CourseCase Study 2
A 28-year old female presents for a routine physical. She has nocomplaints. Her personal medical history reveals asthma that is wellcontrolled with an albuterol inhaler prn and Advair 250/50 1 puffBID. Social history reveals she is a nursing student who is anon-smoker, rarely uses alcohol, and is mostly vegetarian. Herphysical exam is negative, and she is sent for a CBC/differential andlipid profile. Laboratory results reveal the following: Hemoglobin10, Hematocrit 30.1, MCV increased.
Thepatient is suffering from iron deficient anemia.
Thepatient is a female in her reproductive age. She does not smoke andrarely used alcohol. She is mainly vegetarian which results into lowintake of iron in the diet and poor absorption in the gut. Usually,anemia has moderate to severe symptoms which may include fatigue,pale skin, dizziness and general body weakness (Buttaro et al, 2013).However, the patient does not have these symptoms.
Physicalexamination indicates that the patient is physically healthy.
Laboratoryresults indicate that the patient is suffering from iron deficientanemia. The patient has low hemoglobin of 10 grams per deciliter.Usually, a normal person should have a hemoglobin count of 13.5 gramsfor men and 12 grams for women. Hematocrit of 31.1 percent is alsosignificantly low, suggesting a low volume of red blood cells in theblood. A normal female should have a Hematocrit of at least 40percent. The increased mean corpuscular volume also indicates thatthe patient has a case of anemia. The mean capsular volume capsularvolume refers to the volume of red blood cells in the blood. Thistest rules out Thalassemia anemia.
Pathophysiology of iron deficient anemia
Iron deficient anemia is the most common type of anemia. Iron is animportant component of the red blood cells. The body gets iron fromthe diet or reuses iron from dead red blood cells. If the iron storedby the body runs low, due to loss of blood, poor absorption of iron,inadequate iron in the diet or increased demand for iron, theindividual develops iron deficient anemia.
Sincethe patient is has not experienced symptoms of anemia and the body isresponding to well to the deficiency, an advice on diet and ironsupplements would be sufficient.
AmericanHeart Association. (n.d.). Retrieved fromhttp://www.heart.org/HEARTORG/
Buttaro,T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J.(2013). Primarycare: A collaborative practice(4th ed.). St. Louis, MO: Mosby.
NationalHeart Lung and Blood Institute.(n.d.). Retrieved from http://www.nhlbi.nih.gov/