Anaemia

There's never none of these demure boys come to any proof; for their drink doth so over cool their blood, and making many fish-meals, that they fall into a kind of male green-sickness.

William Shakespeare (1564-1616) King Henry IV

Anaemia is a label, not a specific diagnosis. Anaemia is defined as a haemoglobin (Hb) below the normal reference level for the age and sex of that individual. It is regarded as a masquerade because the problem can develop surreptitiously and the patient may present with many seemingly undifferentiated symptoms before the anaemia is detected. Once identified, a cause must be found.

• In Australia, most people with anaemia will have iron deficiency ranging from up to 5% for children to 20% for menstruating females. 1

• The remainder will mainly have anaemia of chronic disease.

• The incidence of haemoglobinopathy traits, especially thalassaemia, is increasing in multicultural Western societies.

• If a patient presents with precipitation or aggravation of myocardial ischaemia, heart failure or intermittent claudication, consider the possibility of anaemia.

• The serum ferritin, which is low in irondeficiency anaemia, is probably the best test to monitor iron-deficiency anaemia as its level reflects the amount of stored iron.

• Normal reference values for peripheral blood are presented in Table 19.1 .

Back Pain Relief

Back Pain Relief

This informational eBook will present you with the most recent research and findings available so that you can learn more about Back Pain relief, covering as many bases as possible from A to Z.

Get My Free Ebook


Post a comment