History of systemic lupus erythematosus

Reference no: EM132470197

L.W. is a 41-year-old woman with a history of systemic lupus erythematosus which has been managed primarily with symptom control. Today she presents for evaluation of fatigue which has been slowly progressive over the last few months. She has a history of gastric bypass surgery 10 years ago and has maintained a 100 lb weight loss, but she maintains that she has been very adherent to her vitamin and mineral replacement regimen. Other than chronically heavy menses, for which she takes hormonal contraception, she is without complaint. A complete blood count is as follows:

Hgb 10.3 g/dL

Hct 31%

MCV 88 fL

RDW 15%

The AGACNP suspects that the patient's fatigue is most likely due to:

A.Iron deficiency anemia

B.Anemia of chronic disease

C. Pernicious anemia

D.Folic acid deficiency

Reference no: EM132470197

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