Assessment & Plan (short)
# Anemia (hemolytic)
Current hgb *** with b/l ***, with concern for hemolysis. MCV ***. No evidence of frank bleed and VSS. Common etiologies of hemolytic anemia include microangiopathic hemolytic anemia (TTP, HUS, DIC, APLS, SLE, malignancy, vasculitis), transfusion related, immune mediated (warm, cold, drug-induced), congenital (G6PD, Hgb SS, spherocytosis, thalassemia), and macroangiopathic (mechanical valve, intracardiac tumor).
- Trend CBC
- Tbili/Dbili, Smear, iron panel
- Consider INR, LDH, Fibrinogen, Ddimer, Direct Antiglobulin Test (DAT)
- If concern for life-threatening MAHA's, additional lab tests and STAT hematology consult
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Originally created: March 3, 2020 by Eric Lee
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