07-15-2008, 09:15 AM
A previously healthy 42-year-old woman has a 6-week history of fatigue, light headedness and shortness of breath. Laboratory studies show:
Hematocrit-----25%
Hemoglobin-----8.3 g/dl
Leukocyte count----10,000/mm3
Platelet count-------250,000/mm3
Reticulocyte count-----4%
Total serum bilirubin----3mg/dl
Direct serum bilirubin---0.3mg/dl
Urine urobilinogen------2+
A peripheral blood smear shows microspherocytes. Which of the following is the most likely cause of the anemia?
A. Acute hemorrhage
B. Autoimmune hemolysis
C. Hemolytic-uremic syndrome
D. Hypersplenism
E. Thrombotic thrombocytopenic anemia
I have a different opinion on others' answers to this Q....
Hematocrit-----25%
Hemoglobin-----8.3 g/dl
Leukocyte count----10,000/mm3
Platelet count-------250,000/mm3
Reticulocyte count-----4%
Total serum bilirubin----3mg/dl
Direct serum bilirubin---0.3mg/dl
Urine urobilinogen------2+
A peripheral blood smear shows microspherocytes. Which of the following is the most likely cause of the anemia?
A. Acute hemorrhage
B. Autoimmune hemolysis
C. Hemolytic-uremic syndrome
D. Hypersplenism
E. Thrombotic thrombocytopenic anemia
I have a different opinion on others' answers to this Q....