BOF: 3.52
A 63-year-old female is readmitted to the ward with a history of fever,
anorexia and jaundice. Eleven days prior to this the patient had been
transfused with 4 units of packed cells, as she had been anaemic,
Investigations reveal:
Haemoglobin 8.6 g/dL (11.5 – 16.5 g/d)
Serum total bilirubin 112 μmol/L (1 – 22 μmol/L)
Which of the following investigations is likely to indicate the cause of the
patient’s current condition?
a) Presence
of haemoglobinuria
b) Presence
of haemosiderinuria
c) Positive
Coombs test
d) Increased
reticulocyte count
e) Level of
conjugated bilirubin
