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IMG SURVIVOR
07-29-2007, 09:40 PM
A 23 year old lady comes to your office because she feels very tired, she also states that her menstrual flow is very heavy, she is not taking any vitamin supplements, She has a Htc of 29 and a hemoglobin of 9, her MCV is 70.

What is the most accurate test to Dx this patient?

A- ferritin levels
B- RDW
C- WBC
D- Tommy k(We miss you)
E- Bone marrow Biopsy
WPW
07-30-2007, 01:48 AM
A - seems the right choice should be decreased
wcb22
07-30-2007, 08:18 AM
E -

though more expensive and probably never done in the real world.
IMG SURVIVOR
07-30-2007, 01:37 PM
E -

though more expensive and probably never done in the real world.

100% correct.

Hey WBC:rolleyes: Prepare I will be making some step2 questions soon.
wcb22
07-30-2007, 04:58 PM
oh i just took it a few days ago... but i'll still join the forum for kicks.
GFLIP
07-30-2007, 09:44 PM
there's too much money being spent on useless tests...
WPW
07-30-2007, 10:17 PM
oh i just took it a few days ago... but i'll still join the forum for kicks.

u did?!??! can u please post your experiance if you dont mind.

Thanks!
dr_rekha2005
08-04-2007, 02:40 PM
I think its A........Based on the history it seems like iron deficiency.
wcb22
08-04-2007, 04:36 PM
you are correct that it's iron deficiency, but ferritin levels are not the most accurate test.
dr_rekha2005
08-05-2007, 12:09 AM
you are right..its Bone marrow.....increase reticulocytes
GFLIP
08-12-2007, 07:04 PM
just to add. it's called effective erythropoiesis, which is the proper response of BM to respond to anemia.

what is ineffective erythropoiesis and where is it seen?
Ikjot
10-11-2007, 02:22 PM
i'm assuming you check the bone marrow to see if its aplastic anemia? well in that case, isnt it a normocytic anemia with a corrected reticuloycte count < 3%? This case has microcytic RBCs. So I woudl say ferritin levels as all signs point to iron def. anemia. Any other explanations?
maryam farooq
10-25-2007, 10:03 AM
there is no new synthesis in the marrow to tell it is micro or macro the old Rbc in the circulation are normocytic and when the complete life span of 120 days even if very small quantity of Rbc are formed there is no shortage of iron but rather there is iron from the cells destroyed as well so dear it is jst the appearance of bone marrow that would tell u abt the aplastic aneamia and u know first imp complication u r going to handle is lack of platelets.tc