Hematology Adult Med

Front 1

Define Anemia

Back 1

Low amount of Hgb carrying ability

Front 2

Define Creatinen

Back 2

Crit is % of Hgb in blood

Front 3

Define Anisocytosis

Back 3

different sizes - still round, not different shape but size

Front 4

Define Poikilocytosis

Back 4

Different or a variety of different shaped cells

Front 5

Define Schistocytes

Back 5

fragmented cells on peripheral specimen; Found in hemolytic anemia

Front 6

Define target cells

Back 6

abnormal RBC with ring appearance. Low hypochromic anemia; thalessemia, splenectomy etc.

Front 7

Define reticulocytecound

Back 7

amount of immature RBC's in blood

Front 8

Define MCV

Back 8

Mean corpuscular volume: size: either Normocytic, microcytic or macrocytic

Front 9

Define MCHC

Back 9

mean corpuscular Hgb concentration: either normochromic or hypochromic

Front 10

Define Pica

Back 10

craving non foods; clay, dirt, etc. Indication of iron deficiency anemia

Front 11

Classify the following by cell size and color and indicate whether it is decreased or increased production: Iron deficiency:

Back 11

microcytic, hypochromic decreased production

Front 12

Classify the following by cell size and color and indicate whether it is decreased or increased production: Folic acid deficiency

Back 12

Macrocytic, normochromic and reduced RBC production

Front 13

Classify the following by cell size and color and indicate whether it is decreased or increased production: Pernicious anemia / vit. B12

Back 13

Lack of intrinsic factor; macrocytic, normochromic, reduced RBC production

Front 14

Classify the following by cell size and color and indicate whether it is decreased or increased production: Anemia of chronic disease

Back 14

slightly microcytic or normocytic, normochromic, possible decreased crit or normal crit

Front 15

Classify the following by cell size and color and indicate whether it is decreased or increased production: Aplastic anemia

Back 15

Bone marrow failure, reduced RBC production, normal looking cells

Front 16

Classify the following by cell size and color and indicate whether it is decreased or increased production: Hemolytic anemia (extrinsic and intrinsic)

Back 16

normal blastic, normocytic or microcytic, normochromic; schistocytosis, sickle cell, etc.

Front 17

Define extrinsic anemia

Back 17

from external factors like valvular implantation or splenectomy, etc.

Front 18

Define intrinsic anemia

Back 18

stemming from inside the cell like sickle cell or schistocytosis, etc.

Front 19

For the following anemia, give 1. signs and symptoms, 2. causes, 3. common lab findings and 4. treatment that is mostly associated with this disorder: iron deficiency

Back 19

1.Pica, muscle spasms. 2. blood loss. 3. serum ferritin and total binding, to confirm. 4. iron supplements

Front 20

For the following anemia, give 1. signs and symptoms, 2. causes, 3. common lab findings and 4. treatment that is mostly associated with this disorder: Folic acid deficiency

Back 20

1. GI, glossitis. 2. Dietary deficiency (chronic alcoholism) 3. folate levels 4. folic acid: Complications - neurotube defects in pregnancy

Front 21

For the following anemia, give 1. signs and symptoms, 2. causes, 3. common lab findings and 4. treatment that is mostly associated with this disorder: Pernicious anemia / vitamin B12

Back 21

1. GI, Neuropathy 2. lack of intrinsic - surgeries 3. ? 4. B12 injections

Front 22

For the following anemia, give 1. signs and symptoms, 2. causes, 3. common lab findings and 4. treatment that is mostly associated with this disorder: Anemia of chronic diseas

Back 22

1. ? 2. Autoimmune, Liver, CA, infection, RA. 3. ? 4. none, maybe erythropoiten

Front 23

For the following anemia, give 1. signs and symptoms, 2. causes, 3. common lab findings and 4. treatment that is mostly associated with this disorder: Aplastic anemia

Back 23

1. gingival bleeding, purpura, petechiae 2. Chemo, congenital, idiopathic 3. All lab values LOW, bone marrow aspiration to confirm 4. Bone marrow transplant

Front 24

For the following anemia, give 1. signs and symptoms, 2. causes, 3. common lab findings and 4. treatment that is mostly associated with this disorder: Hymolytic anemia

Back 24

1. Anemic sx 2. intrinsic: G6PD, spherocytosis, sickle cell, thalesemia's. extrinsic: burns, hypersplnia, auto-immune

Front 25

Give some basic anemic symptoms typical for all anemias

Back 25

fatigue, tachycardia, tychpnea, pallor, pale conjunctiva

Front 26

What is the most likely cause of iron deficiency anemia in infants

Back 26

lack of iron in diet - formula or breast fed

Front 27

What is the most likely cause of iron deficiency anemia in teens and menstruating women

Back 27

diet, blood loss

Front 28

What is the most likely cause of iron deficiency anemia in adult men and postmenopausal women

Back 28

diet, bleeding - GI

Front 29

What is the difference between pernicious anemia and other causes of B12 deficiency?

Back 29

Pernicious anemia is lack of intrinsic factor. Other causes; inability to absorb; gastric bypass, obstructions, surgeries, crohns, etc.

Front 30

What re the neurological complications of vit. B12 deficiency anemia?

Back 30

neuropathy, parasthesia, dementia, pyschosis.

Front 31

Describe 1. history 2. cinical findings 3. labs 4. complications for: spherocytosis

Back 31

1. hemolytic 2. increased destruction of cells 3. spherocytes 4. aplastic crises: autosomal dominant

Front 32

Describe 1. history 2. cinical findings 3. labs 4. complications for: sickle cell

Back 32

1. painful, blacks, hispanics 2. hypoxia, 3. crescent shape RBC 4. surval past 20's rare. autosomal recessive

Front 33

Describe 1. history 2. cinical findings 3. labs 4. complications for: Thalessemia

Back 33

1. mediterranean, asia 2. microcytic, iron supp doesn't help. 3. MCV is low, doesn't make Hgb correctly, missing a chain 4. ?