DOL1 1
|
Physical Exam: notable for jaundice, scleral icterus
Lab work: Direct Antiglobulin Test, Anti-IgG Negative
|
DOL1 2
|
Physical Exam: notable for jaundice, scleral icterus
Lab work: Total Bilirubin maximum- 20.2 mg/dL (0-8.2);
Reticulocyte Count- 9.2% (2.5-6.5)
Blood Smear: polychromasia with normocytes, occasional
spherocytes, and rare schistocytes in the absence of bite or helmet
cells
Consultants: Pediatric Hematology-Oncology Team Consulted
|
DOL1 7
|
Lab work: Hemolytic Anemia Panel
Elevated Osmotic Fragility
Decreased Band 3
Decreased Eosin 5-Maleimide binding
|
2 Months
|
Lab work:
G6PD Quantity- 22.1 U/g[Hb] (7.0-20.5)
Pyruvate Kinase Enzyme Activity- 11.9 U/g[Hb] (5.5-12.4)
Consultants:
Seen in Pediatric Hematology Office and started on folic acid and
vitamin D3
|
10 Months |
Blood Smear: Numerous spherocytes,
polychromasia |
18 Months
|
Lab work:
Hemoglobin- 10.6 g/dL (10.3-13.3)
MCHC2- 34.0 g/dL (31.9- 35.2)
|