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  1. #1
    dchaos_g's Avatar
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    Anaemias - reviewed by Dr. Goljan

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    Listening to Dr. Goljan's lectures while scouring Robbins, Harrisons etc. for info on the anaemias, I made some nice tables that may help you review the topic.
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    thank you for sharing.. greatly appreciate it...
    "SLAM-DUNK THE STEPS"

    “Peace, it does not mean to be in a place where there is no noise, no trouble, or no hard work…..it means to be in the midst of those things and still be calm in your
    heart.”

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    Cheers man!

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    Quote Originally Posted by dchaos_g
    Listening to Dr. Goljan's lectures while scouring Robbins, Harrisons etc. for info on the anaemias, I made some nice tables that may help you review the topic.
    nice post dude.....dont forget this stuff when youre studying for step 2
    Hospitalist 2011-2012
    Hematology/Oncology 2012-2015

    some swimmer from Ct Hidden Content
    the problem with the gene pool is that there are too many lifeguards.....and we have been offering swimmies

  5. #5
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 536 points
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    It is a very informative table

    thank you
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

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    coke is offline Newbie 510 points
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    thanks a lot

  7. #7
    maixungphong's Avatar
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    Thanks a million.

    What is the best test to see if I have iron deficiency anemia without getting the whole panel of ferritin, transferrin, serum iron?
    Is it serum iron?
    USMLE ma`y lai. dday tao ddap. ma`y che^'t

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    md90's Avatar
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    Quote Originally Posted by maixungphong
    ....What is the best test to see if I have iron deficiency anemia without getting the whole panel of ferritin, transferrin, serum iron? Is it serum iron?
    I'm thinking that it's serum ferritin which will be decreased OR the TIBC which will be increased... am NOT 100%.. if anyone else knows, please post and why...

    thank you
    "SLAM-DUNK THE STEPS"

    “Peace, it does not mean to be in a place where there is no noise, no trouble, or no hard work…..it means to be in the midst of those things and still be calm in your
    heart.”

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    md90's Avatar
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    found this...

    M. SURBEY, MD, of Surrey, BC, wonders, "Is there a single best test for determining iron-deficiency anemia? Must we do both hemoglobin and serum ferritin?"
    I assume you really meant serum iron, not hemoglobin, because hemoglobin and ferritin have nothing to do with each other. The investigation of iron-deficiency anemia was discussed in the March 2000 issue of Parkhurst Exchange, beginning on page 115. The tests available for investigation of iron deficiency are: *serum ferritin; *serum iron and iron saturation (from total iron-binding capacity); *free erythrocyte protoporphyrin; *examination of iron stain of the bone marrow aspirate. The choice of test depends on the patient's history, physical examination and associated conditions. To diagnose iron deficiency, you don't need both serum ferritin and serum iron saturation. Neither will give you the answer in all cases, but serum ferritin is more likely to provide the diagnosis than serum iron and iron saturation. If the patient has microcytic anemia and serum ferritin is low or low-normal, this confirms the diagnosis of iron deficiency. Keep in mind, however, that serum ferritin may rise if the patient has an infection, inflammation or malignancy. In iron deficiency associated with such conditions, serum ferritin may end up being normal. To make things more complicated, the same conditions also affect serum iron and iron saturation. Consequently, if serum ferritin doesn't provide you with the diagnosis, testing for serum iron and iron saturation won't either. These tests are needed to diagnose iron poisoning or iron overload, but I never order them to investigate anemia. M
    http://www.parkhurstexchange.com/qa/.../2003-02-18.qa

    I had to make sure that I was right, wrong, or "barking up the wrong tree".. therefore I looked up the "best test" and find this... hope that this helps... thank you for the question..
    "SLAM-DUNK THE STEPS"

    “Peace, it does not mean to be in a place where there is no noise, no trouble, or no hard work…..it means to be in the midst of those things and still be calm in your
    heart.”

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