Transcription of Anemia Testing Algorithm - ARUP Consult
1 INDICATIONS FOR TESTINGS ymptoms of tissue hypoxia (eg, fatigue, weakness, pallor, dizziness, fainting) Anemia TestingAnemia present on CBC (males, Hb <13 g/dL; females, Hb <12 g/dL)ORDERCBC with platelet count and automated differential 2006 ARUP Laboratories. All Rights Reserved. reviewed: March 2019 Last updated: March 2022 NoConsider other potential causes of symptomsYesClick here for topics associated with this algorithmClick here for topics associated with this algorithmClassify by RBC indicesLow MCV (microcytic)Normal MCV (normocytic)High MCV (macrocytic)Evaluate for microcytic Anemia Evaluate for microcytic Anemia ORDERR eticulocytes, percent and numberORDERR eticulocytes, percent and numberElevated corrected reticulocyte countElevated corrected reticulocyte countNoYesNoYesEvaluate for Anemia of inflammation; examine peripheral smearRule out blood loss and hemolysisEvaluate for megaloblastic Anemia (including examination of peripheral blood smear for hypersegmented neutrophils).
2 Consider bone marrow examinationRule out blood loss and hemolysisAbbreviationsHbHemoglobinMCVMea n corpuscular volumeRBCRed blood cellCalculate corrected reticulocyte countCalculate corrected reticulocyte count
