The Curbsiders Internal Medicine Podcast

#84: Anemia, Iron Deficiency, IV iron, and Tony Stark

Feb 26, 2018
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ANECDOTE

IV Iron's Impact

  • Dr. Auerbach's interest in IV iron began with a sickle cell trait patient experiencing gross hematuria.
  • The patient's life changed dramatically after receiving 2 grams of IV iron over 12 hours.
INSIGHT

IV Iron and EPO Synergy

  • IV iron became crucial for treating anemia in dialysis patients receiving erythropoietin (EPO).
  • EPO's effectiveness increased significantly after iron supplementation in these patients.
ADVICE

Assessing Iron Deficiency Anemia

  • Evaluate iron deficiency anemia by checking ferritin, transferrin saturation, and physical signs like tongue appearance.
  • Ask about pica (ice craving) and restless legs, which are commonly associated with iron deficiency.
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