Macrocytic Anemia

• Evaluate folic acid and vitamin B12 levels in the setting of an elevated MCV

• Further investigation by administering radiolabeled B12 (i.e., Schilling test) to determine if lack of intrinsic factor

• Consider obtaining homocysteine and methylmalonic acid levels Normocytic Anemia

• Evaluate reticulocytes and CBC

• High reticulocyte counts may indicate RBCs loss via acute blood loss, hemolysis, or splenic sequestration

• Low reticulocyte counts may indicate a diseased bone marrow (e.g., aplastic anemia, myelodysplasia, or leukemia), especially if the WBC and platelets are low

• High WBC/platelets may be from anemia of chronic disease, malignancy, or CKD

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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