Presentation
(coughing of blood), and hematuria are generally obvious and reported while uterine bleeding or GI bleeding can be overlooked or occult and may present as unexplained anemia Post-hemorrhagic Anemia: Blood loss -Excessive menstrual bleeding often goes [cram.com]
Presentation on theme: "Normocytic Normochromic Anemias"— Presentation transcript: 1 Normocytic Normochromic Anemias M H Qari, MD, FRCPA Associate Professor of Hematology 2 Aplastic anemia Aplastic anemia is a severe, life threatening syndrome in which [slideplayer.com]
My MCV has actually dropped from 91.1 in XXXXXXX to 83.7 at present, so megaloblastic anemia seems rather unlikely to me. [healthmagic.gq]
Clinical Features The clinical presentation of anemia is widely variable. In some cases, it may present with non-specific signs and symptoms such as fatigue, shortness of breath, pallor, and tachycardia. [ahcmedia.com]
MICROCYTIC ANEMIA Presented by- Dr. Monika Nema Dr. [slideshare.net]
Respiratoric
- Nasal Congestion
At the beginning of January I started experiencing sleep maintenance insomnia, extreme fatigue, lethargy, clouded consciousness, apathy, bilateral parasthesia of the legs, facial hot flashes, supine nasal congestion, recurring sinusitis, and anxiety. [healthmagic.gq]
Musculoskeletal
- Joint Swelling
Rounds 31 years old patient present with lower limb swelling and calf muscle stiffness,bilater knee joint swelling and pain b fatiguability ,epigastric pain and anorexia, investigation done :High ESR, CRP and positive RF ..see CBC below. next Hb deteriorated [dailyrounds.org]
Neurologic
- Headache
Patients with Hypochromic Anemia may have a distinct green skin tinge, and other symptoms include lack of energy, shortness of breath, dyspepsia, headaches, and amenorrhea. [novusbio.com]
Contra-indications for erythropoetin treatment include uncontrolled hypertension. [ 7 ] Potential side-effects of erythropoetin include increase in blood pressure or aggravation of hypertension, headache, increase in platelet count, influenza-like symptoms [patient.info]
Common symptoms of anaemia regardless of the cause include: fatigue lethargy shortness of breath on exercise palpitations sore tongue recurrent mouth ulceration headache loss or change in appetite Common outward signs of anaemia include: pale appearance [stewartnutrition.co.uk]
Clinical Picture Symptoms: general symptoms of anaemia as; easy fatigability, headache, dyspnoea, palpitation. Signs: Pallor which can be detected in the face, palm of the hand, nail bed and mucus membranes of the mouth and conjunctiva. [gfmer.ch]
- Extrapyramidal Symptoms
Normocytic Hypochromic & Normocytic Normochromic anemia 98 terms AG-ACNP - Heme/Onc OTHER SETS BY THIS CREATOR 8 terms Extrapyramidal Symptoms 41 terms Nephritic & nephrotic syndromes THIS SET IS OFTEN IN FOLDERS WITH... 15 terms Hema 3 (Gulick - Megaloblastic [quizlet.com]
- Neglect
I neglected to mention in March my folate and B12 were both in the top 2/3 range. All of my nutritional values have been normal, except a decrease in HDL from 41 to 30. [healthmagic.gq]
- Responsiveness Decreasing
[…] iron transport in body --> decreased Hb production Decreased EPO responsiveness Decreased production of EPO Anemia of chronic disease: investigations Iron studies - Ferritin increase - Transferrin decrease - Iron decrease - TIBC normal or increase MCV [quizlet.com]
Workup
An initial anemia workup includes CBC, iron, and ferritin testing to determine the underlying cause of the disease. [arupconsult.com]
The doctor may also decide to take some other screening blood tests that might identify the cause of fatigue; glucose levels, ESR, ferritin, renal function tests and electrolytes may be part of such a workup. [copacabanarunners.net]
A bowel workup may be required if the patient has iron deficiency. I get more likely to investigate if the anemia is under 9-10 g/dl, but will investigate earlier if there has been a change compared to a previously known baseline level. [arthritis.co.za]
Routine workup of the patient with anemia, advise: Hemoglobin and hematocrit. Red blood cell count. Blood indices. peripheral blood smear. Reticulocyte count. White blood cells count and platelets count. [labpedia.net]
Serum
- Cabot Rings
Target cells and cabot rings B. Toxic granulation and Dohle bodies C. Pappenheimer bodies and basophilic stippling D. Schistocytes and nucleated RBCs 24. Which antibiotics are most often implicated in the development of aplastic anemia? A. [proprofs.com]
If anemia is present, the appearance of the peripheral smear is usually diagnostic, demonstrating several hyper-segmented granulocytes as well as RBC inclusions (i.e., stippling, Howell–Jolly bodies, Cabot's rings, and non-hemoglobin iron). [glowm.com]
- Pelger-Huet Anomaly
Pelger-Huet anomaly B. Pernicious anemia C. Autoimmune hemolytic anemia D. Sideroblastic anemia 27. A patient's peripheral smear reveals numerous NRBC's marked variation of red cell morphology, and pronounced polychromasia. [proprofs.com]
Other Pathologies
- Gliosis
