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20 Cards in this Set
- Front
- Back
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1. What do all forms of anemia lead to?
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a. Fatigue
b. Expect to see words such as tired, fatigue, malaise, or loss of energy. |
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2. With what symptoms should you expect more severe anemia?
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a. SOB, lightheadedness or confusion.
b. Other diseases may also present with fatigue or shortness of breath, similar to anemia. |
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3. Which diseases have similar presentations to anemia?
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a. Hypoxia
b. carbon monoxide poisoning c. Methemoglobinanemia d. ischemic heart disease. |
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4. On CCS, which physical exams, should you choose for anemia workup?
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a. Gen. Appearance
b. CV c. chest (the chest exam is chosen routinely in any patient with shortness of breath, even though there are no positive findings, anemia, to exclude other than causes shortness of breath. d. extremities e. HEENT |
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5. Potential positive physical exam findings for anemia include?
1. Pallor 2. Flow murmur- described as I/VI or II/VI systolic murmur 3. pale conjunctiva 4. Hemolysis will also give jaundice and scleral icterus. |
b. If the question describes a craving for ice or dirt (i.e. forms of pica), think anemia. Step three loves to use pico as a lead-in to anemia.
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6. CCS tip: there are no unique physical findings, and anemia to allow you a specific diagnosis. For CCS cases, you find one anyway. For single best answer questions, good street for the CBC.
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CCS tip: there are no unique physical findings, and anemia to allow you a specific diagnosis. For CCS cases, you find one anyway. For single best answer questions, good street for the CBC.
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7. What is the best initial diagnostic test for anemia?
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a. CBC with peripheral smear ( Pay special attention to the MCV/MCHC).
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8. What additional tests should be ordered for anemia workup?
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a. Ridiculocyte count
b. Haptoglobin c. LDH d. total and direct bilirubin e. TSH with T4 f. B12/folate levels g. iron studies h. also order UA with microscopic analysis |
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9. what does the MCHC tell you?
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a. If there's a problem with the synthesis of hemoglobin.
b. Based on this measurement, the further categorize anemia as a hypochromic, hyperchromic, or normochromic. |
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10. For the following questions, give the type of anemia expected.
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For the following questions, give the type of anemia expected.
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11. Blood loss, and elevated platelet count?
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a. Iron deficiency
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12. rheumatoid arthritis, end-stage renal disease, or any chronic, infectious, inflammatory, or connective tissue disease, think this type of anemia?
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a. Anemia of chronic disease/chronic inflammation.
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13. Very small MCV with few or no symptoms, plus target cells: think this type of anemia?
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a. Thalassemia
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14. Alcoholic, isoniazid, lead exposure: think this type of anemia?
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a. Sideroblastic anemia
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15. what you expect to see on iron studies with iron deficiency anemia?
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a. Iron studies:
1. low ferritin 2. high TIBC 3. Low Fe 4. Low Fe saturation 5. elevated RDW b. most accurate diagnostic test for iron deficiency anemia? 1. Bone marrow biopsy (do not do this on CCS). |
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16. What is the best initial therapy for iron deficiency anemia?
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a. Prescribe ferrous sulfate, orally.
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17. Would you expect to see on iron studies with anemia of chronic disease?
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a. Iron studies:
1. High ferritin 2. low TIBC 3. low Fe 4. normal or low iron saturation. |
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18. What do you expect to see on iron studies with thalassemia?
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a. Normal
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19. what do you expect to see on iron studies with sideroblastic anemia?
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a. High Fe.
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20. Most accurate diagnostic test for anemia of chronic disease?
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a. No specific diagnostic test.
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