CLINICAL MANIFESTATIONS Ida

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CLINICAL

MANIFESTATIONS
ELLA DELA CRUZ

Signs and symptoms are reflective of


decreased haemoglobin.
Asymptomatic in <12 months
Pallor (7-8 g/dL Hgb)
Palms, Palmar Creases, Nailbeds, Conjunctivae
Irritability (6-7 g/dL Hgb) -> Compensatory Mechanism
Anorexia, Lethagy, Systolic murmurs which can lead to tachycardia and
High output cardiac failure (<5 g/dL Hgb)
Iron Deficiency only: Impaired intellectual and motor functions
Pica can lead to Plumbism
Pagophagia
Nelson Textbook of Pediatrics, 20th Edition

Signs related to iron deficiency depends on the severity and


chronicity of anemia in addition to the usual signs of anemia:
Fatigue
Pallor
Reduced exercise capacity

Signs of advance tissue iron deficiency:


Cheilosis fissure at the corners of the mouth
Koilonychia spooning of fingernails

Harrisons Principles of Internal Medicine, 18 th Edition

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