pram
Forum Senior
Topics: 37
Posts: 67
|
A 22yrs old male has c/o tiredness.On examination,he is anemic.lab exam shows hb 9.0 gm TIBC-normal Serumferritin- decreased.plts 160*10 power 9 wbc 4*10 power 9.MCV reduced,MCHC reduced
WOF is recommended
a small bowel biopsy
b-Bone marrow exam
c- Hb electrophorosis
d- Upper GIT tract studies
e-Colonoscopy
|
| drk1980
Forum Guru
Topics: 147
Posts: 1,038
|
plz help me wth understanding what ths Q is asking......the best intial step or the best accurate test!?
|
| achilles
Forum Guru
Topics: 90
Posts: 1,228
|
d-upper GIT studies
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
| mesh
Forum Guru
Topics: 77
Posts: 401
|
d
|
| aimhigh
Forum Elite
Topics: 22
Posts: 148
|
D
|
| jvo_md
Forum Senior
Topics: 22
Posts: 189
|
HB electrophoresis?...Why GI exam. if it was to be Fe def...there should be TIBC high...and it is normal...?...if the answer is D...can someone exlpain?
|
| mesh
Forum Guru
Topics: 77
Posts: 401
|
decreased ferritin
decreased mcv
decreased Hb
normal to high TIBC
all these point toward Fe def.....moreover young patient with all these findings........most commonly due to upper GI bleeding...........
jvo_md...why do u think of Hb electrophoresis can u explain?........thanks...........
|
| jvo_md
Forum Senior
Topics: 22
Posts: 189
|
 Well i guess that the decreased ferritin must elicit a elevated TIBC, correct me if im not right, please... He is a young male...and i don't see no reason for Fe def... Just maybe because it's the must common cause...
|
|
| |
| | | | | | | | |
Similar forum topics