system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 27-year-old African-American woman, gravida 1, para 0, at 11 weeks' gestation comes to her physician for a prenatal visit. She feels more fatigued than usual but has no other symptoms. She has no history of serious illness. She takes no medications. Her mother has systemic lupus erythematosus. Her temperature is 37.2°C (98.9°F), pulse is 80/min, respirations are 18/min, and blood pressure is 120/75 mm Hg. Examination shows no abnormalities. Laboratory studies show:
Hemoglobin 9.2 g/dL
Hematocrit 27.5%
Leukocyte count 6,000/mm3
Platelet Count 180,000/mm3
MCV 74 μm3
MCH 24 pg/cell
Serum
Na+ 138 mEq/L
K+ 4.5 mEq/L
Cl- 100 mEq/L
HCO3- 25 mEq/L
Urea Nitrogen 15 mg/dL
Creatinine 1.0 mg/dL
Total Bilirubin 0.4 mg/dL
Iron 67 U/L
Ferritin 98 ng/mL
Which of the following is the most appropriate next step in management?"
assistant
Hemoglobin electrophoresis