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Re: Anemia in pregnancyFrom: DoctorJoe@aol.comSun Aug 9 09:51:44 1998
In a message dated 8/9/98 9:16:45 AM, you wrote: <<I have a 25 y/old pregnant patient G1P0. She came (with 20 wks) from a poor area. I asked the initial lab work up, and her FBC was something like this: Hb 6.3 Eosinophils: 10%, the rest was normal. I gave an anti-helmintic drug (because of the Eosinophils) and Iron (Fisiofer: Isosuccinato of Iron, if I am not wrong) per 1 month and check last week her Hb. For my surprise it was 6.2. Nevertheless, she said that she took the medicine with milk (which I believe reduce the absorption of iron) I ordered a feces exame, also asked to take the medicine without milk, prefereably with something acid (i.e., orange juice). I am asking some help on this case, any idea?>> What about her smear? And anything that would necessitate a hemoglobin electrophoresis? She may well have had worms, but she may also have a congenital hemoglobinopathy. Joe P.
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