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Re: Acute anemia
Sep 21, 2011
The consultants notes to my doctor ::

This lady presented with symptomatic anaemia which was later confirmed with a full blood film and FBC Symptoms :: SOB (seriously out of breath ) Extreme tiredness oedema present on both ankles HS- quiet soft systolic murmur E-pale Anxious RR variable
pulse rate - 126.00 bpm
O/E pulse rhythm regular
O/E systolic 226
O/E diastolic 91

HB 6.2
MCV 70
WCC 7.1
PLT 227
TSH 3.5
Glucose 8.0

It was considered that we may elect to transfuse this lady but decided against it on the recommendation from Dr Levin (cons) who said it would be much better to try iron supplements. We noted this lady has difficulties with oral iron in the past but we are keen not to keep her in hospital for infusions and so suggest she tries ferrous fumarate instead. It is felt transfusion/infusion are too invasive at this time.

Please check this ladies HB in 1/52 and if needed review her supplementation if she is intolerant of this prescription. If her HB remains low please refer via gastro for iv iron..

primary diagnosis microcytic anemeia

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