Background: Anemia is common in patients with HF with a prevalence ranging from 10-40%. Studies have shown that these patients have worse outcomes compared to those who don’t. The most common etiology remains iron deficiency and the updated 2017 HF guidelines state that for those patients who are diagnosed with iron deficiency anemia, intravenous iron [...]

Background: Chronic heart failure (CHF) patients with reduced ejection fraction (EF), as defined as EF < 50%, and iron deficiency have shown improvements in symptoms, functional capacity, and quality of life when treated with IV iron, even without overt anemia (1). The FAIR-HF (2009) and CONFIRM-HF (2015) studies showed improvements in New York Heart Association [...]

Case Presentation: A 23 month old female with minimal primary care visits presented to the ED after a syncopal episode. She was found to be tachycardic, tachypneic, and hypoxic. Physical exam revealed an irritable, pale child with a 3/6 systolic murmur and hepatomegaly. CBC was significant for a Hgb of 1.5. CXR revealed cardiomegaly. Due [...]

Case Presentation: 62-year-old male with a PMH notable for recurrent epistaxis, bleeding post-dental procedures & IDA since childhood on & off oral iron supplementation presented to the hospital with a traumatic head injury resulting in a SAH/SDH. Initial laboratory work found normocytic anemia & severe thrombocytopenia (TCP) – 25 X 10E+09/L . CT abdomen & [...]

Case Presentation: A 48-year-old female with no known medical history presented after a syncopal episode and one week of malaise and fatigue. She was diagnosed with high output heart failure complicating severe pulmonary hypertension. Hemoglobin was 2.7 g/dL with MCV of 50 fL. She denied menorrhagia, melena, hematuria or hematemesis as well as weight loss [...]

Case Presentation: A 36 year old man with a history of iron deficiency anemia (IDA) of unclear etiology was admitted with a three-week history of progressively worsening fatigue, weakness and lightheadedness. Further questioning revealed a 12 month history of hemoptysis which he described as productive of about a half-dollar amount of blood every morning. He [...]

Case Presentation: We present a case of a 37-year-old female with a past medical history of cerebral palsy and iron deficiency anemia due to heavy menstrual periods who presented with right-sided leg weakness for a few hours. Upon the patient’s arrival to the emergency room a stroke code was called. A CT scan of the [...]

Case Presentation: A 21-month-old girl was brought to the emergency department for acute, severe right arm and leg weakness. She was unable to stand, appearing pale and fatigued. Labs were notable for hemoglobin (Hgb) of 3.5 g/dL, leukocyte of 19.7×103/µL, platelet of 340×103/µL, absolute reticulocyte of 6.4×103/µL, and MCV of 49 fL. Microcytic anemia and [...]

Background: Iron deficiency is the most common cause of anemia and a common comorbidity in hospitalized patients. Iron deficiency is present in up to 50% of patients with heart failure and intravenous (IV) iron can improve symptoms, functional capacity, and quality of life1. Inflammatory bowel disease has a prevalence of iron deficiency in 25% of [...]

Case Presentation: A 14-month-old male with history of hemihypertrophy of left lower extremity and macrodactyly of the left third to fifth toes, as well as syndactyly of third and fourth toes, presented to the ER because of facial swelling and anasarca. The swelling began 10 days prior to admission, diagnosed initially as bilateral preseptal cellulitis [...]