The Intern At Work: Internal Medicine

155. An Approach to Thalassemia

Jul 10, 2022
Dr. Catherine Lovatt, an Internal Medicine Resident, dives into the complexities of thalassemia, a genetic blood disorder affecting hemoglobin production. She explores its various types, symptoms, and the importance of genetic counseling. The discussion also touches on treatment options and fascinating emerging therapies that could change patient care. With insights from experts in hematology and internal medicine, this episode sheds light on a crucial yet often misunderstood condition.
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INSIGHT

Thalassemia Overview

  • Thalassemias are inherited blood conditions causing impaired red blood cell production and lifespan.
  • They range in severity from silent carriers to life-threatening anemia, depending on the affected genes.
INSIGHT

Thalassemia Diagnosis

  • Adult thalassemia is usually discovered incidentally through abnormal blood tests.
  • Microcytosis with normal or high red blood cell count suggests thalassemia.
ADVICE

Patient Assessment

  • Assess vital signs and ensure appropriate monitoring, especially for transfusions.
  • Evaluate for anemia symptoms, recent blood loss, iron deficiency, and iron overload.
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