Normocytic Anemia: Causes, Signs, and Symptoms
Authors: Katie Lin Yan Yu Reviewers: Andrew Brack Jessica Tjong Man-Chiu Poon* Lynn Savoie* * MD at time of publication
Aplastic anemia: hypo-proliferation of bone marrow RBC precursors
Anemia of Chronic Disease
Splenomegaly
↑ RBC sequestration within enlarged spleen
Acute bleeding
Hemolysis (infection, autoimmune, RBC structural defects)
↓ RBC production
↑ RBC destruction/elimination
Normocytic Anemia:
[Hgb] <120g/L in females, <140g/L in males, with the RBC mean corpuscular volume (MCV) still within the normal range: 80-100 fL
RBCs that ultimately end up in the blood are still qualitatively normal/functional; there is a quantitative shortage of these RBCs in the blood relative to body needs
Spurious/False normocytic anemia:
Any fluid overload state (pregnancy, heart failure, kidney disease, etc.) can ↑ plasma volume which can dilute RBCs and cause apparent anemia, but the mean volume of each RBC is still normal
Normocytic Anemia
Heart needs to work faster to pump
sufficient oxygenated blood to tissues
↑ Heart rate
Reduced oxygen- carrying ability of blood
Patient feels oxygen- deprived, needs to inhale more oxygen as compensation
Dyspnea (shortness of breath) ↑ Respiratory rate (RR)
Not enough oxygen being delivered to body tissues, including brain
Fatigue
Reduced absolute number of RBCs means less RBCs to color the blood red
Pallor (especially conjunctival and palmar)
Legend:
Pathophysiology
Mechanism
Sign/Symptom/Lab Finding
Complications
Re-Published July 27, 2019 on www.thecalgaryguide.com