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12 Cards in this Set

  • Front
  • Back
Fetal red blood cells
Larger
Higher O2 affinity
Shorter lifespan
Premature babies and iron
Risk of iron deficiency
Don't have red blood cell iron storage pool
Physiologic anemia of newborn
After birth, experience O2 rich environment
-bone marrow stops making RBC
-Hb drops to 14-10
-Normal
-8-10 weeks of age
-For premature babies, physiologic anemia is more rapid and dips deeper
ABO vs Rh incompatibility
ABO
-mom is O, baby is A or B
-mom has antibodies
-antibodies usually IgM that doesn't cross placenta
-if there is an infection, IgG antibodies are formed and can cross placenta
-not as severe as Rh disease
-manifests as prolonged jaundice
-can test with Coomb's test, not always positive (Rh is always positive)
Hereditary spherocytosis
RBC membrane problem
Membrane gets pulled off and loses surface area
Membrane loses shape
Can't travel as efficiency
Presents in newborn as jaundice and anemia
Internal hemmorhages
Cephalohematoma
-during birth
Iatrogenic blood loss
Lose blood through testing
Newborn anemia symptoms
Just sleeping
Can't stay awake long enough to eat
Spherocytosis symptoms
Jaundice
Chronic anemia
-poor growth
-fatigue
Gall stones
Aplastic crisis
-bone marrow doesn't respond to erythropoiten
Transient erythroblastopenia of childhood
Aplastic crisis in otherwise normal children
Parvo B19
Diamond Blackfan anemia
Pure RBC aplasia
Congenital
Low reticulocyte
~50% have other congenital abnormalities
Therapy
-some respond to steroids
-bone marrow transplant
Fanconi anemia
RBC and platelet aplasia
Therapy
-bone marrow transplant