[NPInfo] Iron Deficiency Anemia

[LaShelle Dixon]

I had a patient that c/o joint and muscle pain which increased with the ingestion of ice, she stopped eating ice and cold water. She now drinks all flds. at room temperature and no longer experiences the muscle and joint pain.

--- On Tue, 8/19/08, Kimberly Coleman <iblong2c at bellsouth.net> wrote:

From: Kimberly Coleman <iblong2c at bellsouth.net>
Subject: [NPInfo] Iron Deficiency Anemia
To: "NP Info" <npinfo at nurse.net>
Date: Tuesday, August 19, 2008, 9:55 PM

I was curious if anyone could tell me WHY? patients with iron deficiency anemia
crave ice.  I know it's a form of PICA and can only find general
information.  A pt. with low H&H (10, 30), low B12 (207), low ferritin (7),
norm. TSH.  The MD didn't want to do a TIBC (it wasn't needed right
now).  There is no hx. of abn. bleeding, had TAH >10yrs. C/O "eating a
lot of ice", extreme fatigue/weakness and "a lot of joint pain and
feels like muscles are drawing and stumbling".  Going to be scheduling
upper/lower scopes.  Any suggestions on the joint pain and stumbling, and what
does ice have to do with it?  As I said, I have heard of it, know it exists, but
don't know exactly why.  Thanks.  KC
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