extrinsic hemolysis Flashcards

1
Q

autoimmune hemolytic anemia due to

A

RBC destruction from autoantibodies

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2
Q

warm AIHA - antibodies bind at

A

body temp

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3
Q

antibodies seen in warm AIHA

A

IgG

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4
Q

warm AIHA sxs

A

anemia, extravascular hemolysis

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5
Q

diagnostic finding in AIHA

A

spherocytes (smaller than RBC, spherical with no central pallor)

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6
Q

direct antiglobulin test tests for

A

red blood cell antibodies

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7
Q

postive DAT test means

A

RBC covered in IgG

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8
Q

indirect antiglobulin test tests for

A

antibodies in serum

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9
Q

methydopa used for

A

HTN in pregnancy

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10
Q

methyldopa is associated with

A

warm AIHA by triggers RBC antibodies

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11
Q

penicillin binds to

A

surface of RBC and elicits immune response causing AIHA

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12
Q

treatment of warm AIHA

A

glucocorticoids, splenectomy

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13
Q

cold AIHA binds at __ and occurs in __

A

<30 celcius occurs in limbs

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14
Q

cold AIHA is caused by

A

IgM antibodies that agglutinate RBCs

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15
Q

in cold AIHA DAT will be positive for

A

C3

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16
Q

cold AIHA usually causes

A

extravascular hemolysis

17
Q

cold AIHA often occurs secondary to

A

infection (mycoplasma, EBV)

18
Q

microangiopathic hemolytic anemia due to

A

shearing of RBCs in small blood vessels

19
Q

blood smear in MAHA

A

schistocytes

20
Q

MAHA is associated with

A

malignant hypertension

21
Q

mechanical hemolysis

A

shear forces destroy RBC in large vessels

22
Q

mechanical hemolysis is seen in

A

aortic stenosis, mechanical heart valves