ANEMIA

DIAN SRI WAHYUNI

916905048

COMMUNITY MEDICINE
DEPARTMENT
 01 Definition

contents 02 Epidemiology

03 Classification
PART 01
DEFINITION
 DEFINITION OF ANEMIA

Anemias are a group of disease charecterized by a

decrease in hemoglobin or RBCs, resulting in
decrease oxygen carrying capacity of blood.
PART 02
CLASSIFICATION
Classification

1. Based on Morphology

2. Based on Etiology

3. Based on Patophyysiology
1.Based on Morphology

1. Microcytic ( <80fl)
1.Iron Deficiency
2.. Sickel-Cell Anemia
3. Thalassemia

2. Normocytic ( 80-100fl)
1. Anemia of chronic disease
2. Hemorrhagic anemia
3. Hemolytic Anemia
4. Cancers (ex; leukimia)
5. Renal Failure

3. Macrocytic ( > 100fl)

1. Megaloblastic
2. Non Megaloblastic
1.Based on Etiology

1. Deficiency
1.Iron
2.. Vitamin B12
3. Folic Acid
4. Pyridoxine

2. Central - Cause by impaired bone

marrow function
1. Anemia of chronic disease
2. Malignant bone martow disorder
3. Aplastic Anemia
4. Myelodisplastic Syndrome
and ect.

3. Peripheral
1. Bleeding ( Hemmorhage)
2. Hemolysisi ( Hemolytic Anemia)
1.Based on Patophysiology

1. Excessive blood loss

2. Chronic Hemorrhage
3. Excessive RBC destruction
4. Inadequate production of
mature RBCs
5. Condition with infitration
of bone marrow
PART 01
CLINICAL FEATURES
Clinical Features

Acute onset anemia Chronic anemia

1. Tachycardia 1.Pallor
2. Light Headedness 2. Fatigue
3. Breathlessness 3. Weakness
4. Headaches
5.Dizziness
6. Vertigo
7. Cold sesitivity
Clinical Features

Iron-deficiency anemia
- Glossal pain
- Smooth tongue
- Reduced salivary flow
-Pica
-Pagophagia

Vitamin B12 and folate deficiency anemia

- pallor
-Icterus
-Gastric mucosal atrophy
PART 01
ANEMIA DIAGNOSIS
Clinical Features

1. Laboratorium
2. Evaluation of the patient
3. Physical examination and medical history
4. Other examination
PART 01
TREATMENT
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 PART 02
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 PART 03
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 2019

THANK YOU ！
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Reporter ： *** Date ： 2019.4