Lethargy and Anemia

******Please make sure that you are not as pale as the panda, because they look cute when they are pale but not any of us!!!

Causes of Anemia :

1) Nutritional

Iron Deficiency Anemia - diet hx,
Pernicious Anemia - peripheral neuropathy, alcoholism, chronic liver disease

2) Chronic Blood Lost

Peptic Ulcer Disease - gastric pain in relation to meal, NSAIDS
GIT Bleed - haematemesis and malaena
Mentrual Hx- menorrhagia


3) Increased Destruction

Haemolytic Anemia - hx of jaundice

4) Under Production

Malignancy - fever, night sweats , LOA, LOW
Drugs