Internal Medicine

0521779407-10 CUNY1086/Karliner 0 521 77940 7 June 6, 2007 17:44

Iron Deficiency 867

■hemorrhoids

■parasites (e.g., hookworm)

■Menstruation – may or may not be “heavy”

■Small intestinal disease

■Celiac disease (can be mild or even subclinical)

■Crohn’s disease

■High gastric pH

■hemigastrectomy

■vagotomy

■pernicious anemia

■calcium-carbonate-based antacids

■histamine H-2 receptor blockers

■Inhibitors of iron absorption

■phytates (wheat and bran)

■tannins (teas)

■soil clay

■laundry starch

■Competitors of iron absorption

■lead

■Urinary tract bleeding

■papillary necrosis

■Pulmonary hemosiderosis

■chronic infection

■idiopathic

Signs & Symptoms

■fatigue

■palpitations

■dyspnea on exertion

■pica (ice, soil clay, laundry starch)

■Pallor

■Koilonychia

■Thinning of hair

■Angular stomatitis

■Glossitis

■Cardiac systolic flow murmur

Blue sclerae

tests

Basic Tests:

■Blood