Lymphatic System and Anemias

Question 1

What is spleen palpable to umbilicus indicative of?

Answer 1

Hematologic pathology

Question 2

Does anemia cause nose bleeds?

Answer 2

No, but nosebleed can lead to anemia

Question 3

Exam findings in anemia?

Answer 3

■ Scleral icterus - yellow sclera, seen in hemolysis
■ Spoon nails and pica - signs of iron deficiency anemia
■ Paresthesias (sensation of tickling/pricking) and diarrhea - signs of megaloblastic anemia
■ Smooth tongue/glossitis

Question 4

What are Spoon nails and pica indicative of?

Answer 4

Signs of iron deficiency anemia

Question 5

What are Paresthesias/diarrhea indicative of?

Answer 5

Megaloblastic anemia

Question 6

What are Ecchymoses, hematomas, and hemarthroses indicative of?

Answer 6

Clotting factor dysfunction

Question 7

What are Petechiae indicative of?

Answer 7

Low platelets or dysfunctional platelets

Question 8

What do Purpura indicate?

Answer 8

Platelet or clotting factor dysfunction

Question 9

What does the horizontal lymph drain?

Answer 9

■ Superficial portions of lower abdomen/buttock
■ External genitalia (NOT the testes)
■ Anal and perianal area
■ Lower vagina

Question 10

What does the Epitrochlear drain?

Answer 10

• Ulnar surface of forearm and hand – little and ring fingers and adjacent surface of middle finger