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Tricky, Tricky question! PLEASE help!

A 25 year old nurse has a blood specimen drawn and sent to the clinical lab. the findings are a hematocrit of 24%, a reticulocyte count of 18%, a hemoglobin concentration of 8 mg/dL and a bilirubin value of 7 mg/dL (normal range is .5- 1.2). Based on these results it seems likely that she has:

A. Hypoproliferative anemia caused by erythrpoietin deficiency

B. hypoproliferative anemia cause by vitamin B12 or folate deficiency

C. Iron-deficiency anemia

D. Hemolytic anemia

E. suffered a chronic hemorrhage

please help if you can!

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a 25 year old nurse has a blood specimen drawn and sent to the clinical lab. the findings are a hematocrit of 24%, a reticulocyte count of 18%, a hemoglobin concentration of 8 mg/dl and a bilirubin value of 7 mg/dl (normal range is .5- 1.2). based on these results it seems likely that she has:

a. hypoproliferative anemia caused by erythrpoietin deficiency

b. hypoproliferative anemia cause by vitamin b12 or folate deficiency

c. iron-deficiency anemia

d. hemolytic anemia

e. suffered a chronic hemorrhage

I am going to go with hemolytic anemia...because of the increased bilirubin.

High Retic Count and High Bili=hemolytic anemia

My first instinct is hemolytic anemia but I have no real basis for that except my thoughts about the high bili.

i would go with hemolytic anemia on this one too, because of the high reticulocytes and bilirubin. the dropping H&H are just supportive of the severity of the anemia.

your pt, might possibly be prego.

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