18. An 18-month-old healthy boy presents with his mother to your clinic for a well-child visit. The physical exam is normal as well as vitals and mother had no concerns about the child's health. The patient's mother would like to discuss screening for anemia. Which of the following is correct regarding screening for iron deficiency anemia in this case?
A. Benefits of screening for iron deficiency anemia, in this case, is not proven, and therefore, it is not recommended by the USPSTF (The United States Preventive Task Force)
B. Hemoglobin is a very specific tool for screening for iron deficiency anemia
C. Hemoglobin is not a sensitive tool for screening for iron deficiency anemia
D. Iron deficiency anemia is the most common type of anemia in
Iron deficiency anemia, one of the most common types of anemia, is a blood disorder where
Iron Deficiency Anemia affects millions of individuals across the world. This disease strikes many more women than men and has harmful effects on all who suffer from this deficiency that causes oxygen-carrying capacity to decrease. The causes can vary amongst different groups, but the aggravating symptoms remain constant. Much of the research on Iron Deficiency Anemia concentrates on not only the treatment of this disease, but also the prevention of it. To attain a better understanding of how to treat this problem, one must clearly know what Iron Deficiency Anemia means, what causes this disease, the effects of it, and finally how to cure it.
If you have questions about whether or not you have an iron deficiency, consult with your healthcare provider. They may prescribe supplemental iron pills to counter the issue. Then monitor your urine to see if it solves the problem.
Serum iron and TIBC are unreliable indicators of availability of iron to the tissues because of wide fluctuations in levels due to recent ingestion of serum iron, diurnal rhythm and other factors such as infection. World health organization defines IDA when the serum iron levels range from 50- 60 µg/dL (39).on.
Per Major Blount, your ESR elevated. It is a nonspecific test which indicates that there is some type of inflammatory process. Also, your albumin was also slightly elevated and your RBC count was slightly low, but no anemia was seen and neither of these numbers is a concern. Per Major Blount, recommends that you keep your consult for neurology for further evaluation.
The body adjusts to an extreme blood loss by allowing the circulating volume of blood to expand at the expense of the extravascular fluid. In this case, the adjustment of the circulating volume produces a delayed anemia. We also need to consider that the loss of the blood causes an opening, allowing the extravascular fluid to enter the stream, diluting the
. Iron is a component of certain proteins, essential for respiration and energy metabolism, and as a component of enzymes involved in the synthesis of collagen and some neurotransmitters. Iron also is needed for proper immune function. Symptoms of Defiency is shortness of breath, fatigue-tiredness, depression, hair
Anaemia is an iron deficiency disorder and is one of the most common types of anaemia amongst most women and some men; it is very treatable by taking a supply of iron tablets and adding new changes to the diet such as eating more green leafy vegetables. Anaemia comes in numerous forms some ranging from a low to high health problem and each have different causes, each anaemia deficiency have different treatments depending on the condition of the patient. In the most extreme case of anaemia a blood transfusion is vital because of the low haemoglobin present in the blood, furthermore when having a blood transfusion the blood has to match your blood type in order for this to be successful; this is then given over several hours through an IV which is placed in the arm. Many other diseases can cause anaemia such as kidney failure, crohns disease etc these all can interfere with the making of red blood cells.
My research is focused on the use of sensory-based interventions (SBIs) in school settings. Occupational therapists play a crucial role in school settings support children with disabilities to participate in school activities under the Individuals with Disabilities act (IDEA, 2004). Approximately, 90% occupational therapists use sensory-based interventions to support children’s participation in school activities. In spite of the wide use of SBIs in school settings, evidence supporting them is inconclusive. The reasons for inconclusive evidence range from lack of rigorous intervention protocols, methodologies to lack of sensitive outcome measures. The lack of conclusive evidence supporting these interventions negatively impacts acceptance of these interventions by other professionals. In addition, the lack of research guiding the use of these interventions in terms of their intensity, frequency, duration, and clinical characteristics of the population impact outcomes of the intervention. Therefore, more research is needed on the use of SBIs to develop clinical guidelines.
