Doctor insights on:
17 years female of stunted growth with 1ry amenorrhea & no sexuall charcter ( high ESR & microcytic anemia )?
Hormone challenge: The first step would be to perform a full history and physical exam at the gyn md's office, and rule out pregnancy. If there is no pregnancy, attempt to determine the cause by an initial Progesterone challenge with a pill for 10 days to "induce withdrawal bleeding". If that fails, other studies may be done including a pelvic ultrasound and ancillary blood testing.. ...Read moreSee 1 more doctor answer
Two measurements: The first measurement is hemoglobin (oxygen-carrying protein inside red blood cells). This is reported as grams per 100 ml (g/dl). Values <12 (14 for men) are considered anemic. The second is hematocrit. This indicates the % of volume of blood taken up by red blood cells. Values <36 (42 for men) are considered anemic. Note: different labs might have slightly differing normal ranges. ...Read moreSee 1 more doctor answer
Amenorrhea: First you need to diagnose amenorrhea. What causes it? First concern is a pregnancy., so do a pregnancy test. If it has been prolonged it could be pco syndrome, hypothyroidism, anemia , malnutrition, anovulation. Each of these conditions requires a extensive work-up and plan in order to treat. ...Read moreSee 1 more doctor answer
Yes, depending on ..: Severity and intervention. Hematocrits can fall to where o2 delivery is insufficient to support organ function, particularly the heart, which must work even harder due to severe anemia. Death can occur. If anemia develops slowly, patients can compensate to even very low hematocrits, but then precipitously decompensate. In contrast, rapid development may preclude compensation w/ grave consequences. ...Read moreSee 1 more doctor answer
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