Episode Written By: Sarah Donnelly - IM UofA, and Hermeen
Dhillon FM UBC
Episode Reviewed by: Chris Cochrane - FM UofC Medicine Hat
Assess the risk of decompensation of anemic patients to decide if
prompt transfusion or volume replacement is necessary.
In a patient with anemia, classify the anemia as microcytic,
normocytic, or macrocytic by using the MCV or smear test result, to
direct further assessment and treatment.
In all patients with anemia, determine the iron status before
In a patient with iron deficiency, investigate further to find the
Consider and look for anemia in appropriate patients. Such as those
at risk for blood loss or in patients with hemolysis whether they
are symptomatic or not, and in those with new or worsening symptoms
of angina or CHF.
Look for other manifestations of the deficiency in order to make
the diagnosis of pernicious anemia when it is present.
As part of well-baby care, consider anemia in high-risk populations
or in high-risk patients
When a patient is discovered to have a slightly low hemoglobin
level, look carefully for a cause as one cannot assume that this is
normal for them.
In anemic patients with menorrhagia, determine the need to look for
other causes of the anemia.
About the Podcast
A PodCast by Canadian GPs for Canadian GPs.
CCFP Exam Topic review, Low Risk Obstetrics, and Primary Care and Family Medicine in Canada.