Iron Consultation

Iron Consultation Date: 1 November 2024 Reason for Consultation - Patient referred for evaluation of iron deficiency and consideration of intravenous iron infusion. History of Presenting Illness - Patient presents with fatigue, weakness, and shortness of breath for the past three months. - Patient reports experiencing fatigue/weakness, shortness of breath, and pale skin. Iron Related Medical History: - Patient has a history of iron deficiency anemia diagnosed two years ago, treated with oral iron supplements. - Patient reports heavy menstrual bleeding. Past Medical History: - Hypertension, well-controlled with medication. Allergies: No known allergies. Medications: Lisinopril 10mg daily, Ferrous Sulfate 325mg daily (discontinued). Family History: - Mother with a history of iron deficiency anemia. Dietary and Lifestyle Factors: - Patient reports a vegetarian diet. Supplements: - Patient previously taking Ferrous Sulfate 325mg daily, but discontinued due to side effects. Social History - Non-smoker. - Drinks alcohol occasionally. Physical examination: - Patient appears well and in reasonably good health. - Pale conjunctiva noted. Initial Investigation results - Labs: CBC: Hemoglobin 10.2 g/dL, Ferritin 10 ng/mL, Transferrin Saturation 8%, TIBC elevated. Assessment: - Iron deficiency anemia. Goals for Management: - Patient goals: To improve energy levels and resolve symptoms of iron deficiency. Management Plan: - Discussed the patient's iron status and the need for iron replacement. - Patient will be started on an iron infusion. Iron Infusion: - Patient will receive an iron infusion of 1000mg of iron sucrose. - Follow-up labs (CBC, ferritin, TSAT) in six weeks. - Follow up with results. - Will send the patient home with a repeat lab requisition including CBC, ferritin, and TSAT six weeks post-infusion and will follow up on the results.