Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with symptoms suggestive of iron deficiency anemia, including chronic fatigue, exertional dyspnea, palpitations, and generalized weakness. Reports of pica (e.g., ice, dirt), restless leg syndrome, or brittle nails. Review of systems significant for potential occult blood loss (menorrhagia, melena, hematochezia, or hematuria) and dietary history lacking iron-rich intake.
Clinical Examination Findings
Physical examination reveals conjunctival pallor, pale palmar creases, and mucosal atrophy (e.g., glossitis, angular cheilitis). Cardiovascular exam notable for tachycardia or flow murmur. Integumentary exam shows koilonychia (spoon nails) or xerosis. No organomegaly or lymphadenopathy noted.
Treatment Protocol
Initiate oral iron supplementation (e.g., Ferrous Sulfate 325mg PO daily/TID). Advise administration with Vitamin C to enhance absorption and avoidance of calcium/antacids. Monitor CBC and reticulocyte count in 2-4 weeks. If oral intolerance or malabsorption is present, consider parenteral iron therapy (e.g., Iron Sucrose or Ferric Carboxymaltose) per institutional protocol.