#здоровье #ферретин #гемоглобин #железо | hemoglobin
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1. High platelets, >450k, unexplained. Need to evaluate for primary thrombocytosis 2. High red cells. Hemoglobin>16g/dL, unexplained. Evaluate for polycythemia vera 3. High white blood cell count, unexplained. Evaluate for leukemia 4. Tear drop or nucleated red cells on the CBC differential. Evaluate for myelofibrosis
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Anemia is not a diagnosis. It's a finding. The workup starts with MCV. Microcytic, normocytic, macrocytic. Then reticulocytes. Then ask why. A 26-year-old with GI symptoms and a hemoglobin of 10.2, MCV of 74 — that's not IBS until you've ruled out something else. Iron deficiency without heavy periods in a young patient needs a source. IBD stays on the list until you've looked. And if the ferritin is elevated with a low hemoglobin, that's anemia of chronic disease. The iron is there. It's not bei
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