Anemia II--Krafts Flashcards

1
Q

Definitive test for hemoglobinopathies

A

Hb electrophoresis

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2
Q

What is a heterozygote of sickle cell called?

A

sickle cell trait

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3
Q

What complication does sickle cell disease relating to the spleen?

A

autosplenectomy

  • multiple infarctions
  • fibrosis
  • becomes fibro-nubbin
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4
Q

Asplenic individuals have trouble getting rid of what type of infections?

A

large, encapsulated bugs

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5
Q

Howell-Jolly bodies are what?

A

remnants of RBC nucleus that remain in cells after splenectomy

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6
Q

What are Pappenheimer bodies?

A

iron buildups in RBCs after splenectomy

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7
Q

Where are platelets stored in normal physiology?

A

spleen

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8
Q

Asplenic individuals should be vaccinated against which two organisms?

A

S. pneumoniae

H. influenzae

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9
Q

Basic path of thalassemia

A

quantitative deficit in either alpha or beta change

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10
Q

What is the mutation in sickle cell anemia?

A

Val instead of Glu in beta-chain

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11
Q

Bite cells are due to what pathology?

A

partial phagocytosis of RBCs with Heinz bodies

G6PD deficiency

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12
Q

In which pathology are Heinz bodies seen?

A

G6PD deficiency

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13
Q

Microangiopathic hemolytic anemia shows this cell type under peripheral smear examination

A

schistocytes

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14
Q

Triangulocytes are diagnostic for what disease?

A

microangiopathic hemolytic anemia

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15
Q

What is the pathology of microangiopathic hemolytic anemia?

A

RBCs squeezed around fibrin thrombus balls and get all messed up

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16
Q

What conditions can cause microangiopathic hemolytic anemia?

A

DIC, throbotic thromocytopenic purpura, artificial heart valve, hemolytic uremic syndrome, others

17
Q

This is the most life-threatening and silent type of anemia out there

A

aplastic anemia–affects all marrow cells
3-yr survival rate is 70%
idiopathic, usually