The diagnosis of haemolytic jaundice requires several tests. These tests are used to determine if the jaundice is a result of haemolysis and to identify the underlying cause of the haemolysis.
Blood Tests
A complete blood count (CBC) is the first test used to diagnose haemolytic jaundice. This test measures the number of red blood cells (RBCs), white blood cells (WBCs), and platelets in the blood. It also measures the amount of haemoglobin and the haematocrit, which is the percentage of red blood cells in the blood. An increase in RBCs, haemoglobin, and haematocrit can indicate haemolysis.
A reticulocyte count is also used to diagnose haemolytic jaundice. This test measures the number of immature red blood cells (reticulocytes) in the blood. An increase in reticulocytes indicates that the body is producing more red blood cells to compensate for those that are being destroyed.
Other blood tests that may be used to diagnose haemolytic jaundice include a direct antiglobulin test (DAT), a Coombs test, and a haptoglobin test. The DAT and Coombs tests measure the presence of antibodies on the surface of red blood cells. A positive result indicates that the red blood cells are being destroyed by the body's immune system. The haptoglobin test measures the amount of haptoglobin, a protein that binds to haemoglobin, in the blood. A decrease in haptoglobin can indicate haemolysis.
Imaging Tests
Imaging tests may also be used to diagnose haemolytic jaundice. Ultrasound imaging can be used to look for any abnormalities in the spleen or liver that may be causing the haemolysis. CT or MRI scans may also be used to look for any abnormalities in the spleen or liver.
Biopsy
In some cases, a biopsy may be needed to diagnose haemolytic jaundice. During a biopsy, a sample of tissue is taken from the spleen or liver and examined under a microscope. This can help determine the underlying cause of the haemolysis.
Once the cause of haemolytic jaundice is identified, treatment can be started. Treatment will depend on the underlying cause of the haemolysis.