Lecture on Iron Deficiency Anemia (IDA): Case Study, Pathophysiology & Management | MBBS | TSMC

[Section 1: Summary] Master the clinical complexities of Iron Deficiency Anemia (IDA) in this detailed lecture by Dr. Biprabuddha Nath at Tripura Santiniketan Medical College. Using a real-world case study of a pregnant patient, this session explores the definition, etiology, and morphological classification of anemia, providing high-yield insights for MBBS biochemistry and physiology exams. [Section 2: Key Learning Objectives] In this lecture, you will learn: Defining Anemia: Hemoglobin and RBC count thresholds for diagnosis [00:10]. Severity Grading: Categorizing Mild, Moderate, Severe, and Very Severe Anemia [01:09]. Morphological Classification: Understanding Microcytic Hypochromic vs. Macrocytic Normochromic anemia [13:51]. Etiological Analysis: Causes ranging from chronic blood loss (Peptic Ulcers, Worms) to dietary deficiencies [05:05]. Diagnostic Markers: Decoding CBC results, Serum Ferritin, and Total Iron Binding Capacity (TIBC) [21:50]. Case Study Analysis: Clinical presentation of IDA in a 26-year-old pregnant female [26:42]. Management Strategies: Dietary modifications, Oral Iron/Folic Acid, and Blood Transfusion protocols [31:13]. [Section 3: Detailed Timestamps] 00:00:00 - Introduction to Iron Deficiency Anemia (IDA) 00:00:10 - Definition: RBC Count and Hemoglobin Thresholds 00:01:09 - Severity Grading: Mild, Moderate, Severe, and Very Severe 00:02:50 - Clinical Indicators: Dyspnea at Rest vs. Exertional Dyspnea 00:05:05 - Etiological Classification: Hemorrhage (Acute vs. Chronic) 00:06:05 - Chronic Causes: Piles, Worm Infestation, and Peptic Ulcer 00:08:52 - Hemolytic Anemia: Intrinsic vs. Extrinsic Factors 00:11:41 - Morphological Classification: Normal vs. Abnormal RBC Size 00:13:51 - Microcytic Hypochromic Anemia (IDA and Thalassemia) 00:15:32 - Causes of IDA: Decreased Intake, Increased Loss, and Demand 00:18:01 - Characteristic Features: Anisocytosis and Poikilocytosis 00:19:42 - Interpreting CBC Results: MCV, MCH, and MCHC in IDA 00:21:50 - Understanding Serum Iron and TIBC (Iron Binding Capacity) 00:25:02 - Physical Examination: Looking for Pallor in Conjunctiva and Nails 00:26:42 - Clinical Case Study: 26-Year-Old Pregnant Female Analysis 00:28:51 - Differential Diagnosis (DD): The "SITAL" Mnemonic 00:31:13 - Management: Dietary Modification and "Treat the Cause" 00:34:20 - De-worming Protocol: Role of Albendazole in Anemia 00:35:48 - Severe vs. Very Severe Management: Packed RBCs and Transfusion TRIPURA SANTINIKETAN MEDICAL COLLEGE & HOSPITAL Real time Classroom Demonstration/ BIOCHEMISTRY LECTURE ON-CASE STUDY, BY- DR. BIPRABUDDHA NATH (MBBS Batch: 2025-26) Conducted on: 18-12-25