Hematology Flashcards
anemia is
a reduction in the
oxygen-carrying capacity of the blood
is anemia a disease or a symptom complex
symptom complex
Oxygen demand (hypoxia) serves as the
stimulus for
erythropoiesis (RBC
production).
what causes anemia
genetic disorders that result in hemolysis
nutritional disorders that limit the production of RBCs
immune related disorders
bleeding disorders
infections, diseases of bone marrow
types of anemia
Iron Deficiency
Folate Deficiency Anemia
Pernicious Anemia
Hemolytic Anemia
Sickle Cell Anemia
Aplastic Anemia
Iron Deficiency
microcytic anemia that can be
caused by excessive blood loss,
poor iron intake, poor iron
absorption, or increased demand
for iron
Folate Deficiency Anemia
Folate is needed for enzymatic reactions
required for the synthesis of purines and
pyrimidines of DNA and RNA and thus for the
synthesis of proteins
Aplastic Anemia
Aplastic anemia occurs
when the bone marrow is
unable to produce
adequate numbers of
RBCs, white blood cells,
and platelets due to the
inability of the hematopoietic stem cells to proliferate,
differentiate, or give rise to
mature blood cells
Sickle Cell Anemia
sickle cell trait is the heterozygous state in which
the affected person carries one gene for HbS
Hemolytic Anemia
emolytic anemias consist of
sickle cell anemia, thalassemia and
glucose-6-phosphate
dehydrogenase (G6PD) deficiency
These anemias are caused by
diverse factors including immune
attack, extrinsic factors, disorders of the RBC membrane, enzymopathies, and hemoglobinopathies
Pernicious anemia
Pernicious anemia is caused by a deficiency
of intrinsic factor, a substance secreted by
the stomach parietal cells that is necessary
for absorption of vitamin B12 (cobalamin)
the two most common types of sickle cell disorders are
sickle cell trait
sickle cell (disease) anemia
lab findings of sickle cell
Anemia generally is defined as Hb level less than 12 g/dL for women and less than 13.5 g/dL for
men
Thalassemias
Mutations affecting one or two genes result in a trait status
an enzyme that enables the
RBC to convert carbohydrates into energy via the hexose monophosphate shunt pathway-pentose phosphate pathway
Glucose-6-Phosphate
Dehydrogenase Deficiency
(G6PD)
Screening tests for Heinz bodies of NADH may be used to detect
G-6-PD deficiency
How to manage anemia
iron = look for a source of bleeding
folate = administer folic acid
sickle cell = prophylactic penicillin for infants and antibiotics for early use
HLA
Hemoglobin issues are associated with oro-mucosal lesions, such
as
burning tongue
glossitis
ulcers
plummer syndrome
candidiasis
angular cheilitis
allergy is
an abnormal or hypersensitive response of the
immune system to a substance introduced into the body
the most common cause of urticarial reactions in
adults
drugs
the most common causes of
urticarial lesions in children
food and infection
Several drugs used in dentistry and medicine can cause
allergic reactions