Anemia Flashcards
sxs of anemia?
weakenss, SOB, pale, HYPERDYNAMIC (Tachy + Tachypnea)
Chronic amemia is due to
ERDS, LUPUS, hemolysis
MC anemia is?
Fe, Low Fe, Low ferritin, HIGH TIBC
Angular stomatitis is what and associated with?
Cracking of mouth corners, painful.
Fe Anemia -
Kolioonkylosis is? assocaited?
Nail spooning + Fe anemia
Normal Hemoglobin is?
14 and up
Fe amenia tx?
Ferrous sulfate, Blood transfusion (<8)
If its not clinically obvious, you need to do what in an anemic patient?
Colonoscopy
Mediterranean people are associated with?
Thalassemia
Square or rhoboid RBC (poikolocytes - strange shape) is?
Thalassemia
Thalassemia labs?
50s MCV (very very small), low Hgb
Thalassemia tx?
Blood transfusion, Iron Chelation, Splenectomy, Bone marrow transplant.
Basophilic stippling is?
Lead poisoning -kids with pika
Sideroblastosis is?
Alcoholic anemia
Hemolytic anemias are?
Sickle cell and G6PD
High ferratin is associated with
Chronic anemia Normocytic.
scythe or sickled cells will show what in a smear?
Sickled cells and RBC with nuceii due to having to compensate.
High biliruben and LDH with low Haptoglobin and Jaundice is
sickle cell
Anemia + jaundice is always
Hemolysis
Vaso-occlusion, sickle cell crisis sxs?
PAIN, praipism, stroke
Sickle cell crisis tx?
IVF + Pain + hydroxyurea (increases fetalhemoglobin) + transfusion
Parvo 19 amenia and splenic sequestration is?
Sickle cell crisis
Worst sickle cell crisis is?
Acute chest syndrome
Fava beans, sulfas, Nitrofurantoins, dapsone can trigger what disease?
G6PD
Chloroqiun, Primaquin, Methylene blue oxidize and are CI in?
G6PD
when all cell lines are down, diag? tx?
Aplastic anemia.
Immuno supressant - marrow transplant.
Megaloblastic anemia are
B12 and folate
Anemia + neuro sxs is?
B12 - sensory and motor
B12 sxs?
Stock in gloves - Nonreverable - degen spinal cord
A cause of B12 anemia is?
Pernicious - old white females - atropic gastritis - cant absorb B12
B12 diag?
Schilling test
B12 tx?
B12 supplement
Folate deciciency is just anemia aka - hypersegmented neutrophils 2nd to?
Etoh - folate is also with PMNs. Tea and toast diet.