Approach to acute anemia

Approach to Anemia * วินิจฉัยว่ามี Anemia * หาสาเหตุของ Anemia

วินิจฉัยว่ามี Anemia อาการ - ซีด เพลีย เหนื่อยง่าย หน้ามืด เวียนศีรษะ ขาดสมาธิ เบื่ออาหาร decreased libido, organ hypoxia (angina in patients with CAD, worsening dementia / intermittent claudication ) อาการแสดง - Pallor of skin & mucous membrane, modest tachycardia, increased pulse pressure, postural hypotension (acute blood loss), systolic ejection murmur, mild peripheral edema, retinal hemorrhage (severe anemia)

Normal Ranges of Erythrocyte Measurements in Adults Females Males Hemoglobin (g/dl) 12 - 16 13 - 17 Hematocrit (%) 36 - 48 40 - 52 Red blood cells (x 10 6 /ul) 4.0 - 5.4 4.5 - 6.0 Mean cell volume ( MCV ; fl) 80 - 95 80 - 95 วินิจฉัยว่ามี Anemia

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Internal Bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Bleeding ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

G6PD Deficiency ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],G6PD Deficiency

Acute Anemia ,[object Object],[object Object],[object Object]

Clinical approach to patients with suspected hemolysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical approach to patients with suspected hemolysis

[object Object],[object Object],[object Object],[object Object],Clinical approach to patients with suspected hemolysis

Schistocyte ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical approach to patients with suspected hemolysis

Conditions mistaken for hemolytic anemia ,[object Object]

Conditions mistaken for hemolytic anemia ,[object Object],[object Object],[object Object]

Conditions mistaken for hemolytic anemia ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Conditions mistaken for hemolytic anemia

หาสาเหตุของ Anemia การแบ่งชนิดของ Anemia * แบ่งตาม pathogenesis - Disorders of erythrocyte production - Acute bleeding - Hemolysis * แบ่งตามขนาดเม็ดเลือดแดง - Microcytic anemia (MCV < 80 fl) - Normocytic anemia (MCV 80-100 fl) - Macrocytic anemia (MCV > 100 fl)

แบ่งตาม pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],แบ่งตาม pathogenesis

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],แบ่งตามขนาดเม็ดเลือดแดง (MCV)

แบ่งชนิด Anemia ตาม Onset ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

การซักถามประวัติเพื่อหาสาเหตุ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

การตรวจร่างกาย ,[object Object],[object Object],[object Object],[object Object],[object Object]

CBC & Blood smear ,[object Object],[object Object],[object Object]

Further investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Approach to Anemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Approach to acute anemia

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