RT Book, Section
A1 Damon, Lloyd E.
A1 Andreadis, Charalambos Babis
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193157866
T1 Anemias
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193157866
RD 2024/04/19
AB Anemia  is  present  in  adults  if  the  hematocrit  is  below  41%  (hemoglobin  less  than  13.6  g/dL  [135  g/L])  in  males  or  below  36%  (hemoglobin  less  than  12  g/dL  [120  g/L])  in  females.  Congenital  anemia  is  suggested  by  the  patient’s  personal  and  family  history.  The  most  common  cause  of  anemia  is  iron  deficiency.  Poor  diet  may  result  in  folic  acid  deficiency  and  contribute  to  iron  deficiency,  but  bleeding  is  the  most  common  cause  of  iron  deficiency  in  adults.  Physical  examination  demonstrates  pallor.  Attention  to  physical  signs  of  primary  hematologic  diseases  (lymphadenopathy;  hepatosplenomegaly;  or  bone  tenderness,  especially  in  the  sternum  or  anterior  tibia)  is  important.  Mucosal  changes  such  as  a  smooth  tongue  suggest  megaloblastic  anemia.