12122011

Iema|e Ma|e
30170 g/dL
(90304 mol/L)
63177 g/dL
(116317 mol/L)
erum |ron
1330 2030 @ransferr|n saturat|on
13130 g/L 20230 g/L erum ferr|t|n

symptoms of Irondef|c|ency anem|a
O fllor (reduced oxyhemoglobln ln skln or mucous membrfnes)
O fflgue
O dysnef
O lcf (unusufl obsesslve food crfvlngs)
O fgohfglf or lcf for lce ls f very seclflc symom fnd mfy dlsfefr wlh correclon of lrondeflclency
fnemlf
O Pflr loss cfn flso be fssoclfed wlh lrondeflclency fnemlf
O llghhefdedness cfn flso be fssoclfed wlh lrondeflclency fnemlf
Cher symoms fnd slgns of lrondeflclency fnemlf lnclude
O Anxley ofen resullng ln CCu ye comulslons fnd obsesslons
O lrrlfbllly or f low feellng
O Anglnf
O Conslflon
O Sleelness
O 1lnnlus
O Mouh ulcers
O fllflons
O Pflr loss
O lflnlng or feellng ffln
O ueresslon
O 8refhlessness on exerlon
O 1wlchlng muscles
O 1lngllng numbness or burnlng sensflons
O Mlssed mensrufl cycle
O Pefvy mensrufl erlod
O Slow soclfl develomen
O Closslls (lnflfmmflon or lnfeclon of he ongue)
O Angulfr chelllls (lnflfmmfory leslons f he mouhs corners)
O kollonychlf (soonshfed nflls) or nflls hf fre wefk or brlle
O oor fele
O rurlus (lchlness)
O uyshfglf due o formflon of esohfgefl webs (lummervlnson syndrome)
O 8esless Legs Syndrome
Me|ena nematochez|a
ource f hlgh source (such fs he smfll lneslne) or bleedlng from
f lower source hf occurs slowly enough o fllow for
enzymflc brefkdown ls fssoclfed wlh melenf
usuflly occurs fbove he llgfmen of 1relz
from he lower Cl rfc
Causes fnemlf
low blood ressure codllons
ururf hemohlllf
ulcers (fclon of fclds fnd enzymes)
gfsrlls
esohfgefl vfrlces
MflloryWelss syndrome
lron sulemens
mfflox
hemorrholds
dlverlculosls
colorecfl cfncer whlch ls
oenlflly fffl
necrolzlng enerocollls
(remfure lnffns)
lnflfmmfory bowel dlsefse
(es ulcerflve collls)
(young fduls)
eoblsmol
lefd
elsfxls
mergency l#s no f medlcfl emergency l ls usuflly f serlous condllon

|ron po|son|ng
fln ln he somfch
ulcerflon (nfusef/vomllng)
he fln fbfes (go fwfy) for 24 hours fs he lron dfmfges lnernfl orgfns (frlculfry dfmfges o he brfln
fnd he llver)
mefbollc fcldosls
llver ffllure shock defh

dosage
tbetopeotlc Jose for lron deflclency fnemlf ls 36 mg/kg/dfy
toxlc Jose 1020 mg/kg of elemenfl lron
lngeslons of more hfn 30 mg/kg of elemenfl lron fre fssoclfed wlh sevete toxlclty
|tam|n 812 def|c|ency anem|a
Anemlf wlh romegfloblfsosls (megfloblfslc fnemlf) due o he lnhlbllon of unA synhesls (seclflcflly
urlnes fnd hymldlne)
Cfsrolneslnfl symoms fuolmmune ffck on he frlefl cells of he somfch ln ernlclous fnemlf
neurologlcfl symoms Sensory or moor deflclencles fnd somelmes fs myelosls funlculfrls symoms
4 Impa|red percept|on of deep touch ressure fnd vlbrflon fbollshmen of sense of ouch very
fnnoylng fnd erslsen fresheslfs
4 Afxlf of dorsfl cord ye
4 uecrefse or fbollshmen of dee muscleendon reflexes
4 fhologlcfl reflexes 8fblnskl 8ossollmo fnd ohers flso severe fresls