Diagnosis of Anemia, hypochromic microcytic

Anemia, hypochromic microcytic Diagnosis: Book Excerpts

• Microcytic Anemia - DIAGNOSIS - Microcytic Anemia

Diagnostic Tests for Anemia, hypochromic microcytic: Online Medical Books

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Microcytic Anemia: Microcytic Anemia - DIAGNOSIS
(The 5-Minute Pediatric Consult)

• Most commonly identified in children through routine screening
• Often the result of a chronic condition that does not require immediate intervention
• Review of the child’s history, red cell indices, and peripheral blood smear should guide further laboratory evaluation.
• General guidelines for evaluation:
  • Initially identify severe anemia that requires inpatient observation and possible blood transfusion.
  • Consider chronic lead intoxication early. If history is suspicious (e.g., peeling paint, pica), draw lead level.
  • Iron deficiency is the most common cause of microcytic anemia. Screen by history. If history is suspicious, consider therapeutic iron trial prior to additional workup.
  • If suspicious of a thalassemia syndrome, send hemoglobin electrophoresis with hemoglobin A2 quantification. CBCs and hemoglobin electrophoresis from parents may also be helpful.

» READ BOOK EXCERPT ONLINE »

Source: The 5-Minute Pediatric Consult, 2008

 » Next page: Signs of Anemia, hypochromic microcytic

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