Blood/Microcytic Anemias

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Objectives

Given a patient with anemia, the students will be able to:

  • Classify and differentiate the various types of anemia based on screening laboratory tests and explain the pathophysiology involved
  • Discuss additional investigations and expected results required to differentiate the various anemias and the rationale for each test
  • Describe the management of the anemia and explain the rationale of each therapeutic manoeuvre

Specifically:

  • List and classify the common forms of microcytic anemias and describe the pathophysiologic mechanisms for their development
  • Describe the history, physical findings and investigations required to differentiate iron deficiencies from other causes of microcytic anemia

Exam

  • Anemia: Hemoglobin < Normal for the laboratory (135 g/L for men, 115 g/L for women)
  • Microcytic: MCV <79fL in an untransfused person (transfused cells can give a false normal value for the MCV)

Notes

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