Edema

• Tachycardia

Other findings that may be present in some patients include:

• Nail brittleness

• Hunger for ice, starch, or clay (termed pica) Past Medical History

Inquire about the following conditions:

• History of blood loss, such as hemorrhoids, melena, or menorrhagia (IDA)

• Malnourished or recent weight loss (vitamin B12 or folate deficiency)

• Alcoholism (folate deficiency)

• Cancer or chronic kidney disease (CKD)

• Chronic autoimmune disorders or infections, such as HIV infection or rheumatoid arthritis (anemia of chronic disease)

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