Hematology Flashcards
To aid in diagnosing anemia, certain cancers of the blood, inflammatory diseases, and to monitor blood loss and infection
CBC
This is the
oxygen-carrying protein in red blood cells
HB
To diagnose and/or to monitor certain types of bleeding and clotting disorders
Platelet count (usually done as part of the CBC)
To evaluate bleeding and clotting disorders and to monitor anticoagulation (anticlotting) therapies
Prothrombin time (PT) Partial Thromboplastin Time (PTT) International Normalized Ratio (INR)
RBC reference range and clinical significance
4-6 million/ uL; Anemia and bleeding
Hb and Hct reference range for men
Hb: 14-18
Hct: 42-54%
Hb and Hct reference range for female
Hb: 12-16 g/ dL
Female: 38-46%
Hb and Hct Clinical Significance
Low Values: Anemia, Massive Blood Loss
High Values: Polycythemia, Dehydration/severe blood loss
RBC indices ref range
MCV: 84-99 fL
MCH: 26-32 pg
MCHC: 30-36 g/dL
Low MCV and MCHC could lead to
Microcytic hypochromic anemia secondary to iron deficiency or thalassemia
High MCV could mean
macrocytic anema secondary to megaloblastic anemia
RBC deficiency could lead to
- Hemolytic anemia: decrease number of RBC
- Excess bleeding
- Hereditary spherocytosis :
rare blood disorder in which defects in the red blood cells cause them to be shaped like spheres and break down easily
Hereditary spherocytosis
Over production of RBC
Polycythemia
caused by overproduction of red blood cells by the bone marrow due to mutation or biological factor in the body
Primary polycythemia
which is caused by factors that reduce the amount of oxygen reaching the body’s tissues, such as smoking, high altitude or congenital heart disease.
Secondary polycythemia:
The red blood cells in some patients with _____________ may carry an abnormal form of hemoglobin that does not release oxygen readily (high-affinity hemoglobin).
secondary polycythemia
hemoglobin levels are decrease but RBC size is normal (acute blood loss, anemia, chronic diseases).
Normocytic
insufficiency of hemoglobin synthesis (iron deficiency anemia, thalassemia)
Microcytic
deficiency of vitamin B1 or folic acid (hypothyroidism, alcoholism)
Macrocytic
alteration in hemoglobin structure
Sickle cell anemia
a measure of how much space red blood cells take up in your blood.
Hematocrit
high hematocrit level might mean
dehydration
low hematocrit level might mean
anemia
Abnormal hematocrit levels may also be a sign of a
blood or bone marrow disorder.