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Jesica 21 yo white female who is on the university track team. She come into
student health clinic complaining of shortness of breath and deteriorration in her
level of athletic performance.
Fatigue
Weakness
Difficulty concentrating
Headaches
Dizziness
P. Exam reveals;
Normal: Iron stores are full and there is plenty of iron in plasma to support
RBC synthesis in bone marrow.
Stage 1: Iron stores begin to drop. Iron is stored as ferritin primarily in the
liver, bone marrow, and spleen. Low plasma ferritin is an index of
depleted iron stores.
Stage 2: Iron stores are depleted and will no longer be able to supply ireon to
the plasma. Iron is transported in the plasma as transferrin. This iron
is used for haemoglobin synthesis.
Stage 3: As plasma iron declines, iron available to the bone marrow for
haemoglobin synthesis begin to decline. Small pale blood cells begin
to be produced due to a lack of haemoglobin.
Fatigue
SOB
Headaches
Difficulty concentrating
2. Hemoglobin
Deficient < 12g/dl
Normal 12g/dl
3. Ferritin
Detects early stage of iron deficiency.
Low serum ferritin is spesific for iron deficiency.
Jessica Ferritin = 8ng/dL
4. RBC Indices
Jessica = 62.5fL
Jessica = 21.25pg