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A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
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A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
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A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
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15

A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
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5

A man with rust coloured urine and normocytic anaemia

A 65 year old man presented to the emergency department with a 10 day history of dark urine, general malaise, and progressive shortness of breath. He had a history of rheumatic heart disease and had been on warfarin since he had a metallic mitral valve replacement in 1984. He was a retired teacher, drank a minimal amount of alcohol, and was a non-smoker. He had no family history of cancer.  
feeds.bmj.com
over 4 years ago
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Cambodia's lucky iron fish - BBC News

A fish-shaped lump of iron could be the answer to the global problem of anaemia.  
bbc.co.uk
over 4 years ago
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Iron deficiency may lead to false diagnosis of diabetes

Anaemia can lead to a false diagnosis of diabetes by distorting readings of glycated haemoglobin (HbA1c) concentrations, concludes a systematic review of the evidence published in Diabetologia.1  
feeds.bmj.com
over 4 years ago
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71

Classification of Anemia Reviewed (Examville Study Guides)

Download this and other presentations for FREE from Examville's Study Aids section. View thousands of videos and download study aids and tutorials at Examvil...  
youtube.com
over 4 years ago
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Psychological therapies for sickle cell disease and pain | Cochrane

Sickle cell disease is a group of blood disorders. It can cause anaemia, which if severe can reduce mobility. It may also allow small blood vessels to become blocked causing pain in muscle and bone and it can damage major organs such as the spleen, liver, kidneys, and lungs. People with sickle cell disease are more vulnerable to severe infections. Treatment is usually in response to symptoms and designed to ease pain. Psychological treatment to help people cope with sickle cell disease might complement current medical treatment. There are four types of treatment: patient education; cognitive therapy (to do with thoughts and feelings); behavioural therapy (to do with actions); psychodynamic psychotherapy (talking to relieve emotional pain). We searched for randomised or quasi-randomised controlled trials which compared psychological treatments to each other or to no treatment in sickle cell disease. We included seven studies in the review, of which five, with 260 people, had data we could enter into the review. One study showed that cognitive behaviour therapy reduced the affective part of pain (feelings about pain), but not the sensory part (pain intensity). Another study of this therapy had inconclusive results for coping strategies and showed no difference on how different groups used the health service. A study using cognitive behavioural therapy with teenagers and their families at home did not show any difference when compared with education about sickle cell disease. One education study did not show a reduction in depression. Furthermore, one study in patient education helped improve attitudes to healthcare workers and medication use in adolescents and young adults. The authors believe that some patient education seems relevant for children, adolescents and young adults, while methods to improve the ability to cope in both children and adults are important. Nonetheless, these results may not apply to across all ages, clinical severity, types of pain (acute or chronic) that people with sickle cell disease have, or which country they live in. More research needs to be done in this area.  
cochrane.org
over 4 years ago
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An unusual case of severe anaemia and lymphocytosis

An 83 year old man was referred to the haematology clinic with a three week history of fatigue and shortness of breath on exertion. His symptoms had progressively worsened and on the day of review he felt breathless at rest. He had noted that he bruised easily over his arms and had recently been admitted for recurrent chest infections that required intravenous antibiotics. He had also lost 5 kg in weight during the past month.  
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over 4 years ago
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An unusual case of severe anaemia and lymphocytosis

An 83 year old man was referred to the haematology clinic with a three week history of fatigue and shortness of breath on exertion. His symptoms had progressively worsened and on the day of review he felt breathless at rest. He had noted that he bruised easily over his arms and had recently been admitted for recurrent chest infections that required intravenous antibiotics. He had also lost 5 kg in weight during the past month.  
feeds.bmj.com
over 4 years ago
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21

An unusual case of severe anaemia and lymphocytosis

An 83 year old man was referred to the haematology clinic with a three week history of fatigue and shortness of breath on exertion. His symptoms had progressively worsened and on the day of review he felt breathless at rest. He had noted that he bruised easily over his arms and had recently been admitted for recurrent chest infections that required intravenous antibiotics. He had also lost 5 kg in weight during the past month.  
feeds.bmj.com
over 4 years ago
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Management of anaemia in chronic kidney disease: summary of updated NICE guidance

