F00574 024 f012

F00574 024 f012



MCV normal (76-98 fl) or low (< 76 fl)


T


Blood film and reticulocyte count

l


High reticulocyte count


?Haemolysis|


f


Normal or low reticulocyte count

1


T


i


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



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