“Anemia is the most common blood condition in the U.S. It affects about 3.5 million Americans. Women, young children, and people with chronic diseases are at increased risk of anemia” (Martin, 2016, p.1). Anemia is a disease of the blood that affects the ability of the red blood cells to carry oxygen to the different parts of the body. Due to low iron levels in the blood, the hemoglobin in the red blood cells is not produced at the normal level.
In my opinion, based on signs and symptoms this patient suffers from hemolytic anemia, characterized by reduction in the number of circulating red blood cells, caused by accelerated destruction and removal of these cells from the bloodstream before their normal lifespan is over. When blood cells die, bone marrow produces more blood cells to replace them, however, in HA, the bone marrow does not make red blood cells fast enough to meet the body's needs. Many diseases, conditions, and factors can cause the body to destroy its red blood cells. This type of anemia can be inherited, where parents passed the gen to the child (hemoglobin defects, enzyme defects, membrane defects) or acquired, meaning it developed overtime (infectious diseases: hepatitis, streptococcus; medications such as acetaminophen, antibiotics, ibuprofen, interferon alfa procainamide). In some cases, the cause of hemolytic anemia can’t be established.
•Iron deficiency anemia is a common type of anemia, a condition in which blood lacks adequate healthy red blood cells. Red blood cells carry oxygen to the body’s tissues. As the name implies, iron deficiency anemia is due to insufficient iron.
I may have missed the answer to my question if he did go over it. Has there been any tests that extend past the 3.5 years after iron deficient mark? Like in a longitudinal study, has there been any tests done on the same children after they reach adult age? Or is there plans of doing that? Do these impairments carry on to
Studies have shown that folate deficiency megaloblastic anemia is associated with dihydrofolate reductase (DHFR) deficiency due to mutations in the DHFR gene. In order for tetrahydrofolate (THR) to be able to participate in the de novo synthesis of DNA building blocks, it needs to be regenerated from dihydrofolate (DHR). Regeneration of THR requires DHR to be reduced by the enzyme DHFR. Hence, a deficiency in DHFR will cause inability for THR to regenerate, leading to impaired DNA synthesis and reduced cell divisions. This then results in immature red blood cells (RBC) being released from the bone marrow into the peripheral blood stream. Various other diseases have been associated with megaloblastic anemia including increased risk of cardiovascular disease, birth deformities and/or stunted development and neurological symptoms such as psychosis and hallucinations. Although latest diagnostic tests are less invasive, more sensitive and take into consideration genetic factors, there is still potential room for improvement as there have been instances of misdiagnosis. Overlapping symptoms between megaloblastic anemia and other disorders such as schizophrenia, childhood absence epilepsy and other types of anemia proves a real challenge that needs to be overcome. Better treatment options such as gene therapy should also be looked into in order to improve patients’ quality of life.
Iron deficiency is another problem in many developing countries. Children and infants seem to the ones that are the most potent to getting iron deficiency, but it is often passed onto them by their mothers (Lozoff 1). The biggest symptom to come from the children having iron deficiency is having anemia. This means that the children are lacking hemoglobin in their blood and this makes it makes oxygen not want to bind to the blood cells. It is key for children that are growing to get iron to help develop their brains more (Lozoff 1). The problem is that when children in developing countries are at the age of 7-12 months old they are required to have 11 mg/day of iron (Baker, Greer, 2). Children that usually have iron deficiency and are also anemic often have stunted growth. In recent years many studies have been done to try and understand the impacts of iron deficiency, but most of these have used rodents as test subjects. One test found that lactating mother rats that were iron deficient had passed the deficiency onto their offspring. There was some debate as to whether the rat life could be compared to the human life, but thinking about it the rats are warm blooded mammals just like humans (Lozoff 2).