Good prediction of an anemic patient Review

Year 2009, Volume: 44 Issue: 11, 1 - 5, 01.06.2009

Davut Albayrak Canan Albayrak

Abstract

Anemias are a group of disease which draw the interest of by all clinicians as well as hematologists An algorithm of anemia diagnosis by test parameters decreases the unuseful tests and prevents false diagnosis Such schema must contain well chosen tests and parameters Complete blood count mean corpuscular volume MCV red cell distribution width RDW serum iron level reticulocyte count hemoglobin electrophoresis and direct Coombs test are most important measures Even isolated Hb decrease MCV decrease and RDW increase can predict near correct diagnosis of iron deficiency anemia A response to iron treatment confirms the diagnosis We think that the algorithm in our paper can facilitate the differential diagnosis of anemia by minimum test count Turk Arch Ped 2009; 44 Suppl: 1 5 Key words: Anemia diagnosis laboratory pediatric

Keywords

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Anemik hastada iyi öngörü Derleme

Abstract

Anemi kan hastalıkları ile uğraşan kişiler kadar bütün hekimlerin ortak olarak ilgilendikleri bir hastalık grubudur Anemi tanısının bir akış şeması üzerine tetkiklerin sıralanarak yapılması gereksiz tetkikleri azaltır ve tanıların atlanmasını engeller Böyle bir şemada belkemiğini meydana getiren tetkik ve bunlardaki ölçütlerin iyi seçilmesi gerekir Tam kan sayımı ortalama eritrosit hacmi MCV eritrosit dağılım eğrisi RDW serum demiri retikülosit sayımı hemoglobin elektroforezi ve direkt Coombs testi bu şemanın en önemli ölçütleridir Yalnız başına Hb düşüklüğü düşük MCV ve artmış RDW bile çocukluk çağının en sık anemisi olan demir eksikliği anemisini büyük bir oranda tahmin ettirir Demir tedavisine yanıt verilmesi tanıyı doğrular Yazımızdaki akış şemasının anemi ayırıcı tanısının yapılmasına yardımcı olacağını düşünüyoruz Türk Ped Arş 2009; 44 Özel Sayı: 1 5 Anahtar kelimeler: Anemi laboratuvar pediatrik tanı

Keywords

Anemi, laboratuvar, pediatrik, tanı

References

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