14 symp

Question 1

o	Pale
o	Weak, malaise, wasy fatigue
o	DOE
o	Hypoxia í fatty change in liver, myocardium, kidney
o	Angina pectoris
o	Oliguria and anuria
o	HA, dimness of vision, faintness

Answer 1

ANEMIA

Question 2

chronic blood loss

Answer 2

colon CA until proven otherwise

Question 3

severe pain in Bones, lungs, liver, brain, spleen, penis.

Answer 3

sickle cell anemia: pain crisis (vasculoocclusive dis)

Question 4

AA 6 mo old baby w swollen hands and feet

Answer 4

sickle cell anemia: dactylitis of pain crisis (vasculoocclusive dis)

Question 5

Fever, cough, chest pain, infiltrates.

Answer 5

sickle cell anemia: acute chest synd of pain crisis (vasculoocclusive dis)

Question 6

Venous thrombosis of the hepatic, portal or cerebral vv.’s

Answer 6

Paroxysmal Nocturnal Hemoglobinuria (PNH)

Question 7

spastic paraparesis, sensory ataxia, severe paresthesias in LE

Answer 7

pernicious anemia

Question 8

Skin: very sensitive to sunlight leading to blisters and abnormal hair growth

Answer 8

porphyria (chronic)

Question 9

Teeth: staining.

Answer 9

porphyria (chronic)

Question 10

Referred pain from the thorax and abdomen

Answer 10

porphyria (acute)

Question 11

Seizures, hallucinations, and general psychosis

Answer 11

porphyria (acute)

Question 12

Koilonychia

Answer 12

Iron deficiency anemia

Question 13

eat non-food items like dirt and move limbs during sleep.

Answer 13

Iron deficiency anemia

=Fe depletion from CNS: Pica:

Question 14

Alopecia

Answer 14

Iron deficiency anemia

Question 15

petechiae and purpura without serious bleeding

Answer 15

Bleeding Disorder: Vessel Wall Abnormalities

Question 16

Mucosal and skin bleeding, initially as petechiae that may become confluent (ecchymoses)

Answer 16

Chronic Immune Thrombocytopenic Purpura (ITP)

Question 17

Epistaxis, easy bruising, gum bleeding from minor to no trauma

Answer 17

Chronic Immune Thrombocytopenic Purpura (ITP)

Question 18

melena, hematuria or excessive menstrual flow

Answer 18

Chronic Immune Thrombocytopenic Purpura (ITP)

Question 19

children, 1-2 wks after self-limited viral infection

Answer 19

Acute Immune Thrombocytopenic Purpura (ITP)

Question 20

bloody drh

Answer 20

typical Hemolytic Uremic Syndrome (HUS)

Question 21

Bleeding manifests as large ecchymoses or hematomas after injury or as prolonged bleeding after laceration or surgery

Answer 21

Clotting Factor Abnormalities

Question 22

bleed into GI or GU tracts, or into weight bearing joints (hemarthrosis)

Answer 22

Clotting Factor Abnormalities

Question 23

spontaneous bleeding from mucous membranes, excess bleeding from wounds or menorrhagia, unnoticed til sx ro dental work

Answer 23

Von Willebrand Disease

Question 24

fever, chills, shaking and flank pain d/t complement activation, not RBC lysis

Answer 24

hemolytic reaction from transfusion

Question 25

resp failure soon after trensfusion

Answer 25

Transfusion-related Acute Lung Injury (TRALI)