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Queston for OT Drs
Posted on 11/28/17 at 10:29 am
Posted on 11/28/17 at 10:29 am
Elderly relative went in for a regular blood test, got a call back saying she has anemia and needs to be in the hospital. Scheduled for a transfusion. No other symptoms, feels fine. If it makes a difference, diagnosed with epilepsy about 5 months ago, put on Keppra which controlled the seizures. Only other medications are an antidepressant, statin, and blood pressure medication.
Any thoughts?
Any thoughts?
This post was edited on 11/28/17 at 10:32 am
13
Posted on 11/28/17 at 10:32 am to Jim Rockford
Iron supplements.
Posted on 11/28/17 at 10:34 am to Jim Rockford
Possibly an internal bleed. Your systems decline with age. Maybe she just isn't producing enough red cells. Possibly bone marrow has something else growing in it like a chronic leukemia. Need WBC population numbers and a bone marrow aspiration to diagnose.
Posted on 11/28/17 at 10:36 am to MBclass83
This was sudden onset, FWIW. She has been getting regular blood tests to monitor the Keppra level and everything was fine up to now. I notice anemia is a side effect of it, but pretty rare.
Posted on 11/28/17 at 10:36 am to Jim Rockford
Eat some beets
Posted on 11/28/17 at 10:38 am to Jim Rockford
How severe is the anemia? Do you have Hemoglobin and Hematocrit numbers from a couple of months ago and recent values?
Posted on 11/28/17 at 10:42 am to Jim Rockford
Always have to exclude GI tract malignancy in these scenarios.
Posted on 11/28/17 at 10:43 am to MBclass83
quote:
How severe is the anemia?
Enough to need a transfusion is all I know. Apparently the recent blood tests were normal, or normal enough to not be a concern.
Posted on 11/28/17 at 10:44 am to Jim Rockford
Retic count? Macrocytic or microcytic?
Posted on 11/28/17 at 10:45 am to Jim Rockford
Sounds like AID..... whoops. We're speaking about your grandmother, never mind.
I have no suggestions.
I have no suggestions.
Posted on 11/28/17 at 10:46 am to Jim Rockford
You've come to the right place
Posted on 11/28/17 at 10:49 am to Ric Flair
quote:
Retic count? Macrocytic or microcytic?
I don't know. I hope to go by at lunch and find out some of these things.
Posted on 11/28/17 at 11:03 am to Jim Rockford
I don't have any insight, yet will keep your relative in my prayers.
Posted on 11/28/17 at 11:05 am to cj35
Coming to the OT for medical advice seems like a solid plan.
Posted on 11/28/17 at 11:22 am to Jim Rockford
Sad, look what Obamacare has done to this country. People are coming to the OT for medical advice.
Posted on 11/28/17 at 11:26 am to Jim Rockford
quote:
Elderly relative went in for a regular blood test, got a call back saying she has anemia and needs to be in the hospital. Scheduled for a transfusion. No other symptoms, feels fine. If it makes a difference, diagnosed with epilepsy about 5 months ago, put on Keppra which controlled the seizures. Only other medications are an antidepressant, statin, and blood pressure medication.
Any thoughts?
Based on the information you provided, she likely has anemia with epilepsy and a touch of depression. This usually leads to an increase in blood pressure so she is likely at a much higher risk of heart disease.
Posted on 11/28/17 at 11:27 am to MBclass83
Saw her internist, he didn't seem super concerned. Will run all the usual tests, but his first thought is diet related. She has had a lot of dental work and hasn't felt like eating much lately.
Posted on 11/28/17 at 11:31 am to Jim Rockford
how are her feet?
Posted on 11/28/17 at 11:32 am to GEAUXT
okay as far as I know 
Posted on 11/28/17 at 11:59 am to Jim Rockford
Rub some dirt on it....seriously....rub some dirt on it.
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