In: Nursing
George, a 50-year-old male, visited his doctor when he noticed the whites of his eyes appeared yellow and he had dark urine. His CBC revealed a hemoglobin of 31 g/L.
Given his clinical description, name at least 2 lab tests that should be ordered to assist in diagnosis?
George's only complaint was the yellow color of his eyes and dark urine. His CBC:
Hb 3.1 g/dL, Hct 0.08 L/L
RBC count 0.71 × 1012/ L
RDW 21.6
Reticulocytes 22%
Calculate the erythrocyte indices.
Question 3: Does the information given support acute or chronic blood loss? What is the significance of the RDW?
George's RBC count is 0.7 × 1012/L and his reticulocyte count is 22%.
Question 4: Calculate his absolute reticulocyte count. Is this count increased, decreased, or normal?
George's blood smear revealed marked spherocytosis.
Question 5: Explain the importance of this finding.
Question 6: Explain George's abnormal indices.
Question 7: Classify George's anemia morphologically.
George had a test done that revealed antibodies and complement coating his red blood cells, this supports a diagnosis of immune hemolytic anemia.
Question 8: Classify George's anemia functionally.
Question 9: Why were George’s eyes yellow?
Question 10: Was this anemia chronic or acute and why?