Case 8


The next morning (day 3), Misou looks pale. Her packed cell volume has dropped to 18%, and her total solids are 6.9 g/dl (reference range = 4.5 to 9.5 g/dl). Her phosphorus concentration is 1 mg/dl, and her serum looks more icteric.


What is the most likely reason for Misou's continued drop in packed cell volume?

a) Hemodilution after fluid therapy

b) Blood loss

c) Hemolytic anemia secondary to hypophosphatemia


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