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Symptoms & History
Physical Findings
Stop & Think
Lab and X-Ray
Differential Diagnosis
The Disease
Treatment
Conclusions
Quiz & Evaluation
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Of course we want to treat his anemia.
- Sure, the first thing
is always find the cause and start dealing with it.
- But we're not calling
it quits having removed his tumor.
- In Mr. Herbert's case,
it took years to deplete his iron stores, it'll take years to replenish
them.
- Actually, dietary intake
will meet only daily loss.
- We can certainly speed
that process up a lot.
- How about giving him
a transfusion.
- No, that's certainly
not called for.
- If he had a truly low
hemoglobin we might consider it.
- We also might consider
a transfusion if he had a problem exacerbated by his anemia, like cerebral
vascular or cardiac related problems.
- Transfusions are not
risk free, although problems are less today.
We're going to
put him on iron and watch for results
.
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