A 48 year-old female patient presents to the office for a lab review completed by a third-party vendor. Prior to seeing the patient her lab outliers are as follows:

RBC 3.60
Hgb 10.5
Hct 31.3
Bilirubin, Total 1.4
RDW 15.8

1. What is your diagnosis?

2. What labs or procedures are you running to confirm your diagnosis?

3. What questions should you prepare for the patient?

4. What type of anemia affects bilirubin?

 
 
 
 

5. What type of condition causes this type of anemia?

 
 
 
 

6. Your patient tells you both her parents were born in Nigeria. What is her mostly inherited disease risk?

 
 
 
 

7. Sickle Cell patients should not do strenuous exercise, avoid iron supplements, stay well hydrated, avoid smoking, and limit alcohol intake?

 
 

8. Providers should monitor blood pressure and kidney function and sickle cell patients.

 
 

Question 1 of 8

Reference:
https://www.cdc.gov/ncbddd/sicklecell/betterhealthtoolkit/documents/sickle-cell-caring-for-common-complications-h.pdf

Bilirubin test:
https://www.mayoclinic.org/tests-procedures/bilirubin/about/pac-20393041