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6 Cards in this Set

  • Front
  • Back
General rule for % fat in healthy bone marrow
% = age
1. What are symptoms of polycythemia vera related to?
2. Mutation found
3. Finding that distinguishes PCV from other polycythemias
4. Phenomena that often occur in PCV
5. Lab & physical findings
1. increase RBC mass

2. Jak2

3. extremely low EPO

4. thrombotic & hemorrhagic from sludging

5. increased Hct, WBCs, & platelets; splenomegaly
Chronic myelogenous leukemia:
1. genetic mutation
2. appearance of bone marrow
3. distinguish from leukemoid rxn
4. what causes initial conditions?
1. philadelphia chromosome [t(9;22)] creating Bcr-abl gene w/ tyr kinase activity

2. 100% cellular, mainly w/ granulocytes but some MKCs

3. Has Ph chrom, splenomegaly, and N0s in all stages of maturation

4. anemia
Chronic idiopathic myelofibrosis:
1. early vs late bone marrow appearance
2. changes to spleen and liver
3. 2 findings in peripheral blood smear
1. early: hypercellular w/ trilineage prolif
late: fibrotic marrow

2. enlarge b/c of extramed hematopoiesis

3. nRBCs and tear drop cells
Essential thrombocythemia:
1. What cell lineage is predominantly prolif'ing?
2. genetic mutation (2 parts)
3. Type of abNLs and result clinically
1. MKC lineage

2. Jak2 or excluded other MPDs if Jak2 mutation isn't present

3. quant and qual abNLs of platelets (throm/hemorr)
1. What are myelodysplastic dss?
2. 2 etiologies
3. 4 types
1. NL marrow replaced by neoplastic multipotent SCs, can create 3 lineages, but ineffectively

2. idiopathic, toxic exposure

3. disordered, erythroid, myeloid, MKC