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* CMS- 55F - hematology q
 #846560  
  dream250 - 12/24/17 05:41
 
  55yoF c/o 3 month history of fatigue. H/o HTN and GERD well controlled with lisinopril and omeprazole. Also takes Naproxen for knee arthritis. 5 yrs ago had colonoscopy showing hyperplastic polyps which were removed. Menopause 2 yrs ago. Hg-10.4, HC-32%, MCV-80, LC-4200. Everything else within normal range.
Next step?

a-Erythrocyte protoporphyrin concentration
b-reticulocyte count
c-serum ferritin concentration
d-serum folate concentration
e-serum b12 concentration

I don't get this question.
 
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* Re:CMS- 55F - hematology q
#3356019
  kennychan - 12/24/17 13:24
 
  I think next step is reticulocyte count to see anemia due to bleeding or decreased RBC production.  
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* Re:CMS- 55F - hematology q
#3356037
  dream250 - 12/24/17 20:18
 
  Thank you Kennychan  
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* Re:CMS- 55F - hematology q
#3356048
  danyjoe - 12/24/17 23:01
 
  no the answer is ferritin..the patient has been on naproxone which causes gastritis as well as iron deficiency anem  
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* Re:CMS- 55F - hematology q
#3356072
  dream250 - 12/25/17 18:59
 
  Thank you Danyjoe for correct info.  
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* Re:CMS- 55F - hematology q
#3356144
  morticia - 12/27/17 14:50
 
  Ferritin anemia of chronic disease .  
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* Re:CMS- 55F - hematology q
#3356153
  amfyoyo - 12/27/17 16:40
 
  Ferritin will be increased in Anemia of Chronic disease as opposed to Iron deficiency anemia.
The question is basically asking how do you differentiate between the two.
 
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* Re:CMS- 55F - hematology q
#3356176
  dream250 - 12/28/17 01:57
 
  thank you guys!  
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* Re:CMS- 55F - hematology q
#3356180
  haytham911 - 12/28/17 07:10
 
  Anemia of chr. Disease, Answer is Ferritin  
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