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40 Cards in this Set

  • Front
  • Back

New drugs SCA

crizanlizumab


voxelotor


L-glutamine

Neonatal alloimmune thrombocytopenia

IVIG


corticosteroid


whased maternal platlets

Bernard-Soulier syndrome platlet disorder


adhesion receptor

Drficiency of GP Ib complex (VWF receptor )



abnormal ristocetin test abnormal platlet size shape


Glanzmann thrombasthenia platetlet


aggregation receptor

GP IIb-IIIa deficiency



Normal count abnormal function



related LAD typye 3

VWD

3 types


type 1 partial


type 3 complate


type 2 dysprotenimia

Diamond blackfan anemia

Macrocytic anemia without megablastic change


Growth retardation


Dx ⇧ erthrocyte adenosine deaminase

Kasabach-Merritt phenomenon

Increased platlet destruction

Virchow's triad

Endothelial injury


Stasis of blood flow


Hypercoagulability

Mean platlet volume

5 fL

Dyskeratosis congenita DC


Pancytopenia

mutation telomere maintenance gene


Dystrophy hair , nail , bone morrow failure , skin pigmentation , oral leukoplakia , dental changes , pulmonary fibrosis , cancer risk

Pearson syndrome pancytopenia

Mitochondrial disorder


Bone morrow failure


Excrorine pancreatic insufficiency


CNS , mascular imparmant

Shwachman-Diamond syndrome


isochromsome 7q

Neutropenia 90%, anemia 46%, thrombocytopenia 42%, and pancytopenia 21%


Pancytopenia


pancreatic insufficiency


Skeletal abnormalities

Cord blood sample

-Hemoglobin of 16.0 gm/dl,


-WBCs of 18,000/cmm,


-neutrophils of 60%


-reticulocytes of 5%

30%

Thirty percent of children who are iron deficient develop iron deficiency anemia

Basophilic stippling

lead poisoning


Thalassemia


myelodysplasia

Mentzer index ( thalassemia )

MCV divided by RBCs count


> 12.5 thalassemia

Anemia

Low serum iron, low serum ferritin, high iron binding capacity, reduced marrow iron stores, decreased marrow sideroblasts and high free erythrocyte protoporphyrin, normal electrophoresis and high red cell distribution width

Hepcidin

liver protein plays role in iron homeostasis

Severe aplastic anemia

absolute reticulocyte count less than 20,000/mm3,


and bone marrow cellularity on biopsy specimen less than 25% of normal

Thrombin time

Fibrinogen to fibrin

Transfusion

Packed red blood cell; rise of Hb by 2-3 gm/dl,


platelets concentrate; rise of platelets by 30.000 50.000/ml,


Cryoprecipitate rise fibrinogen 50-100


recombinant factor VIII; rise of factor VIII by 2%/unit/kg, and


recombinant factor IX; rise of factor IX by 0.5%/unit/kg

Cryoprecipitate contain

Factors VIII and XIII, VWF and fibrinogen

Extremly high RDW

sideroblastic anemia

PNH

Dx flow cytometry anti CD-55 & anti CD-59

Factor XIII deficiency

Tx cryoprecipitate

Gamma irradiation

graft versus host disease

High PTT

factor XII, prekallikrein, and high molecular weight kininogen

Factor VII deficiency

Spontinous intracaranial deficiency

Factor V leiden mutation

...

Reticulocyte index


active erythropoiesis of the bone marrow

Reticulocyte index = reticulocyte count× (observed hematocrit/normal hematocrit

Factor XIII deficiency

clot solubility test

IDA vs AOCD

Soluble transferring receptor (sTfR) is a diagnostic test used to distinguish ACD from iron-deficiency anemia (IDA); sTfR levels are high in IDA and normal in ACD

Swiss cheese

Congenital dyserythropoietic anemia

Tangier disease

, familial deficiency of high-density lipoproteins(HDLs) is a rare recessive disorder that results from mutationsin the cholesterol and phospholipid transport protein ABCA1, leading to perturbations of cellular cholesterol transport, and resulting in the accumulation of cholesterol esters in many tissues. Hematologic manifestations include a mild to moderate stomatocytic hemolytic anemia and thrombocytopenia. Affected patients can also have large orange tonsils, hepatosplenomegaly, lymphadenopathy, cloudy corneas, peripheralneuropathy, and premature atherosclerosis

Revesz syndrome

has many of the features of DC and presents in early childhood in addition to Bilateral exudative retinopathy is required to establish a diagnosis. Patients may also have intracranial calcifications, IUGR, developmental delay, and bone marrow failure

MYH9-related thrombocytopeni

acomprises a number of diverse hereditary thrombocytopenia syndromes (e.g., Sebastian, Epstein, May-Hegglin, Fechtner) characterized by autosomal dominant macrothrombocytopenia, neutrophil inclusion bodies, and a variety of physical anomalies, including sensorineural deafness, renal disease, and eye disease

splenic hypofunction

Pitted erthrocyte

Castleman disease

Human herpes virus 8

TAFRO syndrome stands for

Thrombocytopenia, Anasarca, Fever, Reticulum fibrosis, and Organomegaly

POEMS syndrome stands for

Polyneuropathy, organomegaly, endocrinopathy, M-proteins, and skin lesions