Autoimmune hemolytic anemia Quiz: Ace Your Exams
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A 36-year-old woman, gravida 2 para 1, at 40 weeks gestation comes to the emergency department in labor. She states that she received minimal prenatal care. The newborn is delivered vaginally shortly after arrival, but he appears jaundiced at birth and has an APGAR score of 2 and 3 at 1 minute and 5 minutes, respectively. The newborn is immediately transferred to the neonatal intensive care unit, where immediate resuscitation is attempted. The patient’s total bilirubin is elevated and hemoglobin levels are low. Peripheral blood smear shows microspherocytes and abundant reticulocytes. The patient’s family history is non-contributory. Which of the following tests is most likely to be positive in this newborn?
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