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36 Cards in this Set

  • Front
  • Back
Elliptocytosis
hemolytic, normochromic. defect in RBC membrane skeleton spectrin > ankyrin (vs spherocytosis which is opp)
smear = oval RBC
myelodyplastic syndrome
pre-malig of AML (^ risk w/ ^ blast)
Classified = RA = refractory anemia (blast < 1%)
RARS= RA ring siderblast (<1%)
RAEB = RA excess blast (<5%)
RAEB in T = RAEB in transformation (>5%)
Auer rods
AML (M3); peroxidase-positive cytoplasmic inclusion in graulocytes and myeloblast.
comp of these = DIC
Diffuse large B cell lympoma
MC adult NHL, CD23 & CD5+
Mantle cell lymphoma
older male NHL, t(11:14) = deactivation of cyclin D. poor prob CD 5+ and CD23 -.
mycosis fungoides
aka sezary syndrome. attacks epidermis-dermis junction
T cell lymphoma CD4+.
cutaneous patches or nodules.
Waldenstrom's macroglobulinemia
like Multiple myeloma but M spike = IgM: hyperviscosity symptoms and no lytic bone lesions.
cold autoimmune hemolytic anemia
Multiple myeloma
monoclonial plasma cell cancer. M spike = IgG (or IgA). punch-out lytic bone lesion or dry tap. Bence Jones protein = lt chain cause kidnedy and resp prob + primary amyloidosis. Mott cells = cytoplasmic deposit of Ig's.
warm autoimmune hemolytic anemia
monoclonal gammopathy of undetermined significance
MGUS: monoclonal plasma cell expansion w/out symptoms of multiple myeloma. >70 yrs.
Wolff-chaikoff effect
transient decrease of T3/T4 due to excess ingestion of iodide. ^ iodide inhibs itself via pump activity
Papillary carcinoma of the Thyroid
MC, excellent prog, orphan annie nuclei, psammoma bodies. RET & BRAF gene mutation > activation of tyrosine kinase
spread thru blood!
Medullary ca of the Thyroid
from parafollicular "c cells", sheets of cell in amyloid stroma. assoc w/ MEN2
spread thru blood!b
Bohr effect of Hb
rlease of O2 in ^ when pH is lowered (right shift)
anaclitic depression
depressed infant from loss of mom and no suitable substitute
Systemic Mastocytosis
history of pruitus, rash, flushing, abdominal cramps = abnorm mast cell prolif in BM and other organs leading to ^ histamine secretion> hypergastricemia
pseudotumor cerebi
^ ICP w/ no ventricular dilation, no tumor or mass
think young obese woman, papilledema, headache worse in morning & eye movement vision loss.
stop drugs that can cause: steroid w/drawl, Vit A, tetracyclines
dysarthria
motor speech prob.
superoxcide dismutase
required Cu, Zn. defect = ALS
Arcuate fasciculus
connects broca's and wernicke's area: prob = poor repetition but fluent speech, intact comprehension.
Tregminal nerve
CN 5, face sensation, mastication and ant 2/3 tongue sensation
Facial nerve
facial movement, taste of 2/3 tongue, lacrimation, salivation (subman/subling), eyelid closing, stapedius!!
Glossopharyngeal
posterior 1/3 taste, swallowing, salivation of parotid, carotid body monitoring, sinus chemo/baroreceptors and stylopharyngeus.
Vagus
taste from epiglottic region, swallowing, palate elevation, midline uvula!, talking, coughing, thoracoabdominal visera, monitoring aortic arch chemo and baroreceptor
pretectal nucleus
light reflex: enters eye travels CN II (optic nerve) to pretectal nucleus in midbrain that activated bilateral Edinger-Westphal nuclei = pupils contract bilaterally
tau proteins
insoluble cytoskeletal elements
rosenthal fiber
eosinophilic corkescrew fibers in pilocytic astroytoma (child).
GFAP + (same as glioblastoma via astroytoma multiforme)
area postrema
in hypothalamus: senses changes in osmolarity. responds to emetics (vom during chemo)
Procaine, cocaine, tetracaine
Ester local anesthetics. if allergic to one use amides instead (lidocaine, mepivacine, bupivacine. . all have 2 I's in the name)
Riluzole
Rx for ALS: decreases presynaptic glutamate release
Subfalcine herniation
cingulate damage via herniation under falx cerebri
McCune-Albright syndrome
polyostotic fibrous dysplasia. . bone replaced by fibroblast, collagen, irregular bony trabeculae.
t(11:22)
Ewings sarcoma, diaphysis of long bones.
Alports syndrome mutation
a chain of collagen IV
Jarisch-Herxheimer reaction
rapid lysis of spirochetes = fever, chills, headache, myalgia after AB
McCune-Albright syndrome
cafe'-au-lait spots, polyostotic fibrous dysplasia, precocious puberty
Sezary syndrome
cutaneous T cell lymphoma or mycosis fungoides; erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells