Page 219 - 2021 IDMT Digital
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ANEMIA
Introduction:
• 'HILQHG DV D ORZ KHPRJORELQ RU KHPDWRFULW
• 7KH PRVW FRPPRQ FDXVH RI DQHPLD LV LURQ GHILFLHQF\ DQHPLD DQG LV PRUH FRPPRQ LQ
IHPDOHV PHQVWUXDWLRQ WKDQ LQ PDOHV
• 7KHUH DUH D QXPEHU RI RWKHU FDXVHV RI DQHPLD
• ,I ODEV DUH DYDLODEOH WKH\ ZLOO SURYLGH FRQILUPDWLRQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o )DWLJXH
o 3DOSLWDWLRQV
o '\VSQHD RQ H[HUWLRQ
o 3LFD
• )RFXVHG +LVWRU\
o 0HQVWUXDO F\FOH IUHTXHQF\ DPRXQW HWF
o &XUUHQW SUHJQDQF\
o +LVWRU\ RI DQHPLD
o 5HFHQW LOOQHVV
o %ORRG LQ VWRRO
Objective:
• 3K\VLFDO ([DP
o 96 PD\ LQGLFDWH PLOG WR VHYHUH WDFK\FDUGLD ORZ p2
o 6PRRWK WRQJXH (atrophic glossitis, sign of pernicious anemia)
o &KHLORVLV
o 1DLO FKDQJHV
%ULWWOH
6SRRQLQJ NRLORQ\FKLD
• 7RROV
o /DEV &%& PD\ LQGLFDWH ORZ + +
o 6WRRO JXDLDF LI DYDLODEOH
Assessment:
• 'LIIHUHQWLDO
o ,URQ GHILFLHQF\ DQHPLD UHVSRQGV WR D WULDO RI 32 LURQ UHSODFHPHQW
o 2FFXOW EORRG ORVV KLVWRU\ RI 8*, RU /*, EOHHGLQJ
o +HPRO\WLF DQHPLD * 3' dHILFLHQF\ XVH RI PHGLFDWLRQV L H , pULPDTXLQH
KHPRJORELQXULD
o 9LWDPLQ %12 IRODWH GHILFLHQF\ FRQVLGHU 09,
o $QHPLD RI FKURQLF GLVHDVH SDWLHQW ZLOO OLNHO\ KDYH KLVWRU\ RI NQRZQ UHQDO GLVHDVH
RWKHU FKURQLF GLVHDVH
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