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1
A 78-year-old man presented with worsening anemia and dyspnea, with a hemoglobin level dropping from 10-11 g/dL to 7.2 g/dL.
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2
The clinician's diagnostic approach included evaluating hypoproliferative and hyperproliferative causes of anemia, considering the patient's age and history.
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3
High-value care principles emphasize minimizing unnecessary tests while maximizing patient outcomes, particularly in older adults with multifactorial anemia.
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4
The patient's medications, including NSAIDs and methotrexate, raised concerns for gastrointestinal bleeding and bone marrow suppression as potential anemia contributors.
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5
Broad differential diagnoses were maintained, considering serious conditions like vertebral osteomyelitis or malignancy, based on physical exam findings.
