Heme Flashcards
Normal range for MCV
80-100
What is the most common microcytic anemia
FE def
Would anemia of chronic dz most likely be normo, micro, or macrocytis
Normocytic
What 2 main causes should you think of in macrocytic anemia
Malnutrition and severe blood loss
Does inc in retic’s indicated increase or dec in RBC production?
Increase (Retics are baby RBC)
Auer rods
Acute Myeloid leukemia
Koilonychia
spoon-shaped nails
Will serum Ferritin be high or low in Fe anemia
low
A low retic count and a normal serum ferr should make you think of what?
Anemia of chronic dz
What hemoglobin level makes you start to think about transfussion
8
AA teen presents w/ avascular necrosis of the r fem head. Most likey dx?
Sickle cell
Tx sickle cell crisis
Fluids, oxygen, pain meds, transfusion
Unconjugated bili will be high or low in scd?
high
Howell jolly bodies
SCD due to functional asplenia
G6PD deficiency follows what pattern of inheritence?
X-linked
Heinz bodies
G6PD def. Chronic liver dz Alpha thalessemia
Target cells
Severe FE def anemia
Think alpha thalessemia if the question stem includes what 4 geographic areas?
Southeast asia, china, middle east, africa
Pt of mediterranean descent is a clue for which type of anemia
beta thalassemia
Stockign glove paresthesias make you think of what 2 dx?
B12 def. and diabetic neuropathy
What is schillings test used for?
cause of B12 def.
Is sickle cell micro, macro, or normocytic
micro
Philadelphia chromosome
CML