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18 Cards in this Set
- Front
- Back
For euvolemic men, what does the hemoglobin concentration have to be?
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< 13 g/dL
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For euvolemic women, what does the hemoglobin concentration have to be?
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<12 g/dL
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What are three conditions that can cause anemia in the elderly?
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malignancy, infection, and gastrointestinal bleeding.
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What are the initial tests to diagnose anemia?
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Hemoglobin, hematocrit, red blood cell count, reticulocyte count, WBC count and differential platelet count.
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What is the MCV with normocytic anemia?
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80-100 fL
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What is the MCV with microcytic anemia?
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< 80 fL
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What is the MCV with macrocytic anemia?
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> 100 fL
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What are the primary causes of normocytic anemia?
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Blood Loss
Early micro/macrocytic anemia |
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What are the primary causes of microcytic anemia?
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Inadequate iron
Inadequate heme synthesis Inadequate globin synthesis: Thalassemia minor |
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What are the primary causes of macrocytic anemia?
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Reticulocytosis
Alcoholisim Lipid disorders - liver disease, hypothyroidism, hyperlipidemia Hypothyroidism Folate or B12 deficiency |
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Blood loss that results in anemia is most often from?
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the gastrointestinal or GU tract.
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Iron deficiency imnplies chronic?
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occult blood loss
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This is the most common normocytic anemia, but becomes microcytic in later stages?
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Anemia of chronic disease
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This is normal or elevated in anemia of chronic disease as a result of inflammation or cancer?
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serum ferritin
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Serum ferritin reflects iron stores, and a level of ? is diagnostic of iron deficiency.
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< 10 ug/L
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Elderly patients are especially susceptible to fluid overload, and each unit of red blood cell transfusion should be given?
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slowly over 4 hours if the patient is not acutely bleeding.
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Apart from giving red blood cell transfusion, what might be necessary to give a patient?
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diuretics
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This includes quality of life in cancer patients undergoing chemotherapy who have anemia of chronic disease with Hgb concentrations <10 g/dL
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Erythropoietin treatment
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