Which of the following suggests ongoing hemolysis in a patient who has not had massive blood loss or
a. Reticulocyte production index (RPI) of 1
b. Reticulocyte count of 1.3%
c. Drop in hemoglobin of 1.3 g/dL in 1 week
d. Hemoglobin falling 0.5 g/dL
ANS: C
A drop in the hemoglobin by greater than 1 g/dL/week can signal ongoing hemolysis provided the clinician has ruled out hemorrhage and hemodilution.
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Your patient is a transgender man complaining of severe lower abdominal pain. He states that he is in the process of transitioning from female to? male, and that he takes hormone supplements. When evaluating this? patient, which of the following questions is MOST? appropriate?
A) "Are you planning to have gender reassignment surgery?"
B) "When was your last menstrual cycle?"
C) "How often do you use illegal drugs?"
D) "Are you usually sexually active with men, or with women?"