Hemolysis Case 2
Prev
1 / 0 Next
Prev
1 / 0 Next
Describe the CBC
Click for AnswerAfter ruling out spurious causes, what is the first branchpoint in the differential diagnosis of macrocytic anemia?
Click for AnswerThe reticulocyte count is appropriate (absolute count > 120 x 109/L). When considering the rest of the labs, which is most likely diagnosis (the patient was NOT on an anticoagulant):
a
Thrombotic thrombocytopenia purpura
b
Valve hemolysis
c
Sickle cell disease
d
Wilson’s disease
The elevated DIRECT bilirubin and INR point to liver disease.
e
Babesiosis
If this were Wilson’s disease what serum lab value(s) would you expect to be low?
a
Haptoglobin
b
Ceruloplasmin
c
Copper
d
Ferritin
The following were the patient’s serum ceruloplasmin and liver copper levels at time of presentation:
Prev
1 / 0 Next