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7 Cards in this Set

  • Front
  • Back
What is the condition associated with the following peripheral blood smear findings:
1. cigar-shaped/pencil-thin red cells
2. small target cells/teardrop cells/basophilic stippling
3. coarse basophilic stippling
4. Rouleau formation
5. Spherocytes
6. Schistocytes
7. Bite cells
8. Teardrop cells/nucleated red cells/immature myeloid forms
1. Fe deficiency anemia
2. thalassemia
3. sideroblastic anemia
4. monoclonal protein/cold agglutinin/increased fibrinogen
5. hereditary spherocytosis or immune hemolytic anemia
6. fragmentation hemolysis; micro- or macro-angiopathic hemolytic anemia (DIC, TTP, mechanical valve)
7. oxidative hemolysis
8. leukoerythroblastic anemia
DDx for microcytic anemia? Need 4.
1. Fe deficiency
2. alpha thalassemia
3. beta thalassemia
4. sickle thalassemia
DDx for megaloblastic anemia? Need 4.
1. Folate deficiency
2. Vit B12 deficiency
3. Drug induced (use history)
4. Erythroleukemia
DDx for normocytic anemia? Need 7.
1. Acute blood loss
2. CKD
3. pure red cell aplasia
4. malignancy
5. alcoholic liver disease
6. anemia of chronic disease
7. hemolytic anemia
DDx for hemolytic anemia? Need 7.
1. membrane defect
2. enzymopathies
3. hemoglobinopathies
4. AIHA (warm or cold)
5. Fragmentation disorders: DIC, TTP, HUS)
6. Infections: malaria, babesiosis
7. hypersplenism
What are the 2 diagnostic features of aplastic anemia?
1. pancytopenia
2. hypocellular bone marrow
What are the homocysteine and methlymalonic acid levels in Vit B12 and Folate deficiency?
1. B12: high homocysteine and methlymalonate

2. Folate: high homocysteine ONLY