A 55-year-old man with stage 2 chronic kidney disease is evaluated because of anemia. He is complaining of fatigue. His physical examination reveals pale skin, otherwise unremarkab... A 55-year-old man with stage 2 chronic kidney disease is evaluated because of anemia. He is complaining of fatigue. His physical examination reveals pale skin, otherwise unremarkable (see lab results). Which of the following is the most appropriate investigation to be done? A. Serum iron studies B. Reticulocyte count C. Serum erythropoietin level D. Bone marrow aspiration
Understand the Problem
The question is asking for the most appropriate investigation to evaluate anemia in a 55-year-old man with chronic kidney disease. The context provides details about the patient's condition and symptoms, which will help determine the best diagnostic approach.
Answer
Serum erythropoietin level.
The final answer is Serum erythropoietin level.
Answer for screen readers
The final answer is Serum erythropoietin level.
More Information
In patients with chronic kidney disease, anemia is often due to reduced production of erythropoietin by the kidneys. Measuring serum erythropoietin levels helps in assessing if this is the cause.
Tips
A common mistake is not considering the specific cause of anemia related to chronic kidney disease, which is typically due to low erythropoietin.
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