A patient had the following results: RBC 2.45 × 10¹²/L MCV 90 fL
Hb 7.5 g/dL MCH 31 pg
Hct 22.0% MCHC 34 g/dL
DAT negative
Haptoglobin 10 mg/dL
(Reference range: 35-164 for males and 40-175 for females)
Which is the most appropriate reflex test?

Question

Quizplus · Accepted Answer

The patient's results show a low RBC count, low Hb, and low Hct, indicating anemia. The MCV is normal, but the MCH is high and the MCHC is low, indicating that the anemia is likely caused by a deficiency in hemoglobin production (i.e. hypochromic microcytic anemia). The most appropriate reflex test would be a reticulocyte count, which can help determine if the anemia is due to decreased red blood cell production or increased destruction of red blood cells.

A Patient Had the Following Results: RBC 2