Clinical Images  |   March 2019
Anemia Diagnosed by Head Computed Tomography
Author Notes
  • From the Department of Emergency Medicine at Kingman Regional Medical Center in Arizona. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to John Ashurst, DO, MSc, Department of Emergency Medicine, Kingman Regional Medical Center, 3269 Stockton Hill Rd, Kingman, AZ 86409-3619. Email: ashurst.john.32.research@gmail.com
     
Article Information
Imaging / Clinical Images
Clinical Images   |   March 2019
Anemia Diagnosed by Head Computed Tomography
The Journal of the American Osteopathic Association, March 2019, Vol. 119, 212. doi:10.7556/jaoa.2019.035
The Journal of the American Osteopathic Association, March 2019, Vol. 119, 212. doi:10.7556/jaoa.2019.035
After several days of generalized weakness, a 79-year-old man presented to the emergency department with a possible head injury due to a fall. He had a cerebral vascular accident several years prior, with residual left-sided weakness. Examination revealed skin pallor but no signs of trauma. Unenhanced head computed tomographic images (UHCT) showed no acute intracranial hemorrhage but demonstrated possible anemia because the dural venous sinus (DVS) had a measurement of 23.6 Hounsfield units (HUs) (image A and image B). His hemoglobin (Hb) level was low (3.1 g/dL). Fecal occult blood was detected, and the patient received a transfusion of 2 units of packed red blood cells. 

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