Anemia in pregnancy Quiz: Ace Your Exams
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A 31-year-old G2P1 woman at 25 weeks gestation presents to the primary care clinic due to one month of worsening fatigue that has caused her to miss work the past few days. Temperature is 37.0ºC (98.6ºF), pulse is 96/min, respiratory rate is 18/min, and blood pressure is 112/75 mmHg. The patient has no significant past medical history. She stopped taking her prenatal vitamin during the first trimester because of nausea and vomiting and has not been consistently taking it since. The patient is in no acute distress but appears pale. Cardiopulmonary examination is normal, and abdominal exam shows a gravid uterus appropriate for gestational age. Serum hemoglobin is 9.0 g/dL (reference range: 12-16 g/dL) with a mean corpuscular volume of 76 fL (reference range: 80-100 fL). Serum haptoglobin is within normal limits. Ferritin is low. Which of the following is most likely to be present in this patient?
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