Year 4middle twist
A 72-year-old male with history of stage 4 chronic kidney disease presents to the clinic after suffering from increasing fatigability and pallor.
· Hemoglobin: 8.5 g/dL (low)
· Mean corpuscular volume (MCV): 88 fL (normal)
· Serum ferritin: 250 ng/mL (normal)
· Serum iron: 50 µg/dL (low)
· Total iron-binding capacity (TIBC): 200 µg/dL (low)
· Reticulocyte count: Low
· Serum creatinine: 3.5 mg/dL (elevated)