Case 9 (9/29/13): Patient Presentation

Click this link to download the case file from box.net:https://app.box.com/s/vgcul24z99kz5nyr9kp9

… This 30 year-old obstetrical patient was admitted for labor at 38 4/7 weeks. The admission hemoglobin is 10.0 gm/dL. Three months prior to admission the hematocrit was 32%. Twins were delivered 3 hours 44 minutes post-admission, with 1,500 mL v 1,900 mL estimated blood loss. The post-delivery hemoglobin, 4 hours 50 minutes post-admission, is 6.3 gm/dL. You may assume that information not listed in the patient case sheet was either not recorded or not significant.

How should this patient’s anemia be managed?

You must download the file after opening the link in box.net, or you will not be able to easily see all of the information in the file. The patient’s subsequent case management will be posted Wednesday and a commentary about the case management will be posted Friday.

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