A Case of Iron Deficiency Anemia

Case Presentation


Dolores Welborn is a 28-year-old attorney living in Portland, Oregon.
Dolores is in the second trimester of pregnancy with her first child,
and though her pregnancy had been progressing normally, recently she has
noticed that she tires very easily and is short of breath from even the
slightest exertion. She also has experienced periods of
light-headedness, though not to the point of fainting. Other changes
she has noticed are cramping in her legs, a desire to crunch on ice, and
the fact that her tongue is sore. She doubts that all of these
symptoms are related to one another, but she is concerned, and she makes
an appointment to see her physician.

Upon examining Dolores, her physician finds that she has tachycardia,
pale gums and nail beds, and her tongue is swollen. Given her history
and the findings on her physical exam, the physician suspects that
Dolores is anemic and orders a sample of her blood for examination. The
results are shown below:

Table 1. Blood Sample Results

Red Blood Cell Count	3.5 million/mm3
Hemoglobin (Hb)	7 g/dl
Hematocrit (Hct)	30%
Serum Iron	low
Mean Corpuscular Volume (MCV)	low
Mean Corpuscular Hb Concentration (MCHC)	low
Total Iron Binding Capacity in the Blood (TIBC)	high

A diagnosis of anemia due to iron deficiency is made and oral iron
supplements prescribed. Dolores’ symptoms are eliminated within a couple
of weeks and the remainder of her pregnancy progresses without
difficulty.

Questions

1. Describe the structure of a molecule of hemoglobin and explain the
   role played by iron in the transport of oxygen.
   
2. How is iron stored and transported in the body?
   
3. What is Iron Deficiency Anemia (IDA) and how frequently does it
   occur?
   
4. What are the most common causes of IDA?
   
5. Why are women more prone to IDA than men?
   
6. What are the red blood cell indices, and what tests are diagnostic
   for IDA?
   
7. How is IDA treated and prevented?
   

chose a question and answer it.

thankss

THXXXXXXXXXXXXXXXXXX

thx

no one have the answer?????
I need answer for check

lets see