P.S. on spherocytosis...my ped. hematologist (well P's doc from Stanford) seemed to indicate that the osmotic fragility test might not be totally accurate in neonates. It certainly can't hurt, but a negative shouldn't taken for granted, and a child who continues to have abnormal RBC differentials, and elevated retic counts, should be tested again in a few months or so. Sometimes the smears will look normal initially too. Some cases are spontaneous mutation, while others come with a family history...but HS is certainly something doctors should consider in any neonate who is jaundice within the first 24 hours...imho.
Glad I could help spread a little knowledge...most clinicians know nothing about it. You can be my nurse anytime!
1 comment:
hey that video was pretty neat!
P.S. on spherocytosis...my ped. hematologist (well P's doc from Stanford) seemed to indicate that the osmotic fragility test might not be totally accurate in neonates. It certainly can't hurt, but a negative shouldn't taken for granted, and a child who continues to have abnormal RBC differentials, and elevated retic counts, should be tested again in a few months or so. Sometimes the smears will look normal initially too. Some cases are spontaneous mutation, while others come with a family history...but HS is certainly something doctors should consider in any neonate who is jaundice within the first 24 hours...imho.
Glad I could help spread a little knowledge...most clinicians know nothing about it. You can be my nurse anytime!
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