Anaemias

Alternate Name:

Test: Hb (L), RBC (L or hypochromic or AB), MCV (L - microcytic anaemias, H - macrocytic anaemias), MCHC (L or N), MCH (L - hypochromic, H - mac-rocytic), WCC (N or AB), platelets (N or AB) Heinz bodies (+ or -)

Sign: Bounding pulse, diastolic murmur, hepatomega- ly, koilonychia (iron deficiency), retinal haemor-rhages (pernicious and aplastic), splenomegaly (haemolytic), systolic murmur (severe), wa¬ter-hammer pulse (severe)

Dd: Symptoms of various anaemias differ, but include lethargy, vertigo, headache, malaise, fever, CCF and jaundice. DD includes any disease that may cause these symptoms

Phys: Anaemia may be due to excess blood loss, defi-cient RBC production, iron deficit, vit.,(3,2 deficit, bone marrow failure, haemolysis of RBC, chronic disease, neoplasia, hepatic and renal disease. It is vital to determine the cause of any anaemia