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Re: Anemia in pregnancyFrom: Dr Eberhard W Lisse (el@linux.lisse.na)Sun Aug 9 10:11:01 1998
In message <35CC9403.D952EDFD@orion.ufrgs.br>, Ricardo Savaris writes: > Dear Folks (old and new) > For those who doesn't know Bob Wolley, after 3 years you will get used > to him, and actually, I musta admit, I miss his controversial msg > (sometimes.) > > Well, here is a case. > > 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? I'd have done Stools for Ova, Parasites and occult blood initially already (before the anthihelmintics. Which one did you give?) Urine for Bilharzia Sputum x 3 for Direct Microscopy CxR Blood for Bilharzia and HIV el -- Dr. Eberhard W. Lisse\ / Swakopmund State Hospital <el@lisse.NA> * | Resident Medical Officer Private Bag 5004 \ / +264 81 1246733 (c) 64 461005(h) 461004(f) Swakopmund, Namibia ;____/ Domain Coordinator for NA-DOM (el108)
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