Hema Flashcards
Physiologic anemia of infancy usualy lasts for how many weeks?
8-12
Physiologic anemia of prematurity has hemoglobin levels of
7-9 g/dl
Does physiologic anemia of prematurity require treatment?
Yes EPO or transfusion
Most important sign of iron deficiency anemia
Pallor
Expected rise in hemoglobin per day after iron treatment
0.1-0.4 g/dl
Treatment for IDA
Elemental iron
3-6mg/kg/day
After treatment of IDA, Repeat CBC should be done after
4 weeks
Target cells
Heinz bodies
Decreased retic count
Normal RDW
Thalassemia
Definitive diagnosis of thalassemia can be done through
Hb electrophoresis
This infection should be watched out for in thalassemia because it eats up the free iron
Yersinia enterocolitica
Tachycardia and splenomegaly
Increased reticulocyte and MCHC normal platelet count
Spherocytosis
Defect in spectrin or ankyrin
Osmotic fragility test
Increased MCHC, retic count
Normal MCV
Spherocytosis
Vasoocclusive crisis
Autosomal recessive
Crew cut or hair on end appearance of skull in xray
Howell Jolly bodies
Sickle cell anemia
Treatment for sickle cell
Hydration and analgesia for acute crises
Most common hereditary bleeding disorder
vWD
Most common and most serious congenital coagulation factor deficiency?
Hemophilia A
Most common hereditary hypercoagulable disorder?
Factor V Leiden
Hallmark of hemophilia
Prolonged bleeding
Earliest joint hemorrhage in children
Ankles