Doctor insights on:
What shall I do with a patient who had history of diabetes mellitus and anemia now experience acute kidney failure and pneumonia due to vasculitis?
Many issues: 1: Both kidney failure and pneumonia need attention. The kidney specialist will take care of the acute kidney failure and a blood vessel specialist will take care of the vasculitis. Pneumonia can be handled either by these two doctors or your primary doctor. If managed carefully under control you can also get rid of diabetes. ...Read more
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
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
Hundreds of causes: It takes me an hour as a medical school lecturer just to basically rattle off the list. Heads up -- if you are iron deficient and eat a reasonable amount of meat (despite the disinformation, vegetables are poor in iron), you're likely losing blood possibly into the gut from serious disease. Don't let them miss it. Any physician can begin the anemia workup. Good luck. ...Read more
Type ; cause: It is very important to know what kind of anemia and what causes it. Iron deficiency is one of the main causes but there are others: vitamin b12/folate deficiency, chronic disease like infection or cancer, genetic conditions, certain medications, toxins, etc. Consulting with your doctor or a hematologist for proper testing and diagnosis is a must before starting any treatment. ...Read moreSee 1 more doctor answer