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Old man with anemia


Old man with anemia

المعلومة

Although anemia in females may arise from gynecologic causes, it is a clinical maxim that iron deficiency anemia in an older man means gastrointestinal cancer until proved otherwise.

المرجع

Robbins Basic Pathology 8th edition

by
السنة السادسة

Quote:
anemia in females may arise from gynecologic
Quote:
anemia in an older man means

what's the relation between the two sentences......
did you mean by the latter males and females
Or did you mean males and the former sentence just to remember..?

lifespring
السنة الخامسة


What I understood from Robbins is that Major causes of anemia differ between Men And Women
ANYWAYs, if you have the book this information is on page 624 , it is written in ITALICs

OmHa
السنة السادسة


what about eldery women with anemia, don't we suspect GI cancer?0

h a r m o n y's picture
h a r m o n y


Iron deficiency anemia.
Killip S, Bennett JM, Chambers MD.
Department of Family and Community Medicine, University of Kentucky, Lexington, Kentucky, USA.

The prevalence of iron deficiency anemia is 2 percent in adult men, 9 to 12 percent in non-Hispanic white women, and nearly 20 percent in black and Mexican-American women. Nine percent of patients older than 65 years with iron deficiency anemia have a gastrointestinal cancer when evaluated. The U.S. Preventive Services Task Force currently recommends screening for iron deficiency anemia in pregnant women but not in other groups. Routine iron supplementation is recommended for high-risk infants six to 12 months of age. Iron deficiency anemia is classically described as a microcytic anemia. The differential diagnosis includes thalassemia, sideroblastic anemias, some types of anemia of chronic disease, and lead poisoning. Serum ferritin is the preferred initial diagnostic test. Total iron-binding capacity, transferrin saturation, serum iron, and serum transferrin receptor levels may be helpful if the ferritin level is between 46 and 99 ng per mL (46 and 99 mcg per L); bone marrow biopsy may be necessary in these patients for a definitive diagnosis. In children, adolescents, and women of reproductive age, a trial of iron is a reasonable approach if the review of symptoms, history, and physical examination are negative; however, the hemoglobin should be checked at one month. If there is not a 1 to 2 g per dL (10 to 20 g per L) increase in the hemoglobin level in that time, possibilities include malabsorption of oral iron, continued bleeding, or unknown lesion. For other patients, an endoscopic evaluation is recommended beginning with colonoscopy if the patient is older than 50.

PMID: 17375513 [PubMed - indexed for MEDLINE]

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