Introducing a New Product
ANEMIA
THE APPROACH TO PALLOR
By Dr Nurul Athirah MO KK Tandek
What is anemia?-a definition whn Hb level below 13mg/dL (men), 12mg/dL (W) ; WHO
The critical elements of anemia are used for initial classification-Hb a protein that binds and transports O2 from lung to tissues-Iron the key element in the production of Hb-Ferritin iron binder, measures of iron store-Transferrin iron transporter
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Diagnostic approach
1. Clinical- history (very important)-physical examination
2. DiagnosticLaboratory ixs of anemia usually to secondary cause
Long-term Goal
State the intended goal
Blood tests
1. FBC types and severity!2. Iron studies ferritin ( evaluate total iron available), TIBC, iron (?IDA), TRANSFERRIN ( evaluate total protein carying iron)3. HbE4. PBF size, shape, color, number5. reticulocyte counts measure new RBC produce by the bone marrow5. Stool occult blood -? GIT bleeding6. OTHERS (evaluation) - LFT ; determine liver funtion ? Underlying disease( high bilirubin ? Hemolytic anemia) - RP ( ? kidney pathology) - direct/indirect antiglobulin - cold agglutinin titre - TFT - RP
Customer Wishes
Describe customer needs and wishes
Explain the requirements
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