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A 34-year-old wom an was seen at a clinic
because of severe w eakness and dizziness for the past several m onths. The wom
an had a long history of m enorrhagia and of chronic headaches for w hich she
had been using several analgesic m edications on a daily basis. Physical exam
ination revealed a pale, lethargic fem ale appearing older than her stated age.
Notable signs were a sore tongue, spooning of the nails, and splenom egaly.
Pertinent laboratory values were red blood cell count 2.3 _106/mm3 (norm al, fem
ale 3.5_5.5 _106/mm3), m ean corpuscular volum e 72 fL(norm al
80_100 fL), hem
A 34-year-old wom an was seen at a clinic
because of severe w eakness and dizziness for the past several m onths. The wom
an had a long history of m enorrhagia and of chronic headaches for w hich she
had been using several analgesic m edications on a daily basis. Physical exam
ination revealed a pale, lethargic fem ale appearing older than her stated age.
Notable signs were a sore tongue, spooning of the nails, and splenom egaly.
Pertinent laboratory values were red blood cell count 2.3 _106/mm3 (norm al, fem
ale 3.5_5.5 _106/mm3), m ean corpuscular volum e 72 fL(norm al
80_100 fL), hem oglobin 5 g/dL (norm al, fem ale 12 g/dL), serum
ferritin 7 ng/m L (norm al 30_300 ng/m L). Which of the follow ing drugs
would be m ost appropriate for this patient?
A. Ferrous
sulfate
B. Folic
acid
C. Erythropoietin
D. Iron
sucrose
E. Vitam
in B12
F. Filgrastim
