • Medications (Meds) • Social History (SH) • Family History (FH) • Dental History (DH) • Medical History (MH) • Review of Systems (RS) • Diagnosis -RiskAssessment (DRA) • Differential Diagnosis (DD) • Treatment (Tx) • Prognosis (PR)

  3. Test at the end of this presentation!

  4. Patient • 44 year old female • Chief Complaint (CC) • Dyspnea on exertion,fatigue,listlessness, pallor changes,inability to concentrate, irritability, headache and chronic URI’s. • History of Chief Complaint (HCC) • States feeling like this for about one year. • Medications • No medications, patient is averse to taking any medication.

  5. Social History (SH) • Patient is unemployed and has minimal financial resources. • She smokes 1ppd x 10 yrs. • She lives in the Bellevue shelter. • Family History (FH) • Sister with history of anemia due to heavy menses and a desire to eat clay dirt. • Dental History (DH) • Oral hygiene is acceptable. Last check up 10 months ago. • Medical History (MH) • Pt. Dx with Crohn’s disease, gluten intolerence(sprue) ,brittle hair, heavy menstrual periods, gastric ulcer disease.

  6. Review of Systems (RS) • Cardiovascular – BP 90/60, HR 92, with palpatations. • Respiratory – Rate 19/min.+ SOB • Nervous – Very irritable,dizzy, headache, altered sense of touch, burning sensation of the tongue. • Endocrine – WNL • Renal – WNL • Gastrointestinal – celiac sprue, crohn’s disease, difficulty swallowing, • Skin and mucosa – Pale skin,sores in the corners of the mouth ,smooth tongue,dryness of the mouth and tongue,brittle finger nails. • Osteoarticular – Leg pains.

  7. Diagnosis and Risk AssessmentAre any of these conditions in the medical and social history associated with the patients signs and symptoms? • Celiac sprue • Brittle hair and nails? • SOB and palpatations? • Low socio-economic status? • Sores in the cornrs of the mouth? • Cigarette smoking? • Diet?

  8. Dietary Questionnaire • Consumes large quantities of: • Junk Foods • Pica • Drinks soda and beer Whatshould she be eating/drinking?

  9. Normoblast Ft Fe ALA H.S. Heme +PP Tf Fe Fe Mitochondrion Hb Globin

  10. The iron cycle RBC Parenchymal cell RE Cell Normoblast Tf Transferritin

  11. Diagnostic Tests for Fe+ Deficiency Anemia • RBC • Serum iron levels • Serum ferritin levels • Family history • Hgb & Hct • Bone marrow analysis • Stool Guiac

  12. Differential Diagnosis • Lead poisoning • GI bleeding • Malabsorption syndrome • Chronic infections(bact,vir,fun) • Chronic inflammatory disorders • Malnutrition • Malignancy

  13. Treatment and Prognosis • Iron- rich diet containing red meat, dark green vegetables, ie spinach • Oral iron supplementation • Treat the cause of the abnormal bleeding • Stool test for occult blood Prognosis • Excellent if accurate diagnosis is followed by proper treatment

  14. Answer the following • What is iron deficiency characterized by? • What foods are high in iron? • What blood tests would diagnose this anemia? • What are some differential diagnoses of iron deficiency anemia? • What are some clinical signs of iron deficiency anemia?

  15. Thank You

More Related