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3 Cards in this Set

  • Front
  • Back
anemia
1. retic <2 (underproduction) vs retic >2 (loss/destruction)
2. CBC
3. if micro, get iron studies

If underproduction:
microcytic: TAILS (thalessemia, ACD, Iron, Lead, Sideroblastic)
normocytic: ACD, red cell aplasia, pancytopenia, sideroblastic
macrocytic: B12/folate def. nonmegaloblastic)

If increased destruction or loss:
hemolysis (high LDH, bili, low haptoglobin)
acute blood loss (sx of bleed)
normocytic: ?
chronic nonmalignant pain
1. pain > 3 months
2. rule out cancer
3. only reimage if new sx
4. FUNCTIONAL status improvement is goal

MEDS + LIFESTYLE + EXCERCISE/PT

MEDS
NSAIDs only for OA, RA
acetaminophen up to 4g/day
SNRI like Effexor - try
try TCA, but SSRI is easiest to tolerate and seems to do some good
--anticonvulsants like gabapentin
--muscle relaxant like flexeril
--------if failure, go to OPIATE
-contract
-refer to pain clinic
diarrhea
red flags: HOT, BLOODY, DRY, HURTING, EXPOSED
1 secretory: