At 16:15 25/08/2007, you wrote:
>But why do the Ferritin in the first place? I know a colleague who seems
>to think that a Hb much over 15 in a male is abnormal and orders a
>Ferritin right away---his explanation being that it might be
>haemochromatosis. I think he's off his head but am too polite to say
>that to him.
>But I never do Ferritins unless pt is anaemic (and usually only if micro
>hypo) or has some barn door symptom or sign pointing to haemochromatosis
>tho I would check, I suppose, with abnormal LFTs without obvious reason.
>
>Declan
Declan
Abnormal LFTs are the usual trigger _other than anaemia_, and around
here it is considered part of the routine workup of abnormal LFTs.
Not sure of relevance in high Hb or what cutoff we'd use. IIRC
pathology is more likely with PCV >0.55, or perhaps Hb >17.5 though
I'd need to check.
Julian
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