APPROACH TO AEMIA

1. ANEMIA
THE APPROACH TO PALLOR
By Dr Nurul Athirah
MO KK Tandek

2. -a definition whn Hb level below
13mg/dL (men), 12mg/dL (W) ;
WHO
The critical elements of anemia are
used for initial classification
-Hb – a protein that binds and
transports O2 from lung to tissues
-Iron – the key element in the
production of Hb
-Ferritin – iron binder, measures of
iron store
-Transferrin – iron transporter
F
F
F F

10. Diagnostic approach
1. Clinical
- history (very important)
-physical examination
2. Diagnostic
Laboratory ixs of anemia usually to
secondary cause

15. Long-term Goal
 State the intended goal

19. 1. FBC – types and severity! Blood tests
2. Iron studies – ferritin ( evaluate total iron
available), TIBC, iron (?IDA), TRANSFERRIN
( evaluate total protein carying iron)
3. HbE
4. PBF – size, shape, color, number
5. reticulocyte counts – measure new RBC
produce by the bone marrow
5. Stool occult blood -? GIT bleeding
6. OTHERS (evaluation)
- LFT ; determine liver funtion ? Underlying
disease( high bilirubin ? Hemolytic anemia)
- RP ( ? kidney pathology)
- direct/indirect antiglobulin
- cold agglutinin titre
- TFT
- RP

24. Customer Wishes
 Describe customer needs and wishes
 Explain the requirements