MCV normal (76-98 fl) or low (< 76 fl)
High reticulocyte count
?Haemolysis|
f
Normal or low reticulocyte count
1
Hypochromia (low MCH) |
Dimorphic |
Non-specific |
r
Ferritin |
Target cells basophilic stippling |
Bonę marrow |
Consider ferritin | |||||
Low
Hb electrophoresis
?Sideroblastic
Normal or high
T
Increased |
Normal | |
HbA2 |
HbA2 |
T
\
V/
Fe deficient |
Beta- |
Alpha- | |
thalassaemia |
thalassaemia | ||
1 |
i |
i |
lnvesligate
Check family
Anaemia of chronic disease9
If Hb < 80 cyl consider bonę marrow?
?lron Stores adeguate I
© Elsevier. Boon et al.: Davidson's Principles and Practice of Medicine 20e - www.studentconsult.com