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Sunday Fundamentals VMR - August 9, 2026 - Progressive Dyspnea

August 9, 2026

Sunday Fundamentals VMR - August 9, 2026 - Progressive Dyspnea — whiteboard

Chief Concern

Progressive Dyspnea

Presenter

Sarah Blaine

Discussants

Kirtan Patolia, Manaswini Keshav

Teaching Pearl

After Iron studies, worth getting hemolytic anemia workup -> Haptoglobin, LDH; Reticulocyte count vs reticulocyte proliferation index -> absolute count >100,000 you can assume it is elevated but cannot trust %. RPI >2 = appropriate bone marrow response and here % > 6%.