Anemia 130809044630 Phpapp01
Anemia 130809044630 Phpapp01
INTRODUCTION
Anemia is a major killer in India.
Statistics reveal that every second Indian
woman is anemic
One in every five maternal deaths is directly
due to anemia.
Anemia affects both adults and children of
both sexes, although pregnant women and
adolescent girls are most susceptible and
most affected by this disease.
DEFINITION
Anemia (An-without,emia-blood)is a
decrease in the RBC count, hemoglobin
and/or Hematocrit values resulting in a
lower ability for the blood to carry oxygen to
body tissues .
PATHOPHYSIOLOGY
PATHOPHYSIOLOGY
NORMAL VALUE
Category Values S
Reference
Category Reference Values
Men >13 g/dl
Men >13 g/dl
Women
Women >12 g/dl >12 g/dl
Pregnant women
Pregnant women >11g/dl >11g/dl
Infants from 2 to 6 month s >9.5 g/dl
Infants from 2 to 6 months >9.5 g/dl
Children from 6 months
to 24 months
Children from 6 months to 24 >10.5 g/dl>10.5 g/dl
months
2yrs to 11 yrs >11.5 g/dl
2yrs to 11 yrs >11.5 g/dl
Children from 12 years >12 g/dl
Children from 12 years >12 g/dl
RISK FACTORS
Poor socio economic class
Multiparity
Teenage pregnancy
Menstural problem
CAUSES
SIGNS&SYMPTOMS
SYMPTOMS
Common symptoms of anemia
Easy fatigue and loss of energy
Dizziness
Pale skin
Leg cramps
Insomnia
SIGNS OF ANAEMIA
Brittle nails
Koilonychia (spoon shaped nails)
Atrophy of the papillae of the tongue
Angular stomatitis
Brittle hair
Dysphagia and Glossitis
Plummer vinson/kelly patterson
SYMPTOMS&SIGNS
INVESTIGATION
S
MANAGEMENT
Complimentary parasite control measures
Anti-helminthic therapy with 400 mg of single dose
of albendazole is given to eliminate hook worms
before the initiation of iron and folic acid therapy.
Child -
Pregnancy-
Albendazole is contraindicated in first trimester,
can be administered in second or third trimester.
TREATMENT OF MILD &MODERATE
GROUP DOSAGE/day