Hemolytic anemia is an uncommon medical condition in which red blood cells are broken down prematurely. It can be caused by a variety of factors, including certain diseases, drugs, and infections. To adequately assess for hemolytic anemia, a physician will typically begin with a physical examination, followed by a variety of laboratory tests.
Physical Exam
During the physical exam, the physician will carefully examine the patient's symptoms and look for any physical signs of hemolytic anemia. This includes an enlarged spleen, pale skin, and dark urine. Additionally, the doctor will check the patient's vital signs, such as their temperature, blood pressure, and pulse.
Laboratory Tests
To confirm a diagnosis of hemolytic anemia, a physician will typically order a number of laboratory tests. These tests may include a complete blood count (CBC), which measures the number of red blood cells, hemoglobin levels, and platelet count. The doctor may also order a reticulocyte count, which measures the number of immature red blood cells in the blood. Additionally, a blood smear may be taken to examine the shape of the red blood cells.
Other tests that may be ordered to assess for hemolytic anemia include a Coombs test, which checks for the presence of antibodies that are attacking the red blood cells. The doctor may also order a blood type and screen to check for any genetic abnormalities that could be causing the anemia. Finally, a peripheral blood smear may be taken to look for any signs of infection.
Once the physician has collected all the necessary information, they will be able to make an accurate diagnosis and create a treatment plan for the patient. Treatment for hemolytic anemia may include medications, such as red blood cell transfusions, steroids, and antibiotics. Additionally, the doctor may recommend lifestyle changes, such as reducing stress and avoiding activities that could cause further damage to the red blood cells.