What is the initial workup for a patient presenting with anemia?

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Initial Workup for Anemia

Order a complete blood count with red cell indices, absolute reticulocyte count, iron studies panel (serum ferritin, transferrin saturation, total iron-binding capacity), vitamin B12 and folate levels, and C-reactive protein simultaneously at initial presentation. 1, 2, 3

Essential Laboratory Tests to Order Together

The following tests should be obtained as a comprehensive panel at the first encounter:

  • Complete blood count (CBC) with hemoglobin, hematocrit, MCV, MCH, MCHC, RDW, white blood cell count with differential, and platelet count 1, 2, 3

  • Absolute reticulocyte count to assess bone marrow response—a low count indicates impaired erythropoiesis while an elevated count suggests increased red cell production or hemolysis 1, 2, 3

  • Iron studies panel including serum ferritin, transferrin saturation (TSAT), and total iron-binding capacity 1, 2, 3

  • Vitamin B12 and folate levels to evaluate for nutritional deficiencies 1, 2, 3

  • C-reactive protein (CRP) to assess for inflammation that may affect ferritin interpretation 1, 2

Interpreting Key Laboratory Values

Iron Studies Interpretation

  • Serum ferritin < 30 μg/L confirms iron deficiency in the absence of inflammation 1, 2

  • Transferrin saturation < 15-16% supports iron deficiency and is less affected by inflammation than ferritin 1, 2

  • Ferritin can be falsely elevated in inflammation, chronic disease, malignancy, or liver disease—always interpret in clinical context 1, 2, 3

  • Elevated ferritin with low TSAT suggests anemia of chronic inflammation 2

MCV-Based Classification (Use with Caution)

  • Microcytic anemia (MCV < 80 fL) most commonly indicates iron deficiency, but can also represent thalassemia trait, anemia of chronic disease, or sideroblastic anemia 1, 2, 3

  • Normocytic anemia (MCV 80-100 fL) may indicate acute blood loss, hemolysis, anemia of chronic disease, early iron deficiency, or chronic kidney disease 1, 2, 3

  • Macrocytic anemia (MCV > 100 fL) suggests vitamin B12 or folate deficiency, medications, alcohol use, or myelodysplastic syndrome 1, 2, 3

Critical Pitfall: Don't Rely on MCV Alone

  • MCV-guided classification can be misleading—in one study, 16% of microcytic patients had etiologies inconsistent with expected causes, and 90% of macrocytic patients had unexpected etiologies 4

  • Order the full laboratory panel regardless of MCV rather than using MCV to guide which tests to order 4

  • Low MCH with elevated RDW is highly suggestive of iron deficiency even when MCV remains normal, with 72% sensitivity for detecting iron deficiency 1

When to Pursue Additional Testing

Hemolysis Workup

If reticulocyte count is elevated, measure:

  • Haptoglobin (decreased in hemolysis) 1
  • LDH (elevated in hemolysis) 1
  • Indirect bilirubin (elevated in hemolysis) 1

When to Consult Hematology

  • Abnormalities in two or more cell lines (bicytopenia or pancytopenia) warrant immediate hematology consultation 2

  • Unexplained anemia after initial workup is unrevealing 2

  • Consider bone marrow aspiration and biopsy when additional cytopenias are present or diagnosis remains unclear 2

Investigating Underlying Causes

  • In adult men and postmenopausal women with confirmed iron deficiency, investigate for gastrointestinal bleeding 1, 2

  • In premenopausal women, assess menstrual losses as a potential cause 1

  • If iron studies are normal with microcytosis, obtain hemoglobin electrophoresis to evaluate for thalassemia trait, particularly in patients of appropriate ethnic background 1

Common Pitfalls to Avoid

  • Never assume anemia is "normal aging" in elderly patients—always investigate the underlying cause 3

  • Watch for combined deficiencies (iron plus B12, especially in elderly patients and those with inflammatory bowel disease) 3

  • Don't order tests sequentially based on MCV—order the comprehensive panel upfront to avoid delays and missed diagnoses 4

  • Remember that normal MCV does not exclude iron deficiency—early iron deficiency can present with normal MCV but low MCH and elevated RDW 1

References

Guideline

Anemia Diagnosis and Treatment

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Diagnostic Approach to Anemia

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Anemia Diagnosis and Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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