Extra Patho Flashcards
Pink globular cytoplasmic inclusions
Russell bodies
MM
Nuclear remnants are phagocytosed by interspersed macrophages with abundant clear cytoplasm
Starry sky pattern
Burkitt’s lymphoma
Blue globular nuclear inclusions
Dutcher bodies
MM
Needle like azurophilic granules found in myeloblasts
AUER RODS!!
AML
highest in APML
Patches of dilated ER that appear as sky blue cytoplasmic puddles
Dohle bodies
Severe infection
Scattered macrophages with abundant wrinkled green blue cytoplasm
Sea blue histiocytes
CML
Thrombocytopenia
Less than 150,000
Chloroma
Focus of leukemia outside BM
Large cells with multiple nuclei or a single nucleus with multiple nuclear lobes
Reed sternberg
Hodgkins
Seen in adult t-cell lymphoma - appears as multilobulated nuclei
Cloverleaf or flower cells
Adult t-cell lymphoma
HTLV-1
RBCs in PBS stick in linear arrays - because of what protein?
M protein
Rouleux formation/ caterpillar
MM
Erythroblasts with iron laden mitochondria visible as perinuclear granules
Ringed sideroblasts
Sideroblastic anemia, INH, lead poisoning, copper, mm, b6 deficiency
Neutrophils with only two nuclear lobes
Pseudo Pelger Huet cells
MDS
Neutrophils with more than 5 lobes
Megaloblastic anemia
Pink round to oval cytoplasmic inclusions
Negri bodies
Pawn ball megakaryocytes
MDS
Megakaryocytes with single nuclear lobe of multiple separate nuclei
Pawn ball megakaryocytes
MDS
Premature release of nucleated erythroid and early granulocyte progenitors
Leukoeythroblastosis
Primary Myelofibrosis
Hallmark of primary Myelofibrosis
Development of obliterative marrow fibrosis
Small yellow to brown or rust colored foci in the spleen
Gandy gamma nodules
Splenic congestion
Macrophages in connective tissue
Sinus histiocytes
Omaya reservoir
Intrathecal
For sanctuary sites - CNS, testes
Number (%) of myeloblasts in AML
Equal to or more than 20%
MC physical finding in CML
Splenomegaly
Blast crisis
20% and above
Stain for hairy cell leukemia
Tartrate resistant acid phosphatase (TRAP)
MC variant of Hodgkins
Lacunar variant RS cells
Nodular sclerosis (not scary!)
Popcorn cells
Lymphocyte predominant HL
Good prognosis
Hodgkins with highest count of Reed sternberg cells
Lymphocyte depleted
Poor prognosis
MC type of NHL
Diffuse b cell
Burkitt - chromosome?
Chromosome 8
C-myc
NHL - does not have centroblasts and proliferation centers
Mantle cell lymphoma
Mantle cell lymphoma
t 11,14
Cyclin d1
Poor prognosis
MG, pure red cell aplasia
Thymoma
MM - spike? Ig?
M protein spike
Ig G
Femtoliters
Average volume
MCV
80-100
Mass of hemoglobin per red cell
MCH
Pictograms
Hypo or hyper chromic
Hg in a given volume of PRBC
MCHC
g/dl
Parvovirus b19 - infection of red cells
Aplastic crisis
Membrane bound precipitates on denatured globin chains
Heinz bodies
G6PD def
Small dark nuclear remnants present in RBCs of asplenic patients
Howell Jowell :)
Asplenia
Dehydrated RBCs
Target cells
Codocytes/ Mexican hat cells
B-thalassemia, sickle cell
Helmet cells
Schistocytes
RBC trauma
DIC, HUS
Echinocytes
Burr cells
RBCs
With spikes
Valve replacement
Giant metamyelocytes
Megaloblastic anemia
Absorption of iron - where?
Proximal duodenum
Absorption of Vit b12
Terminal ileum
Platelet level in Bernard Soulier
Decreased
Triad of hemolytic anemia
Pallor
Jaundice
Splenomegaly
MCC of death of PNH
Thrombosis
PNH - deficiency
Decay accelerating factor
Chloramphenicol, Benzene
Aplastic anemia
Most feared complication of ITP
Intracranial bleeding
HUS triad
Microangiopathic hemolytic anemia
Thrombocytopenia
Renal failure
Von willebrand disease - platelet count
Normal
VWD - treatment?
Desmopressin
Hemophilia most common site of hemarthrosis
Ankles
MC site of hydronephrosis
Left ureter
Mc site of hydrocele
Right
Pruritic, red, crusted, sharply demarcated, map like area usually on the labia majora
Extra mammary Paget’s disease
Screening PSA
>= 50 if low risk >= 40 if high risk
Screening for cervical CA
21 to or within 3 years of sexual activity
MC presentation of endometriosis
Infertility
Dermoid cyst - mature or immature teratoma?
Mature