According to the American Academy of Pediatrics, at what age should all children need screening for iron-deficiency anemia?
A 36 year-old female presents to your office with fatigue, shortness of breath, headaches and palpitations that are progressively getting worse over the last few weeks. On physical examination, you find a woman in mild distress with pallor and tachycardia. Laboratory tests are significant for microcytic anemia, due to iron deficiency anemia. From the laboratory values listed under A,B,C,D and E below, which reflects the laboratory values in this patient with iron deficiency anemia?
A 40 year-old female presents to your office with fatigue, shortness of breath, headaches and palpitations that are progressively getting worse over the last few weeks. On physical examination, you find a woman in mild distress with pallor and tachycardia. Laboratory tests are significant for microcytic anemia, due to iron deficiency anemia. Which of the following explains the mechanism of iron deficiency anemia?
A 42 year-old female presents to your office with fatigue, shortness of breath, headaches and palpitations that are progressively getting worse over the last few weeks. On physical examination, you find a woman in mild distress with pallor and tachycardia. Laboratory tests are significant for microcytic anemia. Which of the following can cause microcytic anemia?
A 55 year-old male patient comes to your office to discuss some laboratory test results. He reports that because he is over 50 years-old he wanted to get some blood work done and went to a health camp organized in a public school near his home and had his complete blood cells counts and serum chemistry tests done. As you review his test results, you noticed an elevated total protein of 11 grams/dL. However, his serum calcium is normal. His renal function is normal. He reports he does not have any medical problems. He takes some multivitamin tablets bought over the counter. His physical examination is unremarkable. You order a serum and urine electrophoresis. He has a positive monoclonal spike of 2.9 grams/dL of IgG and a normal serum free light chain ratio on serum protein electrophoresis. A skeletal survey (radiographs) demonstrates no lytic lesions. His bone marrow aspirate and biopsy demonstrate 9% plasma cells (normal is 1 – 4%). What is the next step in the management of this patient?
A 57 year-old male patient comes to your office to discuss some laboratory test results. He reports that because he is over 50 years-old he wanted to get some blood work done and went to a health camp organized in a public school near his home and had his complete blood cells counts and serum chemistry tests done. As you review his test results, you noticed an elevated total protein of 11 grams/dL. However, his serum calcium is normal. His renal function is normal. He reports he does not have any medical problems. He takes some multivitamin tablets bought over the counter. His physical examination is unremarkable. You order a serum and urine electrophoresis. He has a positive monoclonal spike of 2.9 grams/dL of IgG and a normal serum free light chain ratio on serum protein electrophoresis. A skeletal survey (radiographs) demonstrates no lytic lesions. His bone marrow aspirate and biopsy demonstrate 9% plasma cells (normal is 1 – 4%). What is the most likely diagnosis in this patient?
A 79-year-old pastor presents to the emergency department complaining of pain in his neck. He feels like he is too weak to preach to his congregation. He can barely keep his strength for more than a minute. Upon further questioning, he also reveals that he has suffered from two episodes of pneumonia over the past three months. You ordered some investigative studies. A neck x-ray demonstrates punched-out lytic lesions in the posterior skull. When you saw his laboratory studies, you suspected multiple myeloma and wondered whether he developed a paraneoplastic effect of this tumor. Of the following, multiple myeloma is associated with which paraneoplastic and distant effect of tumor?
