A patient presented with the following blood work, MCV: Decreased Serum ferritin: Decreased Total iron binding capacity: Increased Serum iron: Decreased Marrow iron: Absent. What is your diagnosis?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:6| Question number:39
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The key is H. Iron deficiency Anemia (IDA). [S/S pallor, koilonychia,angular cheilitis, atrophic glossitis, IN marked Anemia ( Cardiac enlargemnet,Flow Murmurs,ankle oedema and heart failure) Investigation: FBC : shows microcytic hypochromic anemia, Serum ferrtitin Level reduced, normal 12-15 mcg/L, ( serum ferritin is falsely raised during infections), Anisocytosis and poikilocytosis. Total iron binding capacity is increased. Treatment: Iron supplememtation with B12 and folic acid].
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