22 January 2018 (Monday) - Iron Deficiency

Here’s a case I found at work today.

ANONYMOUS              K012345678           19.03.26 F A&E   Cons. not stated
Z,18.0009259.X       U 23.01.18  Clinical detail head injury/fall. Urine +ve on 
--------------------------------------------------------------------------------
            HBM   WBCM    PLT    HCT   RBCM   MCVM   MCHM  MCHCM    RDW      N
230317       93   5.40    381  0.363   4.92   73.8   18.9    256   32.8   3.60
170517 F     85   5.20    340  0.292   4.10   71.2   20.7    291   22.0   3.50
240517       73   6.80    367  0.321   3.76   70.4   20.4    290   20.1   4.30
220118 F     56  14.73    284  0.209   3.57   58.5   15.7    268   19.4  13.11

              L      M      E      B    NUC   NUCA    ESR     GF
230317     1.40   0.40   0.00   0.00                            
170517 F   1.40   0.30   0.00   0.00                            
240517     1.90   0.50   0.00   0.00                            
230118 F   1.04   0.56   0.00   0.02                            


Going back into the historical record the MCV and MCH were once within the reference ranges. Came in through A&E following a fall. Look how that iron deficiency has crept up…

I’ve written up this sort of thing before… I’ve actually got a mini-atlas on-line here.
Perhaps I should re-visit that atlas?


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