Case Study 1_Iron-Deficiency_Anemia.

Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition Iron-Deficiency Anemia Case Study A 72-year-old man developed chest pain whenever he was physically active. The pain ceased on stopping his activity. He has no history of heart or lung disease. His physical examination was normal except for notable pallor. Studies Electrocardiogram (EKG), p. 485 Chest x-ray study, p. 956 Complete blood count (CBC), p. 156 Red blood cell (RBC) count, p. 396 RBC indices, p. 399 Mean corpuscular volume (MCV) Mean corpuscular hemoglobin (MCH) Mean corpuscular hemoglobin concentration (MCHC) Red blood cell distribution width (RDW) Hemoglobin (Hgb), p. 251 Hematocrit (Hct), p. 248 White blood cell (WBC) count, p. 466 WBC differential count, p. 466 Result Ischemia noted in anterior leads No active disease Platelet count (thrombocyte count), p. 362 Half-life of RBC Liver/spleen ratio, p. 750 Spleen/pericardium ratio Reticulocyte count, p. 407 Haptoglobin, p. 245 Blood typing, p. 114 Iron level studies, p. 287 Iron Total iron-binding capacity (TIBC) Transferrin (siderophilin) Transferrin saturation Within normal limits (WNL) (normal: 150,000– 400,000/mm3) 26–30 days (normal) 1:1 (normal)