Laboratory tests indicate that an female adult has an increased rate of red cell destruction in the circulation. Her hematocrit is 39%. Which of the following describes her hemolytic disorder?
a. Mild
b. Moderate
c. Acute
d. Compensated
ANS: D
This patient is not anemic, so this is a compensated hemolytic disorder. The response to anemia is to increase the rate of red cell production and release to peripheral blood. When the marrow response is robust enough to keep up with the rate of red cell destruction, anemia does not develop and the result is a compensated hemolytic disorder.
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