Anemia Part 2 - Normocytic Anemia
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 9 November 2019
⏱️ 12 minutes
🧾️ Download transcript
Summary
Today we are continuing our discussion on anemia, and we are focusing Normocytic Anemia.
If you missed it last week, we talked Anemia Part 1: Microcytic Anemia. If you missed it go check it out.
Lets go ahead and get started:
Today we are going to discuss:
- How to approach Normocytic Anemia
- Best way to work-up Normocytic Anemia
- The Causes and Pathophysiology
- Decreased Production
- Increased destruction or sequestration
- Blood-loss
- Fluid over-load
- The most common cause of Normocytic Anemia - Anemia of Chronic Disease
- Best place to start if your patient has Normocytic Anemia
- Peripheral Smear!
- The caveats of Normocytic Anemia
Next week we will finish up and discuss Macrocytic Anemia.
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Transcript
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| 0:00.0 | Hello everyone and welcome to the med geeks podcast today we are continuing our discussion |
| 0:06.1 | on anemia and we will be focusing on normositic anemia. |
| 0:10.9 | If you missed it last week we talked about microcytic anemia, go check it out if you haven't already. |
| 0:16.0 | Today, normocytic anemia is on deck. |
| 0:19.0 | Without further ado, let's go ahead and get started. All right. So like I said, we're talking normocytic anemia today and guys, the differential is quite broad. |
| 0:46.5 | However, we're going to talk it out, we're going to figure out a good approach for normocytic |
| 0:50.9 | anemia, and hopefully when we're done here today you feel more |
| 0:54.3 | confident next time you have to work up someone with normalcytic anemia. |
| 0:57.9 | So at the end of the show we're also going to do a question that was sent into |
| 1:01.5 | Ask Med Geeks regarding Florainolones, so stay tuned for that. |
| 1:06.2 | Normocytic anemia, usually like most anemias, they're going to be asymptomatic |
| 1:11.6 | patients. It's just found incidentally on a routine CBC. |
| 1:15.6 | Normalcytic just means that the size of the red blood cells |
| 1:18.5 | is normal. |
| 1:19.2 | So the MCV is in the normal range, which is between 80 and and 100 depending on the lab you use. |
| 1:25.0 | Let's talk about the causes of normal acidic anemia. |
| 1:28.0 | So there are a lot of things that can cause this. |
| 1:31.0 | Broadly speaking, it falls into several categories. One of the |
| 1:34.9 | categories would be decreased production of red blood cells. You can also have |
| 1:39.2 | increased destruction or sequestration of red blood cells. Another category is blood loss and |
| 1:45.4 | another category would be fluid overload. So let's go through these one by one |
| 1:49.8 | decreased production of red blood cells. |
... |
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