Module overview
Section 4 of 6 · Open sections

Required section · Section 4 of 6

Guided example: calculate, then rank evidence

For this case, 186 divided by 285 multiplied by 100 equals 65.3%. Under the laboratory rounding policy, transferrin saturation is reported as 65%. This is above the 14-50% teaching reference interval and above the EASL biochemical-suspicion context for an adult male when ferritin is also above 300 micrograms/L.

The normal C-reactive protein makes an acute inflammatory explanation less supported, but it does not exclude every nonspecific cause of high ferritin. Mildly increased alanine aminotransferase keeps liver injury relevant because it can alter ferritin and saturation. The next interpretation must preserve both observations rather than selecting a diagnosis from one marker.

HFE targeted testing in this case reports C282Y homozygous and H63D not detected. That result adds susceptibility evidence to the compatible biochemical pattern, but it does not measure hepatic iron or prove organ injury. Show the calculation, collection facts, and contradictory or remaining evidence together in the result review.

Illustrative drawing — this picture was drawn rather than captured.

Chart of transferrin saturation values 38%, 48%, 65%, and 58%, showing a 14-50% reference range and the 65% morning fasting case result highlighted.
Figure 1Serial transferrin saturation values with the guided-case result highlighted.
Serial saturation data underlying the chart
CollectionContextTransferrin saturation
Prior08:05, fasting, no supplement 24 hours38%
Repeat09:10, fasting, no supplement 24 hours48%
Guided case08:15, fasting, no supplement 24 hours65%
Follow-up08:25, fasting, no supplement 24 hours58%

Ordering exercise

Put the guided-case review steps in the order that keeps measurement, pattern, and report scope separate.

  1. 1. Review targeted HFE result

    Read C282Y and H63D as susceptibility evidence with stated assay scope.

  2. 2. Rank the differential

    Compare inflammation, liver injury, secondary loading, and hereditary pattern.

  3. 3. Calculate saturation

    Divide serum iron by TIBC and multiply by 100.

  4. 4. Confirm collection context

    Review time, fasting status, recent iron, and specimen indices.

Knowledge checks

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Knowledge check 1

Which evidence supports an iron-overload workup in this case? Select all that apply.

Choose at least 3 options.

Section status

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