Anemia cont.

Question 1

Orthostatic changes

-What are they and what can they be indicative of?

Answer 1

• Blood pressure change when patient is sitting/lying down versus standing up
• Can be indicative of anemia

Question 2

3 places to check pallor?

Answer 2

Nailbeds, conjunctiva, and oral mucosa

Question 3

Petechiae

Answer 3

Small pin point bruises

Question 4

Ecchymosis

Answer 4

Large bruising

Question 5

Hemoglobin electrophoresis can be used to test for?

Answer 5

Thalassemia or sickle cell

Question 6

Schistocytes can be indicative of what type of anemia?

Answer 6

Microangiopathic anemias

Question 7

Anemia by etiology

-3 possibilities?

Answer 7

• Blood loss
• Decreased production
• Increased destruction

Question 8

Anemia by etiology

-Blood loss?

Answer 8

• Acute

- Chronic

Question 9

Anemia by etiology

-Decreased production?

Answer 9

• B12, folic acid, Fe deficiency
• Infiltration of marrow by neoplasia
• Aplastic anemia

Question 10

Anemia by etiology

-Increased destruction?

Answer 10

-Hemolytic anemias

Question 11

Low haptoglobin can be indicative of?

Answer 11

Hemolysis

Question 12

What should every sickle cell patient be immunized against?

Answer 12

Pneumonia

Question 13

If a patient has black/tar colored stool, what should the physician ask the patient?

Answer 13

The physician should ask the patient if they are taking pepto-bismol