Print Issue: April 01, 2009

Fatigue and dizziness in an iron-deficient patient

I am treating a 44-year-old Filipina who has iron deficiency anemia. Her RBC count, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, and mean corpuscular volume are low and her hematocrit/hemoglobin is borderline low. Her ferritin rose from 2 to 3 ng/mL after two months of ferrous sulfate t.i.d. and vitamin C 500 mg daily. A…

When to treat high LDL with high HDL

What is the best therapeutic approach for asymptomatic patients with zero to two cardiac risk factors, elevated LDL (>130-160 mg/dL), and high HDL (>60 mg/dL)? At what LDL would you treat the hyperlipidemia despite the high HDL?—David Y. Kawashiri, MD, Beverly Hills, Calif.  This is the question cardiologists are hearing more and more often: When…

A cluster of anthrax bacteria (Bacillus anthracis) (green) in a capillary of the lung

Pulmonary anthrax after a biological attack

In the event of an attack with biological weapons, would the anthrax vaccine offer protection against pulmonary anthrax, or would rapid administration of antibiotics be more efficacious?—LAWRENCE SHEDWICK, MPAS, PA-C, Pittsburgh The CDC recommends post-exposure prophylaxis with both antibiotic treatment and vaccination for individuals exposed to inhalation anthrax. The vaccine is difficult to obtain, however,…

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