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Medicine General 0c6b5baf

All are seen in Hemolytic anemia except:

A
Hemosiderinuria
B
Reticulocytosis
C
Spherocytosis
D
Increased haptoglobin
High-Yield Explanation
Answer is D (Increased Haptoglobin) Hemoglobin binding proteins such as Haptoglobin are reduced or absent. Characteristic features of Hemolytic Anemia: Increased red cell breakdown Serum bilirubin is |ed (unconjugated hiliruhin |edd)C) Urine urobilinogen is |ed Q Fecal stercohilinogen is |ed Q Hemoglobinemia / Hemoglobinuria Q :Vfethemoglohinemiac) Hemosiderinuria Hemoglobin binding proteins Q such as Haptoglobin and Hemopexin are reduced or absent. Q Plasma Lactic dehydrogenase (LDH) is Compensatory increase red cell production Reticulocvte count is fed Routine blood jilm shows a variety of abnormal morphological types of red cells - Schistocytes - SpherocytesQ etc. Bone narrow shows erythroid hyper plasia with raised iron stores.Q X Rays of hones show : Evidence of expansion of marrow space, especially in tubular hones & in skullQ - Bossing of skull()

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