Anemias - Hemograma Flashcards

1
Q

Anemia microcitica

A

VCM <80

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2
Q

Anemia Hipocromica

A

HCM<27

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3
Q

Hb- VN

A
  • M: 13,5-17,5

- F: 12-15,5

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4
Q

HCM

A

27-34

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5
Q

VCM

A

80-95

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6
Q

CHCM

A

30-35

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7
Q

Reticulocitos

A
  • 50-150

- 0,5-2%

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8
Q

Etiologías de Anemia de Micro/Hipo

A
  • Def. Ferro (RDW aumentado)
  • Talassemia (RDW normal, todos são pequenos)
  • Anemia da doença cronica ( tb normo/normo)
  • Intoxicaçao com chumbo
  • Anemia Sideroblastica
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9
Q

Etiologías de Anemia Normo/normo

A
  • Hemolitica
  • Da doença cronica
  • Hemorragia aguda
  • Nefropatias
  • Def. mistas
  • Insuf. Medular
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10
Q

Etilogias da Anemia Macrocitica

A
  • Megaloblástica: Def. B12 ou Folato

- Não megaloblástica: Etilismo grave, hepatopatia, mielodisplasia, anemia aplasica

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11
Q

RDW- VN e utilidade

A
  • até 14%
  • Representa uniformidade de tamanho de eritrocitos
  • Util na diferenciaçao entre Talassemia minor (N) e A. ferropriva( aumentado)
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12
Q

Bicitopenia/Pancitopenia

A

-Além de anemia + 1 ou 2ou +

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13
Q

Leucocitose/ Plaquetose

A
  • Sme mieloproliferativa

- Hemorragia aguda

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14
Q

Reticulocitos - Alteraçoes

A
  • Aumentados: Hemorragia aguda, a. hemolitica

- Diminuidos: Def. nutricional, dim, EPO

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15
Q

Macrócito

A
  • Hepatopatia
  • OH
  • A. MGB
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16
Q

Células em alvo- Leptocitos

A

TALASSEMIA

  • Def. Ferro
  • Hepatopatia
  • Hbpatia
  • Pos-esplenectomia
17
Q

Estomatócito

A
  • Hepatopatía

- Alcoolismo

18
Q

Celulas em lapis

A

-Def. Ferro

19
Q

Equinocito

A
  • Hepatopatia
  • Pos-esplenectomia
  • Espiculas curtas e arredondadas
20
Q

Acantócito

A
  • Hepatopatia
  • IR
  • Espículas irregulares e pontiagudas
21
Q

Corpusculos de Howell-Jolly

A
  • Esplenectomia
  • A. hemolitica

São inclusoes retiradas pelo baço, por tanto se estão presentes é pq não há baço ou não funciona corretamente

22
Q

Hemacias em ROULEAUX - Empilhadas

A

-MM

23
Q

Microesferocito

A
  • Esferocitose hereditaria

- A. hemolitica

24
Q

Fragmentada- Esquizócitos

A
  • CIVD
  • Microangiopatia
  • SUH
  • PTT
25
Q

Eliptócito

A

Eliptose Hereditaria

26
Q

Dacriocito

A
  • Mielofibrose

- Hematopoiese extramedular

27
Q

Drepanocitos

A
  • A. Falciforme

- Em forma de foice

28
Q

Microcito

A
  • Def. Ferro

- Hbpatia

29
Q

Corpusculo de Heinz

A

Def. G6PD

  • Hb oxidada anormal precipita
30
Q

Corpusculo de Pappenheiner

A
  • Talassemias

- A. MGB