Hematology Flashcards
beefy red, tongue
B12 deficiency
You have a patient on Coumadin with a history of DVT. What do you do if their INR is 1.4?
Increase the Coumadin dose.
What is the T score to diagnose osteopenia?
-1.0 to -2.5
What is the T score to diagnose osteoporosis?
less than -2.5
List two macrocytic, normochromic anemias.
B12 and folate deficiencies
what is cyanocobalamin?
B12 injection
microcytic, hypochromic, elevated RDW, decreased iron/ferritin
iron deficiency anemia
treatment for iron def. anemia?
elemental iron 150-200mg/day and organ meats, red meat, peas, beans, dark green leafy veggies, whole grains
microcytic, hypochromic, normal iron, normal RDW
DX?
Next step?
Thalaseemia
DX by electrophoresis
Refer to hematology
range for MCV
microcytic < 80
normal 80-100
macrocytic > 100
multiple myeloma
cancer of the bone marrow, usually of the older adult
highest in African Americans
c/o bone pain and weakness
true/false
take iron on an empty stomach.
true, and take it with vitamin C to increase absorption
describe normal RDW
Red cell distribution width- degree of variation in RBC SIZE
<15% variation is normal
what is normal hgb and hct in males and females?
HGB males 13-18g, females 12-16g HCT 37-52% (M 42-52%, F 37-47%)
smooth swollen tongue, PICA, spoon-shaped nails
iron def. anemia