TY - CHAP M1 - Book, Section TI - IRON-DEFICIENCY ANEMIA A1 - Hillman, Robert S. A1 - Ault, Kenneth A. A1 - Leporrier, Michel A1 - Rinder, Henry M. Y1 - 2016 N1 - T2 - Hematology in Clinical Practice, 5e AB - CASE HISTORY • Part 1A 43-year-old woman presents with complaints of increasing fatigue, exercise intolerance, and difficulty swallowing. She also reports palpitations and shortness of breath when climbing stairs. She has a past history of fibromyalgia for more than a decade, managed with liberal doses of aspirin and nonsteroidal preparations. She also reports prolonged and irregular menstrual periods for the last 6 months. Examination is notable for pallor of the conjunctiva and mucous membranes; a beefy, red, smooth tongue; and flattened nails. She has considerable tenderness to palpation of the muscles of the neck and shoulders and restricted motion of both shoulders.CBC: Hematocrit/hemoglobin - 21%/6 g/dLMCV - 67 fL MCH - 24 pg/cell MCHC - 28 g/dLReticulocyte count/index - 3.0%/<1White blood cell count - NormalPlatelet count - 720,000/μLSedimentation rate - 42 mm/h(Westergren) Stool hemoccult - Brown stool/4+ heme positive QuestionsHow should this anemia be described?What is the differential diagnosis?What other tests should be ordered? SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/28 UR - hemonc.mhmedical.com/content.aspx?aid=1127765512 ER -