Anemias + Hematologic Disorders Flashcards

1
Q

What are common microcytic anemias?

A

Iron deficiency, thalassemias, and sideroblastic*

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2
Q

Macrocytic anemias can be caused by deficiencies in what two vitamins?

A

Cobalamin and folic acid deficiency

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3
Q

What would differentiate a normocytic anemia caused by primary bone marrow failure from that caused by a secondary anemia like liver disease?

A

Primary bone marrow failure would show decreased erythroid progenitors, while that would be normal in secondary anemias

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4
Q

What are common causes for secondary anemias?

A

Inflammation, uremia, liver disease, and reduced endocrine function

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5
Q

Microcytes in a peripheral blood smear could indicate what?

A

Iron deficiency anemia or thalassemia

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6
Q

A “pencil cell” on a peripheral blood smear coudl indicate what?

A

Iron deficiency anemia

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7
Q

A “tear drop” on a peripheral blood smear could indicate what?

A

Myelofibrosis or extra medullary hemopoiesis

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8
Q

A “target cell” on a peripheral blood smear could indicate what?

A

Liver disease, hemoglobinopathies, or post-splenectomy

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9
Q

A Howell-Jolly body on a peripheral blood smear could indicate what?

A

Nuclear inclusion or post-splenectomy

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10
Q

A “spherocyte” on a peripheral blood smear could indicate what?

A

Hereditary spherocytosis, autoimmune hemolytic anemia

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11
Q

A “spur cell” on a peripheral blood smear is indicative of what?

A

Severe liver disease

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12
Q

A “stomatocyte” on a peripheral blood smear could indicate what?

A

Liver disease or hereditary stomatocytosis

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13
Q

MCV>100, RPI< 2.5, Retic (L/N), & RDW (H)

A

B12 or Folate Deficiency

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14
Q

MCV>100, RPI<2.5, Retic (L/N), & RDW (N)

A

Bone marrow failure, myelodysplatic syndrome, hypothyroidism, drug induced (anti-convulsants)

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15
Q

MCV>100, RPI<2.5, Retic (H), RDW (H)

A

Active hemolysis w/h brisk reticulocytosis

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16
Q

MCV<80, RPI<2.5, Retic (L), RDW (H)

A

Iron deficiency anemia

17
Q

MCV<80, RPI<2.5, Retic (H), RDW (H)

A

Lead poisoning

18
Q

MCV<80, RPI<2.5, Retic (L/N), RDW (N)

A

Thalassemia, Hb H Dx, HbC Dx, chronic inflammation, sideroblastic anemia

19
Q

Primary contributor to the reduced side of RBC in microcytic anemias?

A

Quantity of Hemoglobin (Limit of production)

20
Q

Iron deficiency anemia has a high association with what cancers?

A

Pancreatic, colorectal, and lung cancer

21
Q

In microcytoic anemia what is the relationship between the MCV and RDW?

A

MCV will decrease as RBC size decreases (less hemoglobin) BUT the RDW will increase as anisocytosis (unequal size) and poikilocytosis (abnormal shaped) RBC appear

22
Q

What protein suppresses iron transport and release from macrophages when it is released from the liver into the blood?

A

Hepcidin

23
Q

What form of iron travel is the circulation and what is it bound to?

A

Fe3+ bound to transferrin

24
Q

Excess iron is stored within what intracellularly in all growing cells?

A

Ferritin