Chapter 5-1 Flashcards

1
Q

normal female hemoglobin

A

12.5 g/dl-16.0 g/dl

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2
Q

normal male hemoglobin

A

13.5 g/dl-17.5 g/dl

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3
Q

anemia in Male hemoglobin

A

Hb <13.5 g/dl

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4
Q

anemia in females hemoglobin

A

Hb<12.5 g/dl

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5
Q

Mean corpuscular volume

A

microcytic MCV100

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6
Q

causes of Microcytic anemia

A

1-Fe def.
2-anemia of chronic dz- locks Fe in MPs
3- sideroblastic anemia- dec. in protoporphyrin
4- thalassemia-dec in globin

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7
Q

iron is absorbed

A

in duodenum using DMT1 Transporter in Fe 2+ state. Enterocyte transports Fe to blood using FERROPORTIN. Inblood its bound to Transferrin

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8
Q

Iron is stored in liver and macrophages

A

Fe bound to derritin.

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9
Q

measure Fe in blood

A

Serum Fe

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10
Q

measure of transferrin molecules in blood

A

Total Iron binding capacity- TIBC

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11
Q

% sat of Iron

A

% of transferrein bound by iron usually 1/3 or 33%

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12
Q

reflects iron stores in Mps and Liver

A

Serum ferritin

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13
Q

hookworms causing Fe def anemia

A

Ancyloostoma duodenale and necator americanus

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14
Q

early iron def. labs

A

decreassed ferritin bc body utilizes stored Fe and increase TIBC= body makes more transferrin to look for Fe

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15
Q

early on the Fe def. anemia is classified as

A

Normocytic anemia bone marrow makes fewer but normal RBC.

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16
Q

classically Fe def anemia is

A

microcytic HYPOCHROMIC anemia

17
Q

s/s of Fe def anemia

A

koilonychia or spoon nails. and pica

18
Q

Labs

A

increase red cell distribution width
dec ferritin, increase TIBC, dec serum Fe
dec % satiration and increase in Free erythrocyte protoporphyrin (level proto. fine.)

19
Q

tx of Fe def anemia

A

ferrous sulfate.

20
Q

plummer vinson syndrome

A

Fe def anemia w esophageal web, atrophic glossitis, anemia, dysphagia, beefy red tongue.