anemiainchildhood Flashcards
define anemia
a reduction in RBC hemoglobin or hematocrite
analyze lab data to make a diagnosis of anemia
chart on slide 5 dont know reticulocyte count
classify childhood anemias by size of the RBC
Thalassemia/iron/lead=micro folate/b12 macro for folate think goats milk and diamond blackfan bloodloss
identify a history that would be consistent with iron deficiency anemia
9-24 months, excessive milk intake, and blood loss, mild to moderate anemia Hgb 7-10, mvc low, TIBC increased, retic count normal to increased.
list the complication of sickle cell anemia in children
symptoms of children are frequently milder, crisis 3 , vaso occlusive pain [pain control and hydration hydroxy urea and sometimes bone marrow transplant], aplastic[parvo virus transfusion mya be life saving folic acid supplumentation], hemolytic/splenic sequestration.
create a simple treatment plan for child with diamond blackfan anemia
Under 1 year, low hbg MVC normal to increased, low retic, ¼ have abnormal physical findings snub nose wide eyes flattening of thenar eminance short stature. Treatment prednisone transfuscions which may lead to iron oreverlad. Bone marrrow transplant can be curative if resistant to steroids.
create a simple treatment plan for child with iron deficiency anemia
6mg/kg/day oral elemental until its normal and then for another 2 months or until ferritin is normal.
create a simple treatment plan for child with transcient erythroblastopenia of childhood
follows a viral illness sometimes, causes a transient decreased production of RBC in the bone marrow. Less than 1 year Hbg low MVC normal low retic, treatment, supportive only transfuce only when needed.
list the complication s of SS anemia and basic prevention and treatment strategies for them
give them prophalatics penicillin immunization especially anything encapsulated. Staph aureas and salmonella can cause osteomylitis.
what does a high MCHC mean
spherocytosis about 35
