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A premenopausal woman with abdominal discomfort and iron deficiency anaemia (Record no. 76017)

MARC details
000 -LEADER
fixed length control field 02454cam a2200193 4500
001 - CONTROL NUMBER
control field NMDX7001
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2015 xxu||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Vadhwana, B.
240 ## - UNIFORM TITLE
Uniform title <a href="BMJ">BMJ</a>
245 ## - TITLE STATEMENT
Title A premenopausal woman with abdominal discomfort and iron deficiency anaemia
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2015
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note 351
520 ## - SUMMARY, ETC.
Summary, etc. &lt;span style="font-family: FreeSerif; font-size: 10pt;"&gt;&lt;/span&gt;&lt;p align="left"&gt;&lt;span style="font-family: Arial;"&gt;A 48 year old premenopausal woman presented to our clinic &lt;span&gt;with a 12 month history of intermittent abdominal discomfort &lt;span style="font-family: Arial;"&gt;&lt;span&gt;associated with bloating, constipation, and weight loss of 6.3 &lt;span&gt;kg. Her medical history included chronic iron deficiency &lt;span style="font-family: Arial;"&gt;&lt;span&gt;anaemia, vitamin D deficiency, and episodes of fresh rectal &lt;span&gt;bleeding caused by haemorrhoids, which required sclerotherapy. &lt;span style="font-family: Arial;"&gt;&lt;span&gt;She had undergone a diagnostic laparoscopy for abdominal &lt;span&gt;pains, which did not detect any abnormalities. There was no &lt;span style="font-family: Arial;"&gt;&lt;span&gt;family history of colorectal cancer. On examination she looked &lt;span&gt;well, weighed 50 kg, with a body mass index of 20. Her &lt;span style="font-family: Arial;"&gt;&lt;span&gt;abdomen was soft, non-tender, and without palpable masses. &lt;span&gt;The results of a digital rectal examination were normal. Routine &lt;span style="font-family: Arial;"&gt;&lt;span&gt;blood tests showed iron deficiency anaemia, with haemoglobin &lt;span&gt;109 g/L (reference range 117-155), mean corpuscular volume &lt;span style="font-family: Arial;"&gt;80.6 fL (80-100), mean corpuscular haemoglobin 27.3 pg/cell &lt;span style="font-family: Arial;"&gt;(27-33), and ferritin 4 ng/mL (10-232).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;span style="font-size: 10pt;"&gt;&amp;nbsp;&lt;/span&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Mohite, U.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Collins, C.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://www.ncbi.nlm.nih.gov/pubmed/26338052">https://www.ncbi.nlm.nih.gov/pubmed/26338052</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://www.bmj.com/content/351/bmj.h4664.long">http://www.bmj.com/content/351/bmj.h4664.long</a>
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Home library Current library Shelving location Date acquired Total Checkouts Date last seen Price effective from Koha item type
        Staff publications for NMDX Ferriman Information and Library Service (North Middlesex) Ferriman Information and Library Service (North Middlesex) Online 07/06/2022   07/06/2022 07/06/2022 UNKNOWN