Hepatology 2 Flashcards

1
Q

Measures amount of time the blood takes to form a clot. CLIA waved test. Blue top tube

A

Prothrombin time (PT)

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2
Q

Critical element in production of prothrombin time

A

Vitamin K

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3
Q

Rate at which RBCs settle out of anticoagulant blood specimen after 30 minutes (mm/hr)

A

ESR- erythrocyte sedimentation rate

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4
Q

Abnormal condition of increased # of RBC

A

Polycythemia

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5
Q

Sickle shaped, caused by inherited Hgb-S molecule

A

Sickle cell

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6
Q

All blood elements show decrease, inability to produce cells in bone marrow

A

Aplastic

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7
Q

Deficient in vitamin B12/intrinsic factor is lacking cells appear enlarged and fragile

A

Pernicious

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8
Q

Increase in reticulocytes in peripheral blood due to RBC destruction caused by inherited thalassemia

A

Thalassemia and hemolytic

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9
Q

Most common type of anemia, inability to build healthy hgb caused by blood loss/inadequate iron in diet

A

Iron deficiency

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10
Q

Abnormal increase in # of WBC

A

Leukocytosis

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11
Q

Low WBC count, abnormal ( sign of aplastic anemia, HIV, chemo)

A

Leukocytopenia

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12
Q

Atypical reactive lymphocytes

A

Mononucleosis

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13
Q

Abnormal decrease in # of WBC

A

Leukopenia

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14
Q

Various cancers of WBCs

A

Leukemia

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15
Q

ALL

A

Acute lymphocytic leukemia (sudden onset)

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16
Q

CML

A

Chronic myeloid leukemia (ongoing)

Affects lymphoblasts

17
Q

Microhemarocrit lab procedure

A

2 capillary tubes
Counter balance and centrifuge for 5 minutes
Capillary results should be within 2% of eachother

18
Q

Hematocrit tubes

A

Contain heparin

19
Q

Spun hematocrit tubes

A

Yellow-plasma
Buffy coat (WBC & platelets)
Orange- RBC
Bottom-clay/seal

20
Q

CBCs

A

Consist of 7 lab tests

21
Q

Cou noted and reported in millions per cubic millimeters million/mm3

A

RBC total count

22
Q

% of packed RBC

A

Hematocrit- HCT

23
Q

amount of hemoglobin released released after RBCs have been hydrolyzed. RBC is measured

A

Hemoglobin- Hgb

24
Q

RBC indices- what are they used to diagnose and ratio elements

A

Causes of anemia and polycythemia

25
Mean (average) cell hemoglobin concentration hgb/Hct
MCHC
26
Mean cell hemoglobin hcb/rbc
MCH
27
Hct/rbc
MCV
28
Thousands per cubic millimeter
WBC total count
29
% of each type compared to reference values 5 WBC/ leuekocytes
Differential count
30
Approximation on stained slide or by automated instrument | Expressed in hundreds of thousands per cubic millimeters
Platelets
31
Normal reference range for hemoglobin
Men: 14-18g/do Female: 12-16 g/dL
32
Normal reference range for ProTime/INR
12-18 seconds PT | 2-2.5 INR
33
Normal reference range for ESR
0-20 mm/hr
34
Normal reference range for hematocrit
Men: 42-52% Female: 36-45%
35
Screening tests for PT
Patient lacks clotting factor Liver disease Vitamin k deficiency