Case 4 SAP

Question 1

Signs of anaemia

Answer 1

Hypotension, tachycardia, tachypnoea, pallor, glossitis and stomatitis in B12

Question 2

Symptoms of anaemia

Answer 2

Fatigue, lethargy, breathlessness, fainting, palpitations

Question 3

List the investigations for anaemia

Answer 3

MCV, FBC, ferritin, B12 and folate levels

Question 4

Haemoglobin levels indicative of anaemia

Answer 4

<130 g/L in men > 15 yo
<120 g/L in non-pregnant women and children

Question 5

Ferritin levels for anaemia

Answer 5

<30

Question 6

Why is MCV used in anaemia investigations

Answer 6

Differentiate between macrocytic and microcytic (<80)
Chronic cause is needed to change this

Question 7

When would B12 and folate levels be checked in anaemia suspicions?

Answer 7

Macrocytic, normocytic with low or normal ferritin levels