Differential Diagnosis Anaemia Macrocytic , Microcytic

Microcytic

Iron Defeciency

thalassemia

Sideroblastic Anaemia

History of Chronic blood loss

Family History of Heamoglobinopathy

Macrocytic

Prenicious Anaemia

Hypothyroidism

Antifolate , cytotoxic dugs or Alcholism

Increased TSH

Hypersegmented WBCs

Normocytic Anaemia

Chronic  intercurrent illness as Chronic renal failure

CBC decreased HB and Nnormal MCV

Hypo-plastic  or Aplastic Anaemia

gradual onset without blood loss  and history of Medication intake

decreased HB and normal MCV

diagnosed by Bone Marrow biopsy