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Dimitrio’s Mum takes him to the GP as he has had a fever for 4 days with a sore throat and abdominal pain. Dimitrios has also passed dark urine. The last 2 days he has been taking amoxicillin suspension. There is no relevant family history and he has not done this before although his Mum notes that Dimitrios had prolonged neonatal jaundice. Dmitrios is clinically jaundiced now.Dimitrios resultsMeasure Dimitrios' resultsnormal range (for children)WBC 17.3 x 109/L 5.5-17.5 x 109/LNeutrophils 52% 1.2-8.9 x 109/L (work out %) Lymphocytes  46%  2-12.8 x 109/L (work out%) Hb  61 g/L 96-156 g/L MCV  110 fL 76-92 fL Platelets  301 x 109/L  150-450 x 109/L Reticulocytes  18%  0.5-1.5%What type of anaemia does Dmitrios have and why is he jaundiced?Question 10Select one:a.iron deficiencyb.normochromic normocyticc.reticulocytosisd.hypochromic microcytice.haemolytic

Question

Dimitrio’s Mum takes him to the GP as he has had a fever for 4 days with a sore throat and abdominal pain. Dimitrios has also passed dark urine. The last 2 days he has been taking amoxicillin suspension. There is no relevant family history and he has not done this before although his Mum notes that Dimitrios had prolonged neonatal jaundice. Dmitrios is clinically jaundiced now.Dimitrios resultsMeasure Dimitrios' resultsnormal range (for children)WBC 17.3 x 109/L 5.5-17.5 x 109/LNeutrophils 52% 1.2-8.9 x 109/L (work out %) Lymphocytes  46%  2-12.8 x 109/L (work out%) Hb  61 g/L 96-156 g/L MCV  110 fL 76-92 fL Platelets  301 x 109/L  150-450 x 109/L Reticulocytes  18%  0.5-1.5%What type of anaemia does Dmitrios have and why is he jaundiced?Question 10Select one:a.iron deficiencyb.normochromic normocyticc.reticulocytosisd.hypochromic microcytice.haemolytic

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Solution

Dimitrios has haemolytic anaemia. This is indicated by his low Hb level (61 g/L, normal range is 96-156 g/L), high MCV (110 fL, normal range is 76-92 fL), and high reticulocyte count (18%, normal range is 0.5-1.5%).

Haemolytic anaemia is a condition where red blood cells are destroyed

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