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Iron deficiency anaemia is not an uncommon disorder. A large number of population is of developing countries such as Pakistan is affected by iron deficiency anaemia. Women are more affected as compared to men due to obvious reason such as menorrhagia, polymenorrhagia, Postpartum bleeding etc. Signs on Physical Examination The physical examination can show: Tachycardia Smooth tongue Brittle nails Koilonychia Pallor PICA Oesophagal webs.  Stages of Iron Deficiency Iron deficiency anaemia is divided into three stages, Stage 1 is called negative iron balance,  More iron is used than intake, but there will be no anaemia, no change in RBC morphology, but iron stores will be low. Stage 2 is called iron-deficient erythropoiesis.  Iron stores are depleted, the hypochromic picture may appear in the RBC morphology Stage 3 is the iron deficiency anaemia Haemoglobin decreases with hypochromic and microcytic RBC morphology.  Diagnosis of Iron Defici...

Due to a strong request of the trainee fellows from all around Pakistan, again this year, a Mock examination for FCPS part II was held at Capital Hospital Islamabad under the supervision of Dr Siddique Akbar Satti  who is the Head Department of Medicine, former Executive directed of Capital Hospital Islamabad. and Faculty Fellow of  the Prestigious College of Physicians and Surgeons Pakistan Dr. Sidduqe Akbar Satti and Dr. Farhan are asking questions to a trainee fellow during the Mock examination Trainee fellow thanked Dr Siddique Akbar Satti for putting his efforts in creating such a memorable, useful and helpful examination scenario. I am really thankful to the organizers of this examination, This exam helped me to identify my weak points, I will elminate those point, will work on them and Inshallah will pass the final exam, one of trainee fellows commented  Dr. Siddique Akbar Satti is observing the examination skills of a trainee fello...