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Flashcards in Iron Deficiency Anaemia Deck (10)
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1
Q

What are the risk factors or iron deficiency anaemia?

A

Pregnancy
Vegetarian/vegan diet
Menorrhagia

2
Q

What are the broad causes of iron deficiency anaemia?

A

Decreased iron intake
Increased iron loss
Increased iron requirements

3
Q

What are the symptoms of iron deficiency anaemia?

A

Fatigue
Pica
Nail changes
Dyspnoea on exertion

4
Q

What is pica?

A

Strange cravings

5
Q

What are the investigations for suspected iron deficiency anaemia?

A

FBC

  • low Hb
  • low MCV

Serum ferritin - low
Serum iron - low

Urinalysis
- rule out urological cause

Coeliac serology
- rule out coeliac disease

6
Q

What is the pathophysiology of iron deficiency causing anaemia?

A

Iron required for the synthesis of haemoglobin and haem enzymes

Reduces RBC production

7
Q

What is the management of iron deficiency anaemia?

A

Oral ferrous sulphate

- 2-3 mg/kg/d PO

8
Q

What advice should be given about taking ferrous sulphate?

A

Do not take with tea/coffee
- tannins reduce absorption

Messes with

  • fluroquinolones
  • tetracyclines
9
Q

What lifestyle advice should be given to patients?

A

Absorption helped by vitamin C

Absorption interfered by

  • cholestyramine
  • colestipol
  • neomycin
  • quinolones
  • tetracyclines
  • calcium
  • magnesium
  • zinc
10
Q

How should patients be followed up with iron deficiency anaemia?

A

Bloods

  • 3 months for first year
  • then annually