Hemolytic anemia is a type of anemia characterized by the destruction of red blood cells (RBCs). This can be caused by a variety of factors, including autoimmune disorders, infections, medications, and inherited conditions. Diagnosis of hemolytic anemia involves a thorough medical history review, physical examination, and laboratory testing.
Medical History
The doctor will ask about the patient’s symptoms, medical history, and family history. Questions about the patient’s diet, lifestyle, and recent illnesses may also be asked. The doctor will also inquire about any medications the patient is taking, as certain drugs can cause hemolytic anemia.
Physical Examination
The doctor will check the patient’s vital signs, including heart rate, blood pressure, and temperature. The doctor will examine the skin, eyes, and mucous membranes for signs of anemia, such as jaundice or pale skin.
Laboratory Testing
Laboratory testing is used to diagnose hemolytic anemia. This includes a complete blood count (CBC), a peripheral smear, and a reticulocyte count. Other tests, such as a Coombs test, may also be ordered if the doctor suspects an autoimmune cause.
The CBC will measure the patient’s red blood cell count, hemoglobin, and hematocrit. The peripheral smear will reveal any abnormal RBCs, such as spherocytes or schistocytes. The reticulocyte count will measure the number of immature red blood cells in the blood.
A Coombs test may also be ordered to detect the presence of certain antibodies that can cause hemolytic anemia. This test is also known as a direct antiglobulin test (DAT).
The doctor may also order other tests depending on the underlying cause of the hemolytic anemia. These tests may include a urine test to check for the presence of bilirubin, liver function tests, and a chest X-ray.
Once the doctor has diagnosed the condition, the patient may be referred to a hematologist for further evaluation and treatment. Treatment of hemolytic anemia depends on the underlying cause, but typically involves medications, lifestyle changes, and in some cases, a blood transfusion.