Hematology Flashcards
Complete Blood Count (CBC) Normal Lab Values - WBC
WBC: 4,500 - 13,500/mm³
Complete Blood Count (CBC) Normal Lab Values - RBC
RBC: 4.1 - 5.3 million/μL
Complete Blood Count (CBC) Normal Lab Values - Hemoglobin
Hemoglobin (Hgb): 11.5 - 15.5 g/dL
Complete Blood Count (CBC) Normal Lab Values - Hematocrit
Hematocrit (Hct): 35% - 45%
Complete Blood Count (CBC) Normal Lab Values - Platelets
Platelets: 150,000 - 450,000/mm³
Complete Blood Count (CBC) Normal Lab Values - MCV
MCV (Mean Corpuscular Volume): 80-100 fL
Complete Blood Count (CBC) Normal Lab Values - MCH
MCH (Mean Corpuscular Hemoglobin): 27-33 pg
Complete Blood Count (CBC) Normal Lab Values - Reticulocyte Count
Reticulocyte Count: 0.5% - 1.5% (higher if bone marrow is compensating)
Anemia Definition
Anemia = Low RBC count, Hgb, or Hct.
Three Types of Anemia
Microcytic (MCV <80 fL) → Iron Deficiency Anemia (IDA), Thalassemia
Normocytic (MCV 80-100 fL) → Acute blood loss, Chronic disease, Hemolytic anemia
Macrocytic (MCV >100 fL) → B12/Folate deficiency, Bone marrow failure
Iron Deficiency Anemia (IDA) - Causes
- Inadequate dietary iron (common in toddlers, adolescents
menstruating females) - Chronic blood loss (GI bleeding, heavy menstruation)
- Malabsorption disorders
Anemia Symptoms - Early
Fatigue, pallor, irritability, weakness
Anemia Symptoms Late
Glossitis, spoon-shaped nails (koilonychia), pica (craving for ice/dirt)
Anemia Labs
↓MCV,
↓MCH,
↓Hgb,
↓Ferritin,
↑TIBC
Anemia Treatment
- Iron supplementation (take with vitamin C, avoid dairy)
- Increase dietary iron (red meat, leafy greens)
- Monitor response via reticulocyte count (~1-2 weeks)
- don’t take with milk
- take with ascorbic acid
Sickle Cell Disease (SCD) - Genetics
Autosomal recessive disorder (child must inherit two sickle genes) African or Mediterranean descent typically
Sickle Cell Disease - Pathophysiology
Abnormal hemoglobin (HbS) → RBC sickling → vascular occlusion, ischemia, and hemolysis.
Cells lose circle shape to sickle shape = stiff, sticky, desreases lifespan from 120 days to 10 to 20 days
Sickle Cell Disease - Complications
Stroke, infections, organ damage (spleen, kidneys, lungs), avascular necrosis.
Sickle Cell Disease - Triggers for Crisis
Dehydration, hypoxia, infection, cold exposure, stress.
Vaso-Occlusive Crisis (VOC) - Cause
Sickled cells block blood flow → pain, ischemia.
Vaso-Occlusive Crisis - Symptoms
Severe pain (joints, chest, abdomen), swelling, fever.
Vaso-Occlusive Crisis - Treatment
- Hydration (IV fluids)
- Pain control (PCA pump, opioids)
- Oxygen if hypoxic
- Blood transfusion if severe
- Avoid triggers (hydration, avoiding extreme temperatures)
Acute Chest Syndrome (ACS) Cause
Sickling in lung vasculature → infarction/infection.
Acute Chest Syndrome - Symptoms
Fever, cough, chest pain, hypoxia, respiratory distress.
Acute Chest Syndrome - Treatment
- Oxygen
- IV fluids
- Broad-spectrum antibiotics
- Blood transfusion in severe cases
- Bronchodilators if wheezing
Emergencies in SCD
- Fever ≥101°F → Immediate ER visit (risk of sepsis)
- Stroke → Sudden weakness, slurred speech → Needs exchange transfusion
- Splenic Sequestration → Rapid drop in Hgb, shock symptoms
Common Medications for SCD
- Hydroxyurea (increases fetal hemoglobin, reduces crises)
- Prophylactic Penicillin (to prevent infections)
- Folic Acid (to support RBC production)
- Pain Medications (NSAIDs, opioids during VOC)
Hemophilia Cause
X-linked recessive disorder (affects males, carrier females)
Hemophilia Types
Hemophilia A: Factor VIII deficiency (most common)
Hemophilia B: Factor IX deficiency
Hemophilia Symptoms
Easy bruising, hemarthrosis (joint bleeding), prolonged bleeding.
Hemophilia Diagnosis
Prolonged PTT, normal PT, normal platelets.
Hemophilia Treatment
- Factor replacement therapy
- Desmopressin (DDAVP) for mild Hemophilia A
- Avoid NSAIDs/aspirin
- RICE for joint bleeds
5 types of white blood cells
Neutrophiles (phagocytosis)
Eosinophils (Allergic)
Basophils (inflammation)
Monocytes (antigen/phagocytosis)
LymphNeutrophilsoncytes (BT cells Humoral and cellular)
Anemia Causes
Decreased production - marrow issues
Poor nutrition
ineffective erythropoiesis
blood loss
Sickle Cell Crisis
Vaso occlusive, splenic, acute