Hematological Flashcards
in acute blood loss hgb levels may take up to ___ hours to demonstrate accuracy
24 hours
+ Romberg test can be a sign of what nutritional deficiency?
B 12
Macoovalocytes, megaloblasts and multisegmented neutrophils =
B12 deficiency
Hodgkins lymphoma is cancer of ____ cells, Symptom onset is precipitated by consumption of _____ including night sweats, fevers and pain.
B cells
Alcohol
Reed sternberg cells, lymphadenopathy that spreads in contiguous manner
Hodgkin lymphoma
Ages affected by hodgkin lymphoma are
20-30s and 60’s (bimodal distribution)
B or T cell lymphomas that does not spread contiguously with poorer prognosis
Non-hodgkin lymphoma
Bence jones proteins
MM
CRAB mnemonic and what it indicates
MM
Calcium elevated
Renal dysfunction - ie. bence jones proteins
Anemia
Bone pain
Gold standard for diagnosis of sickle cell or thalassemia
Hemoglobin electrophoresis
Secondary polycythemia common causes
Smokers or COPDers
1 cause of IDA in infants
Consumption of cows milk before 12 months of age –> increased GI bleeding
Variation in RBC shape
Poikilocytosis
Variation in RBC size
anisocytosis
Howell-Jolly Bodies and target cells on peripheral smear =
Sickle cell anemia
Check reticulocyte count ___ weeks after starting supplementation to identify bone marrow response
2 weeks
Best absorbed form of iron supplementation and cheapest
Ferrous sulfate
T/F - ARBs and ACEs in pts with chronic disease can lower Hgb levels and worsen anemia?
True
Pancytopenia due to drug, viral infection or radiation etc
Aplastic anemia
autoimmune dx caused by dystruction of parietal cells in fundus impacting intrinsic factor production
Pernicious anemia
T/F - B12 deficiency paresthesias start centrally and migrate peripherally
False, peripheral –> central
What do all the following foods have in common:
green leafy veg, grains, beans, liver
High sources of folate
T/F - people with sickle cell disease have increased resistance to malaria
True - cool!
