Heme/onc

Question 1

Lab Values

Answer 1

Hemoglobin women (12-16) men (14-18)

Low mean corpuscular volume indicative of iron deficiency anemia (microcytic)

Normal corpuscular volume is 27-34

Iron level Male 80-180 and hematocrit 40-54%
Hemoglobin 14-18 MCV 80-95

1:3 hemoglobin:hematocrit

Question 2

Macrocyclic anemia causes

Answer 2

B12 deficiency (pernicious megaloblastic anemia, report neuro S/S, c/o paresthiasis)
Folate deficiency  (megaloblastic anemia don't report neuro S/S)
Alcoholic 

MCV 80-95

Question 3

Iron deficiency anemia

Answer 3

High red cell distribution is early marker

Then low ferritin

Last low hemoglobin

Question 4

Iron supplements

Answer 4

Only give if documented low due to side effects of overload = fatigue, joint pain, abdominal pain and arrhythmia

Question 5

Anaphylaxis

Answer 5

S/S hypotension, lump in throat, wheezing, tachy, dizzy, weK pulse

Question 6

PICA lab findings

Answer 6

Low MCV MCHC hemoglobin hematocrit iron

Question 7

Reed-Sternberg Cells

Answer 7

Differentiate b/c present in Hodgkin lymphoma

Question 8

Vegans

Answer 8

B12 deficiency because no red meat

Question 9

MS

Answer 9

More common is those of Western Europe decent who live in temperate zones