Normotensive patient with normal hemoglobin suffered massive blood loss | NEET Based MCQ

A normotensive patient with normal hemoglobin suffered massive blood loss. Which of the following findings will not be seen in that patient? 

A. Increased PCV 
B. Increased MCV
C. Thrombocytosis 
D. Reticulocytosis

Ans. A. (Increased PCV)

Explanation
Different features of hemolytic anemias are as follows:

General examination:-                                     Jaundice/ pallor

Physical findings:-                                             Splenomegaly

Hemoglobin:-                                                      From normal to severely reduced

MCV, MCH:-                                       Usually increased

Reticulocytes:-                                    Increased

Bilirubin:-                                            Increased/mostly unlaryngated

LDH:-                                                    Increased 
Hepatoglobin:-                                    Reduced to absent

In case of blood loss within about 2 to 3 days after acute hemorrhage, reticulocytes will increase in the blood and reach a maximum 7 to 10 days after the hemorrhage has been controlled. Reticulocyte counts of 20% may be achieved. Internal bleeding may result in a rise in unconjugated bilirubin and a fall in serum haptoglobin.