Teaching Cases - American Society of Hematology


About ASH \| Patients \| Media \| Make a Gift \| Corporate Supporters

E-Mail This Page | Print This Page

Find a Hematologist
Hematology Library
	Blood Image Bank Education Program Book ASH-SAP Abstract Search

Teaching Cases

Anemia — Paul K. Schick, MD
Professor of Medicine, Emeritus, Thomas Jefferson Medical College, Philadelphia
Research Professor, Drexel University College of Medicine, Philadelphia
Adjunct Clinical Professor, Lankenau Hospital (LIMR), Wynnewood, PA

I. History	II. Physical Exam	III. Laboratory Data	IV. Differential Diagnosis
V. Pathophysiology	VI. Prognosis/Clinical Course	VII. Teaching Points	VIII. Bibliography

VI. PROGNOSIS/CLINICAL COURSE

The prognosis for iron deficiency is excellent if it is treated correctly and the underlying source of bleeding can be managed. The patient is scheduled for GYN surgery to remove the fibroid that has caused her excessive menstrual bleeding.

Which of the following is appropriate for the initial management of the patient?

	Transfusions
	Trial course of oral iron for 4 to 6 weeks
	Oral iron 320 mg tid for 6 months
	If Hgb is restored to normal within 8 weeks, discontinue oral iron therapy.
	Parenteral iron sufficient to restore the Hgb level and replenish iron stores
	Aggressive identification and management of the source of bleeding

Have a question or comment about the ASH Teaching Cases? Please e-mail webmaster@hematology.org.