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Author Question: Which of the following is decreased in patients with hereditary hemochromatosis? a. Albumin b. ... (Read 92 times)

littleanan

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on: Jun 25, 2018
Which of the following is decreased in patients with hereditary hemochromatosis?
 
  a. Albumin
  b. Serum iron
  c. Transferrin saturation
  d. Ferritin

Question 2

Which test will rise first after successful treatment for iron deficiency?
 
  a. Reticulocyte count
  b. Ferritin
  c. MCV
  d. Hemoglobin


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nickk12214

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Liver damage and disease is a consequence of hereditary hemochromatosis; albumin is synthesized in the liver, and with liver damage its concentration decreases. Serum iron, transferrin saturation, and ferritin are all increased.

Answer to Question 2

ANS: A
The reticulocyte count will begin to increase within 5 to 7 days after institution of therapy. Hemoglobin will take roughly 2 months to return to normal, although it will begin to slowly increase within 2 weeks. The MCV will rise more slowly, as the microcytic red cells in circulation have to live out their normal life span; they will gradually be replaced with more and more normocytic red cells. Ferritin will be the last to rise; only after the erythron has been restored to normal will there be any excess iron to go to stores.


littleanan

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Reply 2 on: Jun 25, 2018
Excellent

Joy Chen

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Reply 3 on: Yesterday
Gracias!

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