Case Study 4.1 – Anemias of Diminished Erythropoiesis   No unread replies.No replies. Gigi, a 14-ye

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Case Study 4.1 – Anemias of Diminished Erythropoiesis

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Gigi, a 14-year-old female presented to her pediatric practitioner with increasing fatigue and weakness. She recently began experiencing shortness of breath with performance of routine physical activity. Gigi had no personal or family history of anemia, unusual dietary habits, or bleeding. On physical examination, pallor and tachycardia were noted without other abnormal findings. Selected laboratory studies are listed. 

Hemoglobin (Hb):

6.6 gm/dL

Red cell distribution width (RDW):

21.5%

Reticulocytes:

0.7%

Erythrocytes:

3.4 x 106/mm3

Leukocytes:

8,100/mm3

Mean cell volume (MCV):

68 µm3

Platelets (Plt):

480,000/mm3

Mean cell hemoglobin concentration (MCHC):

28.7 g/dL

Microscopic examination of the peripheral blood smear revealed red blood cell changes as seen in Image 1. Additional laboratory work was ordered. 

The results of these studies are as follows:

Total serum iron (TSI):

20

Total serum iron binding capacity (TIBC):

400

Transferrin saturation:

5%

Serum ferritin:

12 ng/mL

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HEALTH SCIENCE
NURSING
NUR 1310

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