IM HemOnc - Rd 2 Flashcards
What is the Gold standard test to diagnose HIT?
Serotonin release assay
Empiric anticoagulation should only be started in what setting of a blood clot?
PE
NOT a DVT w/no symptoms of PE
Lupus anticoagulant (anti-phospholipid Ab) presents w/what lab abnormality?
Prolonged PTT
Treatment for TTP?
Plasma exchange
Middle-aged Pt that has hemolysis, cytopenias, and hypercoaguable state (portal vein thrombosis) has what?
PNH
Pt with blanching ruby-colored papules on the lips, unremitting epistaxis, increased Hct, has what?
AV shunting d/t Osler-Weber-Rendu (hereditary telangiectasia)
AD
Pt with mild hypercalcemia in the setting of metastatic breast cancer should be treated how?
Bisphosphonates
Pt that has blood transfusion and then develops DIC is d/t what etiology?
Acute hemolytic transfusion d/t ABO incompatibility
HIT can cause what unexpected problem?
Arterial thrombosis
OSA causes transient periods of hypoxia, what is the result?
Increased EPO
How do you diagnose CLL?
Shows what?
Flow cytometry
Clonalality of mature B cells
Pt that has ESRD, retinal hemorrhages, HA, and Very high HTN, what is going on?
D/t what?
HTN crisis
SE of EPO therapy
Pt that has unexplained ITP after all else has been ruled out, what else must you consider?
HIV
HepC
vWF deficiency presents w/what lab values?
Prolonged bleeding time
Inc PTT
What is a hemoglobinopathy?
Sickle cell or thalassemia