CE/CME

Diagnosing and Classifying Anemia in Adult Primary Care

Clinician Reviews. 2017 August;27(8):28-35

Author(s):

Although accreditation for this CE/CME activity has expired, and the posttest is no longer available, you can still read the full article.

Expires July 31, 2018

Anemia affects more than 3 million people in the United States and is usually diagnosed during routine exams. But it's what comes next that matters: classifying the type and identifying the underlying cause. Here's how to ensure your patient receives the most appropriate treatment.

PDF Download

References

1. Brill JR, Baumgardner D. Normocytic anemia. Am Fam Physician. 2000;62(10):2255-2263.
2. Van Vranken M. Evaluation of microcytosis. Am Fam Physician. 2010;82(9):1117-1122.
3. National Institutes of Health/National Heart, Lung, and Blood Institute. How is anemia diagnosed? www.nhlbi.nih.gov/health/health-topics/topics/anemia/diagnosis. Accessed April 28, 2017.
4. Smith RE Jr. The clinical and economic burden of anemia. Am J Manag Care. 2010;16(3):S59-S66.
5. Platt A, Eckman J. Diagnosing anemia. Clinician Reviews. 2006;16(2):44-50.
6. Karnath B. Anemia in the adult patient. Hosp Physician. 2004;40(10):32-36.
7. World Health Organization. Micronutrient deficiencies. www.who.int/nutrition/topics/ida/en/#. Accessed April 29, 2017.
8. US Department of Health and Human Services, Office of Women’s Health. Iron-deficiency anemia. www.womenshealth.gov/publications/our-publications/fact-sheet/anemia.html#a. Accessed April 29, 2017.
9. DeLoughery TG. Microcytic anemia. N Engl J Med. 2014;371(14): 1324-1331.
10. Tefferi A, Hanson CA, Inwards DJ. How to interpret and pursue an abnormal complete blood cell count in adults. Mayo Clin Proc. 2005;80(7):923-936.
11. Camaschella C. Iron-deficiency anemia. N Engl J Med. 2015; 372(19):1832-1843.
12. Killip S, Bennett JM, Chambers MD. Iron deficiency anemia. Am Fam Physician. 2007;75(5):671-678.
13. Rodgers GP, Young N. The Bethesda Handbook of Clinical Hematology. 3rd ed. Baltimore: Lippincott Williams and Wilkins; 2013:1-21.
14. Kaferle J, Strzoda CE. Evaluation of macrocytosis. Am Fam Physician. 2009;79(3):203-208.
15. Hesdorffer CS, Longo DL. Drug-induced megaloblastic anemia. N Engl J Med. 2015;373(17):1649-1658.
16. Vasconcelos OM, Poehm EH, McCarter RJ, et al. Potential outcome factors in subacute combined degeneration. J Gen Intern Med. 2006;21(10):1063-1068.
17. Vide AT, Marques AM, Costa JD. MRI findings in subacute combined degeneration of the spinal cord in a patient with restricted diet. Neurol Sci. 2011;33(3):711-713.
18. Kessenich CR, Cronin K. Fecal occult blood testing in older adult patients with anemia. Nurse Pract. 2013;38(1):6-8.
19. Imashuku S, Kudo N, Kaneda S. Spontaneous resolution of macrocytic anemia: old disease revisited. J Blood Med. 2012;3:45-47.
20. Pagana K, Pagana T, Pagana T. Mosby’s Diagnostic and Laboratory Test Reference. 12th ed. St. Louis, MO: Elsevier Mosby; 2015: 497-501, 785-791, 805-806.