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The document discusses the role of hemograms and iron studies in diagnosing and managing anemia. It outlines the importance of complete blood counts for initial screening, differentiating types of anemia, identifying iron deficiency, and monitoring treatment. A case example illustrates the diagnosis of iron deficiency anemia based on specific lab findings.

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5 views10 pages

Peds

The document discusses the role of hemograms and iron studies in diagnosing and managing anemia. It outlines the importance of complete blood counts for initial screening, differentiating types of anemia, identifying iron deficiency, and monitoring treatment. A case example illustrates the diagnosis of iron deficiency anemia based on specific lab findings.

Uploaded by

rajakaviya221
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Interpretation of

hemogram and
iron panels in
anemia
Presented by
Kaviya Raja
11221094
Role of hemogram and iron
studies in anemia
Hemograms, specifically a complete blood count (CBC), provide information about
red blood cell count, hemoglobin levels, and other indicators like mean corpuscular
volume (MCV). Iron studies, including serum iron, ferritin, total iron-binding capacity
(TIBC), and transferrin saturation, help assess iron levels and stores.

● 1. Initial Screening:A hemogram (CBC) is often the first step in evaluating


anemia, providing a basic assessment of red blood cell levels and indicators.
● 2. Differentiating Anemia Types:If the hemogram suggests anemia, further
investigation with iron studies can help determine the cause, especially if the
anemia is normocytic or microcytic.
● 3. Identifying Iron Deficiency:Iron studies help confirm if the anemia is due
to iron deficiency by measuring iron levels, stores (ferritin), and transferrin
saturation.
● 4. Monitoring Treatment:Iron studies can be used to monitor the
effectiveness of iron supplementation and ensure that iron stores are
replenishing.
Components of a hemogram
Classification of anemia
1. MICROCYTIC ANEMIA (MCV<80fL)
2.NORMOCYTIC ANEMIA (MCV: 80-100fL)
3.MACROCYTIC ANEMIA (MCV>100fL)
IDA VS BETA THALASSEMIA TRAIT
CASE EXAMPLE:
A 5year old boy is brought to the clinic with complaints of fatigue and pale skin. He has
a history of picky eating.On examination: pale conjuctiva, no hepatosplenomegaly.

investigations show:

1. Hb:8.5g/dl
2. MCV: 68fl
3. MCH: 21pg
4. RDW: 18%
5. Serum iron: 25microgram/dl
6. TIBC: 450microgram/dl
7. Ferritin:10ng/ml

what is the most likely diagnosis?


ANSWER: IRON DEFICIENCY ANEMIA

● Hb: is low -> confirms anemia


● MCV AND MCH ARE LOW -> suggests microcytic hypochromic
anemia
● RDW is high which indicates anisocytosis
● Serum iron: low
● TIBC- High-> body is trying to bind more iron
● Ferritin: low-> suggestive of low iron stores

these findings are classic for IRON DEFICIENCY ANEMIA.

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