How to evaluate anemia in Chronic kidney disease

How to evaluate anemia in Chronic kidney disease?

EPO deficiency is a diagnosis of exclusion, and checking EPO levels in patients with Chronic kidney disease is generally not indicated. The routine evaluation of such patients should include:

• Measurement of RBC indices

• Reticulocyte count

• Transferrin saturation (TSAT)

• Serum ferritin

• Stool for occult blood testing

If these tests reveal no alternative cause of anemia, it can be presumed that the anemia is primarily due to EPO deficiency.

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