Various factors—including deficiency of erythropoietin, iron, folate, or vitamin B12; blood loss; infection; and inflammation—contribute to the development of the anaemia of chronic kidney disease  
feeds.bmj.com
over 4 years ago
Sinaiem dark
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burning-up

62 y/o M PMH of hep C cirrhosis, HTN, and anemia presents with fever to 101.6 and diffuse abdominal pain. Your patient has jaundice and abdominal distension and tenderness with shifting fluid wave. You work him up with labs, including a tap to rule out SBP. Can you safely use tylenol to control his fever?  
sinaiem.org
over 4 years ago
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Effect of administration of antihelminthic for soil-transmitted helminths during pregnancy | Cochrane

Intestinal worms (helminths) contribute to iron-deficiency anaemia as they feed on blood and cause further bleeding by releasing anticoagulant compounds. They also affect the supply of nutrients and cause anorexia, vomiting and diarrhoea. Pregnancy complicated by maternal hookworm infection poses a serious threat to the health of mothers and their babies, especially in developing countries. Women who are anaemic during pregnancy are more likely to have ill health, give birth prematurely, and have low birthweight babies with low iron reserves. Antihelminthic drugs are highly effective and have minimal side-effects but information on their use during pregnancy is limited. The major concern is that the drugs may cause malformation of the fetus (teratogenic effects). We examined the research published up to 31 January 2015 on the impact of giving a single antihelminthic treatment in the second trimester of pregnancy on maternal anaemia and pregnancy outcomes.  
cochrane.org
over 4 years ago
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Effects and safety of preventive oral iron or iron + folic acid supplementation for women during pregnancy | Cochrane

During pregnancy, women need iron and folate to meet both their own needs and those of the developing baby. The concern is that if pregnant women become deficient in these nutrients they are unable to supply them in sufficient quantities to their baby. Low folate nutrition before conceiving increases the risk of the baby having neural tube defects. Low iron and folate levels in women can cause anaemia, which can make women tired, faint, and at increased risk of infection.  
cochrane.org
over 4 years ago
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10

An elderly woman with chest pain and constipation

An 89 year old woman with chronic obstructive pulmonary disease presented to the emergency department with worsening shortness of breath (87% oxygen saturation in room air), retrosternal chest pain, mild abdominal pain, and subacute partial bowel obstruction over the past six days. On physical examination she was dehydrated and she had tachycardia (105 beats/min), diffusely decreased breath sounds, audible crackles at the base of the right lung, and absent breath sounds on the left side pulmonary base. Her abdomen was distended but soft overall, the epigastrium and right hypochondium were slightly tender on deep palpation, and her rectum was empty. Her blood pressure was 130/85 mm Hg. Electrocardiography and troponin (measured at admittance and checked again after six and 12 hours) excluded myocardial infarction. Laboratory studies were unremarkable except for a mild microcytic anaemia (haemoglobin 115 g/L (reference range 120-160), mean cell volume 78.6 fL (80-96). Urgent chest radiography was requested (fig 1⇓).  
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over 4 years ago
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A woman with macrocytic anaemia and confusion

An 82 year old woman with a history of type 2 diabetes presented with unsteady gait and confusion of two months’ duration. Her diabetes was controlled by metformin (500 mg, three times a day) and she had no other comorbidities. She was a non-smoker and did not drink alcohol. Dietary history showed an adequate intake of meat, vegetables, and calories.  
feeds.bmj.com
over 4 years ago
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Treatment for women with iron deficiency anaemia after childbirth | Cochrane

Anaemia is a condition where the blood contains less than normal haemoglobin (low blood count), as shown in blood tests. Haemoglobin is the molecule within red blood cells that requires iron to carry oxygen. Insufficient iron intake/uptake and iron loss (bleeding) can cause iron deficiency anaemia. Anaemia symptoms include tiredness, shortness of breath and dizziness. Women may bleed severely at childbirth and many pregnant women already have anaemia, which can worsen as a result of bleeding. Severe anaemia can be linked to maternal deaths. Iron deficiency anaemia after childbirth is more likely to occur in low-income countries.  
cochrane.org
over 4 years ago