title: Assesment of the patients presenting with severe anemia to the emergency internal medicine clinic.
abstract: OBJECTIVE
  Etiological evaluation of the patients who were hospitalized with the diagnosis of severe anemia (Hb<7 gr/dl) in the emergency internal medicine clinic between January and July, 2013.
  
  
  METHODS
  In this study, 112 patients who were hospitalized in Dr. Lutfi Kirdar Kartal Education and Research Hospital emergency internal medicine clinic with severe anemia between January and July 2013 were retrospectively analyzed. Patients' initial complaints, underlying causes of their anemia and prognosis of the patients were evaluated.
  
  
  RESULTS
  The etiology of anemia was iron deficiency in 60 (53.6%), chronic kidney failure in 16 (14.2%), hematologic malignancies in 12 (10.7%), liver cirrhosis in 12 (10.7%) and other non-malignant hematologic disorders in 4 (3.6%) patients.
  
  
  CONCLUSIONS
  The most common cause of anemia in patients who apply to emergency internal medicine clinic with severe anemia is iron deficiency. The most common complaints on admission are subjective ones such as weakness, fatigue and lassitude. Chronic disease anemia does not cause severe anemia as much as iron deficiency.
authors.affiliation: Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Seydahmet
authors.initials: S
authors.lastname: Akin
authors.affiliation: Department of Internal Medicine, Savastepe State Hospital, Balıkesir, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Ergin
authors.affiliation: Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Kazan
authors.affiliation: Department of Internal Medicine, Batman State Hospital, Batman, Turkey.
authors.forename: Nurgul Keskin
authors.initials: NK
authors.lastname: Tukel
authors.affiliation: Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Didem Kilic
authors.initials: DK
authors.lastname: Aydin
authors.affiliation: Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Tekce
authors.affiliation: Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Aliustaoglu
keywords: Anemia; chronic disease; iron deficiency