The reticulocyte hemoglobin content (often called Ret-He or CHr) is a relatively new parameter that measures the amount of hemoglobin inside the youngest red blood cells (reticulocytes) that have just been released from the bone marrow. Because reticulocytes are only 1-2 days old, this parameter reflects the iron availability for hemoglobin synthesis in the bone marrow over the past few days. A low Ret-He indicates that there is functional iron deficiency at the level of the marrow, meaning even if body stores (ferritin) are adequate, the iron is not being delivered or used effectively to make hemoglobin in new red cells. It is a very early and sensitive indicator of iron-deficient erythropoiesis, seen in both absolute iron deficiency and the functional iron deficiency of anemia of chronic disease.

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Zambia

• Naomi Miselo – 31 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies