Case 3 Iron Deficiency Anemia in Dog fecal

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Case 3. Iron Deficiency Anemia in Dog 전북대학교 수의과대학 고양숙

Case 3. Iron Deficiency Anemia in Dog 전북대학교 수의과대학 고양숙

분변부유법(fecal flotation) : Trichuris ova 미량 잠혈검사(fecal occult blood test) : 양성 뇨검사 :

분변부유법(fecal flotation) : Trichuris ova 미량 잠혈검사(fecal occult blood test) : 양성 뇨검사 : 정상 골수검사 - M: E비(myeloid : erythroid) : 1. 6 - stainable iron은 관찰되지 않음 위장관 barium 조영 : 장관내 mass

Parameter 10. 4 5. 23 Reference range Erythrocytes RBC count (106/㎕) Hemoglobin (g/㎗) 15.

Parameter 10. 4 5. 23 Reference range Erythrocytes RBC count (106/㎕) Hemoglobin (g/㎗) 15. 2 1. 8 6. 55 12. 6 5. 5~8. 5 12. 0~18. 0 7 46 26 12 52 36 55 35 19 40 37~54 62~74 32~36 22~27 <80 4+ 2+ Slight slight None none Hematocrit (%) MCV (fl) MCHC (%) MCH (pg) Reticulocytes(? 03/ ㎕) Hypochromasia Poikilocytosis

10. 4 5. 23 Reference range 15. 2 7. 6 6. 0~17. 0 0

10. 4 5. 23 Reference range 15. 2 7. 6 6. 0~17. 0 0 0. 1 0~0. 3 Neutrophils 14. 0 5. 2 3. 0~11. 5 Lymphocytes 0. 3 1. 0~4. 8 Monocytes 0. 6 1. 0 0. 1~1. 3 Eosinophils 0 0. 2 0. 1~1. 2 Basophils 0 0 <0. 1 Parameter Leukocytes (103/㎕) Band neutrophils

Parameter 10. 4 5. 23 Reference range Other tests Plasma proteins (g/ ㎗) Fibrinogen

Parameter 10. 4 5. 23 Reference range Other tests Plasma proteins (g/ ㎗) Fibrinogen (㎎/㎗) 5. 2 6. 7 6. 0~7. 8 100 100~400 Icterus index (units) <5 <5 <5 Platelets (? 03/㎕) 342 250 160~430 Iron (㎎/㎗) 17 84~233 TIBC (㎎/㎗) 357 284~572 Saturation (%) 4. 8 19. 6~59. 3

Interpretation Microcytic hypochromic anemia : 만성 철 결핍성 빈혈 - serum iron 감소, 정상적인

Interpretation Microcytic hypochromic anemia : 만성 철 결핍성 빈혈 - serum iron 감소, 정상적인 TIBC, Fe 포화 도 감소, 골수 내 stainable iron의 결핍 => 철결핍 - RBC 수 증가, 낮은 PCV치와 MCV치 - 낮은 MCHC, MCH

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