Memorization Flashcards
Plasmin
Breaks down fibrin, fibrinogen and degrades coag factors
CD28
Molecule necessary for T cell activation
Factor V Leiden
Produces a factor V resistant to degradation by protein C –> hypercoaguable states!
Acanthocyte
Spiny RBCS seen in liver disease and abetalipoproteinemia
Basophilic stippling
Seen in thalassemia, anemia of chronic disease and lead poisoning
Bite cells
G6PD Deficiency
Burton’s line, Ab colic, foot/wrist drop, encephalopathy
Lead poisoning
X linked for deficiency in ALA synthase
Sideroblastic anemia
Child with megaloblastic anemia that can’t be cured with b12 or folate
Orotic aciduria
Mutation in uridine monophosphate
Fanconi’s anemia
DNA repair defect - cause of aplastic anemia
X-linked, back pain and hbglobinuria
G6PD defiency
Auto recessive, decreased ATP, rigid RBCs
Pyruvate kinase deficiency
Glu to Lys on B globin gene
HbC
Painful abdomen, port wine colored urine, polyneuropathy, psycho, precipitated by drugs
Acute intermittent porphyria
Accumulation of porphobilinogen, ALA, uroporphyrin
Defective porphobilinogen deaminase
Most common porphyria
Tea colored urine
Blistering cutaneous photosensitivity
Porphyria cutanea tarda
Defective uroporphyrinogen decarboxylase
Defect in GP1B
Bernard soulier
Defective platelet adhesion
Defect in GpIIa/IIIb
Glanzman’s thrombasthenia
Anti-GpIIa/IIIb antibodies
ITP
Deficiency of ADAMTS 13
TTP
T(8;14), c-myc
Burkitt lymphoma
T(11;14) , cyclin D1, CD 5+, associated with chronic inflammatory states
Mantle cell lymphoma
T(14;18), b-cl2
Follicular lymphoma
T(15;17)
M3 AML
T(9;22)
CML or ALL subtype
S100+, CD1a+, birbeck granules
Langerhans histiocytosis
Where does the upper body and lateral breast drain?
Axillary lymph nodes
What lymph nodes does the stomach drain to?
Celiac nodes
What lymph nodes do the duodenum, jejunum drain to?
Superior mesenteric
What lymph nodes does the sigmoid colon drain to?
Colic to inferior mesenteric
Which lymph nodes does the rectum drain to?
Internal iliac
Which lymph nodes does the anal canal drain to?
Superficial inguinal
Which lymph nodes do the testes,scrotum, superficial thigh drain to?
Superficial inguinal
Testes to superficial inguinal and then para aortic
Where does the lateral foot drain to?
Popliteal
What does the right lymphatic duct drain?
The right arm, right chest, right half of the head
Where are T cells found in the spleen?
In the periarterial lymphatic sheath within the white pulp
What are the encapsulated organisms?
Shin Skis Strep pneumo H. Flu Neisseria meningitidis Salmonella Klebsiella Group B strep
What can be seen postsplenectomy?
Howelljolly bodies
Target cells
Thrombocytosis
Where does the thymus originate from embryologically?
The 3rd brachial pouch
What does MHC I bind?
TCR and CD8
Which cells express MHC I?
All uncleared cells
What kind of immunity does MHC I mediate?
Viral
What does MHC II bind?
TCR and CD4
Which cells express MHC II?
APC Cells
Which disease is associated with HLA A3?
Hemochromatosis
B27
Psoriasis
Ankylosing spondylitis
IBD
Reiter’s syndrome - conjunctivitis, urethritis, arthritis