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75 Cards in this Set
- Front
- Back
PROERYTHROBLAST -> ? -> ?
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proerythroblast -> reticulocyte -> erythrocyte
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myeold stem cells
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myeloblast
monoblast megakaryoblast |
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myeloblast -> ? -> ? -> ? -> ? -> ???
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myeloid stem cell -> myeloblast -> promyelocyte -> myelocyte -> metamyelocyte -> stab cell -> neutrophil, eosinophil, basophil
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monoblast -> ?
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monoblast -> monocyte
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megakaryoblast -> ? -> ?
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megakaryoblast -> megakaryocyte -> platelets
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lymphoid stem cell -> ? -> ? -> ??
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lymphoid stem cell -> b & t cell -> plasma cell & active t cell
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wbc differential from highest to lowest
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"neutrophils like making everything better":
neutrophils lyphocytes monocytes eosinophil basophil |
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allows the rbc to transport co2 from periphery to lungs for elimination
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physiologic chloride shift
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mononuclear cells
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lymphocytes and monocytes
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basophilic stippling
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"TAILS":
thalassemia anemia of chronic disease iron def. anemia lead poisoning |
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basophilic granules of basophil contain these
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hep - anticoagulant
histamine - VD leukotrienes |
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can bind IgE to membranes in type I hypersensitivity reactions
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mast cells
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eosinophic granules produce these
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histaminase
arylsulfatase |
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causes of eosinophila
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NAACP:
neoplasm asthma allergic processes collagen vascular disease parasites |
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with azurophilic primary granules called lysosymes
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neutrophils
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rh+ blood transfusion into rh- individual
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massive igG production
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spiny appearance in abetalipoprotinemia of rbc
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acanthocyte
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rbc without membrane or central pallor in autoimmune hemolysis
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spherocyte
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schistocytes in
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dic
traumatic hemolysis MAHA |
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bm pushes rbc out too quickly in myelofibrosis
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tear drop cell
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HALT cells
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target cells
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nonuniform shapes in ttp/hus, dic, microvascular damage
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poikilocytes
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burr cells
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ttp hus
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nuclear remnant left in sickle cell
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howell-jowell bodies
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precipitated protein stuck on side of rbc with g6pd
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heinz body
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basophilic stippling
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lead poisoning
porphyria post-splenectomy |
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microcytic, hypochromic anemias
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SILT:
sideroblastic anemia iron deficiency anemia lead poisoning thalassemia |
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macrocytic anemias
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(nuclear division defects)
megaloblastic anemia drugs blocking dna synthesis marked reticulocytosis myelodysplasia severe hypothyroidism |
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normocytic, normochromic anemias
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acute hemorrhage
enzyme defects rbc membrane defects? bone marroe disorders hemoglobinopathies autoimmune hemolytic anemia anemia of chronic cisease - early renal failure early hypothyroidism |
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indicate rbc hemolysis in labs
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low serum haptoglobine and high serum LDH
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disinguish between immune/ vs non-immune mediated rbc hemolysis
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coombs' test
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anemia caused by destruction of multipotent myeloid stem cells
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aplastic anemia
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pathologic features include pancytopenia with normal cell morphology; hypocellular bone marrow with fatty infiltration
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aplastic anemia
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treatments of sickle cell disease
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hydroxyurea - increase HbF
bone marrow transplantation |
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b chain mutation where charged GLU replaced with charged LYS
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HbC defect
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cardiac fuilure to due secondary hemochromatosis
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B-thalassemia - due to chronic transfusion therapy
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anemia with sx's of hyperbilirubin and high reticulocyte count
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hemolytic anemia
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warm agglutinin
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chronic anemia seen in SLE, CLL, or drugs (pac pads)
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cold agglutinin
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seen in recovery from Mycoplasma pneumoniae or infectious mononucleosis
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defect where rbcs are small and rounch without central pallor
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hereditary spherocytosis
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intravascular hemolysis due to lytic activity of the complement
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PNH
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intravascular hemolysis seen in DIC, TTP/HUS, SLE, or malignant hypertension
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microangiopathic anemia
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activation of coagulation cascade leading to microthrombi and global consumption of platelets, fibrin, and coagulation factors
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DIC
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lab findings for dic
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increased PT
increased PTT increased fibrin split products (d dimers) |
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antiplatelet antibodies with increased megakaryocytes
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itp
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plately abnormality that causes neurologic and renal symptoms and increased LDH
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TTP
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anemia that involves platelet abnormalities
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aplastic anemia
microangiopathic hemolytic anemia |
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factor IX deficiency
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hemophilia B
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defect of platelet adhesion with decreased factor VIII survival
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von wildebrand's disease
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defective platelet adhesion (decreased GP Ib)
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bernard-soulier disease
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defect of platelet aggregation (decrease GP IIb-IIIa)
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glanzmann's thrombasthenia
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increase BT
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qualitative platelet defects
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low platelet count + increased BT
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thrombocytopenia
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increased PTT
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hemophilia A and B
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increased BT and PTT
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von Wildebrand's disease
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low platelet count, increased BT, increased PT and increased PTT
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DIC
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origin of RS cells
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CD30+ and CD15+ b cell origin
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good prognosis with hodgkin's lymphoma
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many lymphocytes and less RS cells
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lacunar cells
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nodular sclerosis
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excellent prognosis hodgkin's lymphoma
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lymphocyte predominant
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M spike
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multiple myeloma - IgG/A
waldenstrom's macroglobulinemia - IgM |
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appears like CLL with focal mass and low grade
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small lymphocytic lymphoma
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most common non-hodgkin's lymphoma
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follicular (small cleaved)
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t(14,18)
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follicular lymphoma
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bcl-2 expression
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follicular lymphoma
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poor prognosis CD5+ in adults
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mantle cell lymphoma
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t(11,14)
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mantle cell lymphoma
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most common non-hodgkin's lymphoma of children
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lymphoblastic lymphoma
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"starry sky" appearance in kids
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burkit's lymphoma
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t(8,14)
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burkitt's
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c-myc
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burkitt's
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bcr-abl hybrid
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CML
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t(15,17)
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AML - m3 type
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t(11,22)
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ewing's sarcoma
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t(11,14)
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mantle cell lymphoma
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