Hematology / Oncology Flashcards
4 causes of Microcytic Anemia
TICS
Thalassemia
Iron Deficiency
Anemia of Chronic Disease
Sideroblastic Anemia
Elderly man with hypochromic, microcytic anemia is asymptomatic. Diagnostic Test?
Fecal Occult blood test and sigmoidoscopy
Suspect Colorectal cancer
Precipitants of hemolytic crisis in pt with G6PD deficiency
Sulfonamides
Antimalarial drugs
Fava Beans
Most common inherited cause of hypercoagulability
Factor V leiden Mutation
Most common inherited bleeding disorder
Von Willebrand’s Disease
Most common inherited hemolytic anemia
Hereditary Spherocytosis
Pure RBC aplasia
Diamond-Blackfan Anemia
Anemia associated with abscent radii and thumbs, diffuse hyperpigmentation, cafe au lait spots, microcephaly and pancytopenia
Fanconi’s Anemia
Medications and Viruses that lead to aplastic anemia
Chloramphenicol Sulfonamides Radiation HIV Chemo Agents Hepatitis Parvovirus B19 EBV
Distinguish Polycthemia Vera from 2 Plycythemia
Both have increase Hematocrit and RBC mass
Polycythemia Vera should have NORMAL 02 saturation and low erythropoietin levels
Thrombotic Thrombocytopenic Purpura (TTP) pentad?
FAT RN
Fever Anemia Thrombocytopenia Renal Dysfunction Neurologic Abnormalities
HUS Triad
Anemia
Thrombocytopenia
Acute renal failure
Treatment for TTP?
Emergent Large Volume plasmapheresis
Corticosteroids
Anti-Platelet drugs
Tx for Idiopathic Thrombocytopenic Purpura (ITP) in children
Usually resolves spontaneously
May require:
IVID and/or Steroids
Which of the following are increased in DIC:
Fibrin Split products D- Dimer Fibrinogen Platelets Hematocrit
Fibrin split products increase
D-dimers increase
Platelets Decrease
Fibrinogen Decrease
Hematocrit Decrease