5. pediatri APPROACH TO ANEMIA IN CHILDREN Flashcards
What is imp about FUNCTIONAL ANEMIA
Hemoglobin value is normal:
Cyanotic congenital heart disease
Chronic respiratory failure
Mutant hemoglobins with increased oxygen affinity
What is The most common hematological problem in adults and
children
ANEMİA
When Hematopoiesis in the bone marrow begins
4.th mounth
What is (physiological anemia).
Erythrocyte production decreases in the first few days after
birth and in the 10th postnatal week
Doğum sonrası ve postnatal dönemdeki eritrosit üretiminin azalmasının nedeni nedir?
Doğumda dokulardaki oksijenizasyonun artması
Eritropoietin üretiminin azalması
Eritropoietin düzeyi seviyeleri?
term bir bebekte 1. ayda en düşük,
2. ayda en yüksek seviyededir
Erythrocyte production Reach max at?
It reaches the highest level in the 3rd month
A history of hemolytic episodes only in boys may be a
sign of gender-related disease ……..?
(G6PD)
PHYSICAL EXAMINATION of anemia **
Pallor:
Petechiae, purpura:
Carotenemia: iron deficiency in infants
Jaundice of the sclera and skin:
Cavernous hemangioma:
Frontal bossing, prominent malar and maxillary
bone
microcornea:
Tortuosity in conjunctival-retinal vessels:
Microaneurysm in retinal vessels:
Cataract:
Vitreous hemorrhage:
Retinal hemorrhage:
Swelling in the eyelids:
Exudative enteropathy with iron deficiency
Blindness:
Glossitis:
Angular stomatitis:
Unilateral pectoral muscle absence:
Shield chest:
Thumb with three phalanges:
Thenar eminence hypoplasia:
Spoon nail
Splenomegaly:
When Petechiae, purpura seens in anemia
autoimmune hemolytic anemia
HUS
bone marrow aplasia, infiltration
When Jaundice of the sclera and skin seens in anemia
Hemolytic anemia, hepatitis, aplastic anemia
When Cavernous hemangioma: seens in anemia
Microangiopathic hemolytic anemia
When microcornea: seens in anemia
fanconi aplastic anemia
When Tortuosity in conjunctival-retinal vessels seens in anemia
S and C hemoglobinopathy
When Microaneurysm in retinal vessels seen in anemia?
S and C hemoglobinopathy