Interpret · Labs
Anemia workbench
Two numbers open every anemia: the MCV and the reticulocyte count. The cases below walk the branches.
The order of operations
- 1Hemoglobin
- 2MCV
- 3Reticulocytes
- 4Iron studies
- 5Hemolysis screen
- 6Smear
Fatigue and a low hemoglobin
introA 34-year-old presents with months of fatigue. She reports heavy menstrual periods. She takes no medications.
Anemia with a marrow that is trying
coreA 28-year-old develops fatigue and dark urine one week after starting a new medication. He looks mildly jaundiced.
Macrocytosis with a silent marrow
coreA 71-year-old vegetarian presents with fatigue and new numbness in both feet.
