The Curbsiders Internal Medicine Podcast #471 Iron Deficiency Anemia with Dr. Tom DeLoughery
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Feb 17, 2025 Dr. Tom DeLoughery, a hematologist from Oregon Health & Science University, shares his expertise on iron deficiency anemia, blending medical insights with personal anecdotes. He discusses the intricacies of diagnosing and managing anemia, including the role of ferritin levels and the importance of individualized treatment plans. The conversation also highlights common misconceptions about iron intake, dietary advice, and the use of intravenous therapies. With humor and valuable lessons, he addresses the complexities faced by patients and physicians alike.
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10 Bone Marrow Biopsies
- Dr. Tom DeLoughery has had 10 bone marrow biopsies.
- This was because his professor paid $75 for each biopsy.
Initial Anemia Assessment
- Ask patients about bleeding, anemia history, and family history.
- Consider celiac disease symptoms like stomach upset or diarrhea.
Anemia Bloodwork
- Order a reticulocyte count to assess bone marrow response.
- Consider ferritin for all anemic patients, as iron deficiency is common, even with normal MCV.