Srikanth Nagalla, MD

Hematologist, Medical Educator

[Srikanth Nagalla, MD @SriNagalla]

@RossCSchumacher @TimothyJBrownMD @NNShahMD @guptaarjun90 @JasmineSukumar @GeorgeGoshuamd @johnmatt @dhjutsw1 If the retic count is high then a patient with hemolytic anemia like SCD is compensating well and can maintain their hemoglobin. But if the retic count is low then the hemoglobin drops rapidly in a patient with hemolysis requiring a transfusion.

[Srikanth Nagalla, MD @SriNagalla]

@TimothyJBrownMD @NNShahMD @guptaarjun90 @JasmineSukumar @GeorgeGoshuamd @johnmatt @dhjutsw1 A hemoglobin of 4.5 with retic count of 300k- no need for transfusion. Same hb with retic of 20k needs PRBC transfusion.

[Srikanth Nagalla, MD @SriNagalla]

@TimothyJBrownMD @NNShahMD @guptaarjun90 @JasmineSukumar @GeorgeGoshuamd @johnmatt @dhjutsw1 Patients with SCD can get aplastic crisis and the retic count is informative. Patients could also have anemia of chronic kidney disease with low retic count

[Srikanth Nagalla, MD @SriNagalla]

@ahmaruroojzaidi @ReshmaRamlal2 @ASH_hematology @lrellis1 @DrTiffanyL @MaryjoLechowicz @DanaCMatthews @DrMMurphy Have a safe trip back. Talk to you soon.