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    DH, a 74-year-old man, presented with increased fatigue and weakness over the past two months along with darker stools. His medical history includes hypertension, diabetes, arthritis, and enlarged prostate. Labs showed anemia with low iron, total iron binding capacity, transferrin saturation, and ferritin levels.

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    DH, a 74-year-old man, presented with increased fatigue and weakness over the past two months along with darker stools. His medical history includes hypertension, diabetes, arthritis, and enlarged prostate. Labs showed anemia with low iron, total iron binding capacity, transferrin saturation, and ferritin levels.

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    12 views1 page

    Case 1 Student

    Uploaded by

    api-337811240
    DH, a 74-year-old man, presented with increased fatigue and weakness over the past two months along with darker stools. His medical history includes hypertension, diabetes, arthritis, and enlarged prostate. Labs showed anemia with low iron, total iron binding capacity, transferrin saturation, and ferritin levels.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    Case #1

    DH is a 74 YOM presenting with increased fatigue and weakness. DH is a fairly


    active 74 YO, but over the past two months has noticed increased fatigue and
    inability to complete his normal daily activities. Patient states he is having regular
    BM, but has noticed they are darker than usual. He denies any other complaints.
    PMH:
    HTN
    DM
    Arthritis
    BPH
    Medications:
    Lisinopril 40 mg PO daily
    Metformin 1000 mg PO BID
    Tradjenta 5 mg PO daily
    Tamsulosin 0.4 mg PO daily
    Naproxen 220 mg PO daily PRN
    Tums PRN
    Allergies: Amitriptyline (hives)
    Vitals:
    BP: 155/85 mmHg
    Temp: 36OC

    P: 74 bpm
    Ht: 72 inches

    RR: 18 breaths/min
    Wt: 80 kg

    Labs:
    Na: 140 mEq/L
    K: 3.7 mEq/L
    BUN: 10 mg/dL
    SCr: 1 mg/dL
    Glucose: 122 mg/dL

    Hgb: 8.6 g/dL


    MCV: 66.2 m3
    MCH: 19 pg
    MCHC: 28.7 g/dL
    RDW: 20.9%

    Iron: 4 mcg/dL
    TIBC: 465 mcg/dL
    Transferrin sat: 6%
    Ferritin: 5 ng/mL

    |L. Hosch 9/2016

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