Clinical Flashcards
What is the normal range for the Hb levels in the serum?
12.5-15.5 g/dL
What is the inital test used to evaluate anemia?
CBC
What is the most common type of anemia?
Microcytic anemia
What are the 3 main causes of hypochromic microcytic anmeia?
Iron deficiency
Thalassemias
Anemia of chronic disease
Blood loss, increased requirement, and decreased absorption can lead to a deficiency in what ion?
Fe
What is the inital test for the screening of Fe deficiency?
Serum ferritin test
Under what serum ferritin levels shows a deficiency?
< 15 ng/mL
How long do u have to treat Fe deficiency with ferrous sulfate?
6 months
takes 6 weeks to correct the Sx
Iron dextran with HMW dextran, Iron dextran with LMW dextran, iron sucrose, and ferric gluconate are all IV forms of iron and are used in which pts?
Dialysis or inability to take oral iron
Which Hb levels are increased in B-thalassemia?
HbA2
What is the deficiency if there is microcytic anemia and purpura, with classic GINGIVAL disease and peipheral edema?
Vit C
Scurvy
What is the test performed to exclude hemolysis in the evaluation of normochromic normocytic anemia?
Reticulocyte count
Which lab test differentiates iron deficiency anemia from anemia of chronic disease?
Transferrin levels (usually ↑ in Fe deficiency)
Which 3 pts can u use EPO in the treatment regimen?
Anemia from neoplastic agents
Anemia from renal insufficiency
Anemia due to HIV in pts who are taking zidovudine
In which pts is EPO ineffective?
Anemia due to iron deficiency, B12 deficiency, or another correctable cause.
What are the main complications with EPO use?
HTN in dialysis pts
Thrombosis (MI or stroke)
Cancer progression (if the cancer pt isnt receiving chemo)
Since transfusion therapy can ↑ the risk of aplastic anemia, what must u select for teh transfusions to pts?
NONrelated donors with CMV-, leukocyte poor, and single donor
After what age can u start to use immunosuppression in the treatment of aplastic anemia?
40
What must u have to get a bone marrow transplant in the Tx of aplastic anemia?
Syngenetic (identical) twin
What are the 3 diseases assocaited with basophilic stippling?
Thalassemias
Anemia of chronic diesease
Lead poisoning
“BASte the ox TAiL”
What are the 3 diseases assocaited with hypochromia?
Thalassemia, sideroblastic anemia, lead poisoning
What are the 4 diseases assocaited with target cells?
HcC disease
Asplenia
Liver disease
Thallassemia
(“HALT” said the hunter to his TARGET)
Chronic liver disease, abetaproteinemia, malabsorption, and anorexia nervosa can lead to what RBC morphology?
Spur cells (Acanthocytes)
What is the disease aassciated with Burr cells?
Uremia