Difference between revisions of "Anemia"
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(Created page with "'''Use of this site is subject to you reading and agreeing with the terms set forth in the disclaimer.''' ==I...") |
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*Direct & indirect Coombs | *Direct & indirect Coombs | ||
*LFTs (direct, indirect, total bilirubin) | *LFTs (direct, indirect, total bilirubin) | ||
| + | *Infectious: anaplasma, babesia, ehrlichia | ||
===Anemia of chronic disease/anemia chronic kidney disease=== | ===Anemia of chronic disease/anemia chronic kidney disease=== | ||
Revision as of 15:29, 4 July 2015
Use of this site is subject to you reading and agreeing with the terms set forth in the disclaimer.
Initial evaluation
May consist of:
- CBC with differential, MCV
- Basic metabolic panel (BMP)
- Liver function tests (LFTs)
- Reticulocyte count
- Iron, total iron binding capacity (TIBC), ferritin
- Vitamin B12 +/- methylmalonic acid & homocysteine
- Folic acid
- TSH
- Peripheral smear
- Clinical history, lifestyle factors (e.g. alcohol)
- Medications
GI bleeding?
- Stool occult blood
- EGD & colonoscopy
Hemolysis?
- LDH
- Haptoglobin
- Direct & indirect Coombs
- LFTs (direct, indirect, total bilirubin)
- Infectious: anaplasma, babesia, ehrlichia
Anemia of chronic disease/anemia chronic kidney disease
- Basic metabolic panel (BMP) & iron labs as above
- Serum erythropoietin
Chronic/inherited?
- Hemoglobin electrophoresis
- Sickle cell evaluation
Myeloma?
- SPEP & IFE
- UPEP
- Free serum/urine kappa/lambda light chains
- Skeletal survey
Primary marrow process/hematologic malignancy
Less common
- Copper
- Zinc