CLINICAL ENCOUNTERS
ANTICOAGULATION
Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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Complete blood count
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Fasting glucose level
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Osmotic fragility test
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Blood smear
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Detailed explanation-1: -Green (sodium or lithium heparin) or lavender (EDTA).
Detailed explanation-2: -Methods: The osmotic fragility of hereditary spherocytosis (HS) cases and healthy controls were evaluated by FC-OFT using a series of tubes containing decreasing concentrations of NaCl. The analyses were executed in fresh and incubated (37°C for 24 h) blood samples anticoagulated with EDTA and heparin.
Detailed explanation-3: -The osmotic fragility test (OFT) is used to measure erythrocyte resistance to hemolysis while being exposed to varying levels of dilution of a saline solution. When erythrocytes are exposed to a hypotonic environment, water enters the cell and causes swelling and eventual lysis.
Detailed explanation-4: -The most used test at present is NESTROFT, the acronym for Naked Eye Single Tube Redcell Osmotic Fragility Test (5-7). Principle: Microcytic red blood cells are resistant to lysis when exposed to hypotonic solutions.