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Iron Deficiency B3

Iron Deficiency B3

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Published by pkpmipalembang

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Published by: pkpmipalembang on Nov 07, 2009
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02/23/2013

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GROUP 3
FEBI,TIBUNG,IQBAL,IRWIN,MIRANI,BELLA,ANIES,ORIN,DHEEVAN,HUDA,FERA,ATIKA TUTOR : dr.Sulaiman Waiman
 
weakness
Epigastric pain
Rheumatoid arthritis
Antacid
NSAIDs
Cheilitis = inflammation of the lips
Koilonychias = spoon finger
dystrophy of the fingernails
MCV = to know quantitatively the size of RBC
MCH = to know quantitatively the shape RBC
MCHC
RDW
Anisocytosis = variation of size
Poikilocytosis = variation of shape
Lymphadenopathy
Hypochromic microcyter = Small RBC with less staining
Fecal occult blood
 
A, 60 YO male w/ chief complaint of weakness
He had history of :
Chronic epigastric pain and using antacid to relieve the symptomps
Having Rheumatoid Arthritis since 5 YA and always taken NSAIDs
Physical Examination result :
General Appearance : pale and fatigue
HR = 94x/min. ; RR = 24x/min. ; Temp. = 36,8 C ; BP = 110/60 mmHg
Liver and Spleen unpalpable
No lymphadenopathy
Epigastric pain
Cheilitis ( + )
Koilonychias ( + )
Laboratory test result :
Hb = 5,0 gr/dl
MCV = 70 fl
MCH = 25
MCHC = 30 %
RDW = 17 %
Blood smear : anisopoikilocytosis, hypochromc microcyter
Fecal Occult Blood Test : Positive

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