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30 Cards in this Set
- Front
- Back
what precent of the marrow space is actively involved in hematopoiesis in adults
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50%
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In the premature infant foci of hematopoiesis are frequently evident in the
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liver spleen lymph nodes and thymus
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list the five types of formed elements in circulating blood
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erythrocytes, erythroid precursors, lymphocytes and monocytes and their precursors unidentified or disintergrating cells
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the normal myeloid erythroid ratio is
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3:1
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the dominant cell types in the meyloid compartment include
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myelocytes, metamyelocytes, and granulocytes
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anemia
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reduction below normal limits of the total circulating red cell mass, measured by hematocrit and hemoglobin concentrations
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list the three major mechanisms associated with the development of anemia
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blood loss, increased rate of destruction, impaired red cell production
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acute blood loss
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the alterations reflect principally the loss of blood volume rather than the loss of hemoglobin
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chronic blood loss
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induces anemia only when the rate of loss exceeds the regnerative capacity of the erythroid precursors or when iron reserves are depleted
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hemolytic anemias are characterized by
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shortening of normal red cell life span, accumulation of the products of hemoglobin catabolism, marked increaes in erythropoiesis within the bone marrow
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list the two areas in which red cell breakdown occurs in hemolytic anemia
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mononuclear phagocytic cells of the spleen and hte intravascular compartment
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list two main mechanisms associated with development of hemolytic anemia
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intravascular hemolysis-mechanical injury ocmplement fixation to red cells. Extravascular hemolysis-hereditary spherocytosis sickle cell anemia
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list the three major causes of hereditary hemolytic anemias
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red cell membrane disorders, red cell enzyme deficiencies, disorders of hemoglobin synthesis
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functional splenectomy
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otherwise known as autosplenectomy-erthrostasis in the spleen leads to thrombosis and infarction of at least marked tissue hypoxia.
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the three factors which affect the rate and change of sickling in HbS are
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the amount of HbS and its interaction with the other hemoglobin chains in the cell, the rate of HbS polymerization which significantly affects the hemoglobin per cell and fall in pH which reduces oxygen affinity
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in the spleen focal fibrous scars containing deposits of hemosiderin and calcium are known as
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Gandy-Gamma nodules
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the classification of immunohemolytic anemia is based upon which three antibodies?
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Warm antibody type, cold aggulutinin type, cold hemolysins
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what are the five criteria for TTP (thrombotic thrombocytopenic purpura
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fever, thrombocytopenia, micorangiopathic hemolytic anemia, transient neurologic deficits, and renal failure
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megaloblastic anemia
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diverse group of entities having in common impaired DNA synthesis and distinctive morphologic changes in the blood and bone marrow
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two types of megaloblastic anemia
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pernicious anemia which is the major form of vitamin B12 deficiency anemia and folate deficiency anemia
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the feature that sets pernicious anemia apart from other B12 deficiency megaloblastic anemias is
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atropic gastritis with failure of production of intrinsic factor
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pernicious anemia is believed to result from
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immunologically mediated possibly autoimmune destruction of gastric mucosa
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the principle alteration of the central nervous system in cases of pernicious anemia is
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involvement of the spinal cord where there is myelin degeneration of the dorsal and lateral tracts sometimes followed by loss of axons
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the three most common laboratory findings in cases of aplastic anemia are
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anemia, neutropenia, thrombocytopenia
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list causes of aplastic anemia
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acquired:idiopathic, chemical agents, idiosyncratic, physical agents. Inherited:faconi anemia
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myelophthisic anemia
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space occupying lesions that destroy significant amounts of bone marrow or disturb the marrow architecture and depress its productive capability
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what are the major causes of thrombocytopenia
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decreased production of platelets, decreased platelet survival, sequestration, dilutional
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list four major causes of hemorrhagic diatheses
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incread fragility of vessels, platelet deficiency or dysfunction, derangements in the coagulation mechanisms, combination of these
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petechiae
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minute 1-2mm hemorrhages into skin mucous membranes or serosal surfaces associated with locally increased intravascular pressure low platelet counts
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purpura
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2-3mm hemorrhages are called purpura and may be associated with similar pathologies as well as trauma local vascular inflammation
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