5 results
Causes of Extravascular and Intravascular Hemolysis - Differential Diagnosis Algorithm
Extravascular - Spleen and RES-mediated hemolysis
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- Differential Diagnosis ... Malaria • Babesiosis ... AIHA • PCH ... immune-complex hemolytic anemia ... #Hematology
Hemolysis - Differential Diagnosis Framework

1) Environment
  - Fragmentation
  - MAHA: TTP, HUS, DIC, HELLP
Autoimmune: Warm AIHA, Cold ... , Evans Syndrome ... toxins: Malaria, Babesiosis ... Defects: Sickle cell anemia ... #hematology
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
Agglutinin Syndrome ... Viral Infection Clinical ... • Symptoms of anemia ... anemiaCold ... #hematology #diagnosis
Babesiosis on Peripheral Smear
85 M from SE USA, hx splenectomy, IgG4 plasmacytic syndrome: F, chills, profound
IgG4 plasmacytic syndrome ... hematuria, H/A. diagnosis ... Ab IFA 1:256, PCR ... in NY, NJ, CT, RI ... lysis: fever, anemia
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... event, follow ACC algorithm ... Change in clinical ... one post op Cardiology ... stratification #diagnosis