MRI showed small, left frontal lobe gliosis. ENT found no cause for my daily sinus congestion. Since September I have normocytic, normochromic anemia with Hemoglobin at 12.7, RBC at 4.48, and a hematocrit of 37.5. [healthmagic.gq]
Treatment
Treatment of aplastic anemia is a twofold process. [britannica.com]
[…] evidenced as atypical bone marrow and blood differential; requires treatment of the underlying disorder Treatment of Disorders of Hyperplastic Bone Marrow: Withdraw methotrexate or other DNA synthesis ... if present When related to confirmed myelodysplasia [cram.com]
Treatment with recombinant erythropoietin increased their hemoglobin and hematocrit levels. These common points have a possibility to be brought about by tubulointerstitial damage and microangiopathy may be involved in it. [ncbi.nlm.nih.gov]
Treatment of the anemia consists merely of antirheumatic treatment. Iron administration is counterproductive since iron chelators or exogenous erythropoietin administration might increase erythropoiesis. [arthritis.co.za]
Prognosis
The prognosis of these patients is excellent. [ncbi.nlm.nih.gov]
[…] lymphocytes live a long time) Normochromic, normocytic RBCs (may be slightly macrocytic) Mild to moderate anisocytosis and poikilocytosis Decreased reticulocyte count Hypocellular bone marrow with > 70% yellow marrow Treatment – in untreated cases the prognosis [slideplayer.com]
Prognosis By treating the underlying condition, white blood cell counts usually return to normal Resources BOOKS Holland, Steven M., and John I. Gallin. "Disorders of Granulocytes and Monocytes." [encyclopedia.com]
Prognosis Untreated anaemia of CKD is strongly associated with cardiovascular and renal complications, resulting in increased hospitalisations and mortality.Therefore, correcting anaemia is considered an important part of slowing or even stopping the [patient.info]
Effect on pregnancy: ß-Thalassaemia major is rarely encountered in pregnant women, but if this happened the prognosis is poor. Anaemia becomes severe in mid-pregnancy and may result in heart failure. [gfmer.ch]
Etiology
Classification Morphological Characteristics Etiology Bone Marrow Response 5. [slideshare.net]
Etiology TABLE 2: ETIOLOGICAL CLASSIFICATION OF ANAEMIA Blood loss: Acute Chronic Decreased iron assimilation: Nutritional deficiency Hypoplastic or aplastic anemia Bone marrow infiltration like leukemia & other malignancies, myelodysplastic syndrome [pediatriconcall.com]
Showing a similar RBC abnormality (eg, spherocytes, abnormal Hb, G-6-PD deficiency) among family members establishes the basic etiology. [emedicine.medscape.com]
In rare instances it is the result of abnormal hormonal stimulation of stem cell proliferation or the result of a defective bone marrow microenvironment or from cellular or humoral immunosuppression of hematopoiesis. 5 Aplastic anemia Etiology Acquired [slideplayer.com]
Epidemiology
The pathogenesis, epidemiological and clinical characteristics of normocytic normochromic anemia of unknown cause are not well established. [ncbi.nlm.nih.gov]
Hemolyticuremic Syndrome [ Epidemiology | Incidence and Prevalence | Laboratory Evaluation of Anemia ] [ Clinical Assessment of Anemia | Casual and Risk Factors | Prevention | Exercises | Lecture on Anemia ] [pitt.edu]
Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]
Pathophysiology
The disease is characterized by peripheral pancytopenia and accompanied by a hypocellular bone marrow. 3 Hypocellular bone marrow in aplastic anemia 4 Aplastic anemia Pathophysiology: The primary defect is a reduction in or depletion of hematopoietic [slideplayer.com]
These particular diseases are covered either because they are common or because they illustrate important pathophysiologic features (or both). A. [web2.iadfw.net]
Pathophysiologic Consequences, Classification, and Clinical Investigation Ed Uthman, MD Diplomate, American Board of Pathology I. [web2.airmail.net]
Anemias can be classified using two basic approaches: etiology (pathophysiology) : the causes of erythrocyte and hemoglobin depletion morphology : the characteristic changes in the erythrocytes red blood cells (RBCs), size, shape, and color An etiologic [innvista.com]
Prevention
Rh isoimmunization can be prevented if an Rh negative mother is given an intramuscular injection of anti Rho(D) immune globulin within 72 hours of the birth of an Rh positive baby or in any situation in which significant fetal maternal hemorrhage may [quizlet.com]
Abnormalities of Fe mobilization from marrow stores are also recognized which may prevent reutilization of Fe salvaged from dead RBCs. [med-ed.virginia.edu]
The best way to prevent microcytic anemia is to get enough iron in your diet. Increasing your vitamin C intake can also help your body absorb more iron. You can also consider taking a daily iron supplement. [healthline.com]
Hemolyticuremic Syndrome [ Epidemiology | Incidence and Prevalence | Laboratory Evaluation of Anemia ] [ Clinical Assessment of Anemia | Casual and Risk Factors | Prevention | Exercises | Lecture on Anemia ] [pitt.edu]