Professional Documents
Culture Documents
Hemolytic Anemia
Ann E. Hohenhaus, DVM, Diplomate ACVIM (Oncology & Internal Medicine),The Animal Medical Center, New York, New York
MINIMUM DATABASE
Pigmenturia
Elevated Regenerative
(hemoglobinuria,
HEMOLYTIC ANEMIA
bilirubin anemia
bilirubinuria)
4 6 . . . . j a n u a r y. 2 0 0 6 . . . . . N AV C c l i n i c i a n’s b r i e f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m a n a g e m e n t t re e
Focused diagnostic testing
Review RBC
Abdominal morphology for
Abdominal Babesia canis Ehrlichia canis
ultrasonography Heinz bodies Coombs’ Test
radiography titer or PCR titer or PCR
and
eccentrocytes
Positive =
Splenic mass = Positive = Positive = Positive =
Metal foreign immune-
microangiopathic babesiosis ehrlichiosis Heinz body
body = zinc mediated
hemolytic anemia hemolytic
toxicosis hemolytic
anemia
anemia
No➞ No➞ No➞ No➞ No➞ No➞
Review history
for onion
Imidocarb or ingestion,
Endoscopic Splenectomy Immuno-
atovaquone acetaminophen,
or surgical and Doxycycline suppressive
and vitamin K
removal histopathology therapy
azithromycin
Acetylcysteine,
supportive
care
• Phosphofructokinase deficiency
• Pyruvate kinase deficiency
• Mycoplasma hemocanis
• Snake bites
m a n a g e m e n t t re e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . N AV C c l i n i c i a n’s b r i e f. . . . . j a n u a r y. 2 0 0 6 . . . . . 4 7