Classification of Anemia Flashcards
MCV is greater than 96 fl. MCHC is normal
A. . Microcytic hypochromic anemia
B.Macrocytic normochromic anemia
C. Normocytic normochromic anemia
B.Macrocytic normochromic anemia
MCV is less than 80 fl., decreased Hgb,
MCHC is less than 32%, must be addressed immediately
A. Microcytic hypochromic anemia
B.Macrocytic normochromic anemia
C.. Normocytic normochromic anemia
A. . Microcytic hypochromic anemia
MCV is 80-90 fL
A. Microcytic hypochromic anemia
B.Macrocytic normochromic anemia
C.Normocytic normochromic anemia
C.Normocytic normochromic anemia
Erythroblasts in the bone marrow that shows
abnormality; maturation
A. Non-megaloblastic anemia-
B.Macrocytic normochromic anemia
C.Normocytic normochromic anemia
D. Megaloblastic anemia
D. Megaloblastic anemia
Causes
B12 deficiency- pernicious anemia
A. Non-megaloblastic anemia
b. megaloblastic anemia
b. megaloblastic anemia
Accelerated erythropoiesis
A. Non-megaloblastic anemia
b. megaloblastic anemia
A. Non-megaloblastic anemia
Abnormalities of Vit. B12 or folate metabolism
A. Non-megaloblastic anemia
b. megaloblastic anemia
megaloblastic anemia
Folic acid deficiency- nutritional megaloblastic anemia
A. Non-megaloblastic anemia
b. megaloblastic anemia
b. megaloblastic anemia
Drug induced disorders of DNA synthesis
A. Non-megaloblastic anemia
b. megaloblastic anemia
b. megaloblastic anemia
Inherited disorders of DNA synthesis
A. Non-megaloblastic anemia
b. megaloblastic anemia
b. megaloblastic anemia
causes
Increased membrane surface area
A. Non-megaloblastic anemia
b. megaloblastic anemia
A. Non-megaloblastic anemia
Obscure causes (hypoplastic & aplastic anemias)
A. Non-megaloblastic anemia
b. megaloblastic anemia
A. Non-megaloblastic anemia
Alcohol
A. Non-megaloblastic anemia
b. megaloblastic anemia
A. Non-megaloblastic anemia
Liver disease
A. Non-megaloblastic anemia
b. megaloblastic anemia
A. Non-megaloblastic anemia
Cytotoxic drugs
A. Non-megaloblastic anemia
b. megaloblastic anemia
A. Non-megaloblastic anemia
Laboratory Findings
**Red cells are macrocytic- MCV is greater than 96 fl. And often as high as 120-140 fl
**
A. Non-megaloblastic anemia
b. megaloblastic anemia
b. megaloblastic anemia
Macrocytes are typically oval in shape
A. Non-megaloblastic anemia
b. megaloblastic anemia
b. megaloblastic anemia
Reticulocytes count is low and platelet counts may be moderately reduced, especially in severely anemic patients
A. Non-megaloblastic anemia
b. megaloblastic anemia
b. megaloblastic anemia
Peripheral Smears:
Show normal RBC in morphology despite the drop of Hgb, Hct, and RBC count
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
C. Megaloblastic anemia/ MACROCYTIC
Increased bone marrow activity (increased of reticulocyte count) without increased red cell of hgb breakdow
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
C. Megaloblastic anemia/ MACROCYTIC
5 causes of megaloblastic anemia
- B12 deficiency- pernicious anemia
- Folic acid deficiency- nutritional megaloblastic anemia
- Abnormalities of Vit. B12 or folate metabolism
- Inherited disorders of DNA synthesis
- Drug induced disorders of DNA synthesis
“BI FAD”
5 Causes OF NON MEGALOBLASTIC ANEMIA
- Accelerated erythropoiesis
- Increased membrane surface area
- Obscure causes (hypoplastic & aplastic anemias)
- Alcohol
- Liver disease
- Cytotoxic drugs- even some medicinal drugs are cancerous such
as metronidazole (drug for amoebiasis
“LACO AI”
CAUSES
Iron deficiency (IDA) AND
Other disorders of iron metabolism
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
A. Microcytic hypochromic anemia
CAUSES
Disorder of globin synthesis as in thalassemia
AND
Disorders of porphyrin & heme synthesis as in sideroblastic
anemia
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
A. Microcytic hypochromic anemia
Peripheral smears
Aniso and poikilocytosis
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
A. Microcytic hypochromic anemia
Peripheral smears:
The RBC are microcytic since many are smaller than the nucleus of the lymphocyte
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
A. Microcytic hypochromic anemia
The erythrocytes are hypochromic with increased central pallor
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
A. Microcytic hypochromic anemia
** Elliptocytic and pencil-shaped forms are present**
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
A. Microcytic hypochromic anemia
CAUSES
**Recent blood loss
AND
Overexpansion of plasma volume as in pregnancy
**
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
B. Normocytic normochromic anemia
Renal disorders
Liver disorder
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
B. Normocytic normochromic anemia
Hypoplastic bone marrow (aplastic anemia)
Infiltrated bone marrow (leukemia)
Normocytic
Hypoplastic bone marrow (aplastic anemia)
Infiltrated bone marrow (leukemia)
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
B. Normocytic normochromic anemia
Endocrine abnormality
Chronic disorders
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
B. Normocytic
Normocytic normochromic anemia 9 causes
Causes:
1. Recent blood loss
2. Overexpansion of plasma volume as in pregnancy
3. Hemolytic diseases
4. Hypoplastic bone marrow (aplastic anemia)
5. Infiltrated bone marrow (leukemia)
6. Endocrine abnormality
7. Chronic disorders
8. Renal disorders
9. Liver disorder
ROH HI CLER
LABORATORY findings of?
- Plasma volume and red cell volume- reduced in proportionate amount
- Hct is normal
- Platelet count is reduced
- Plasma fibrinogen level is reduced
- Neutrophilic leukocytosis is present
- Normocytes and normochromic cells are present
A. Microcytic hypochromic anemia
B. Normocytic normochromic anemia
C. Megaloblastic anemia/ MACROCYTIC
D.Non-megaloblastic anemia/MICROCYTIC
B.normocytic