Microcyctic Anemia Flashcards

1
Q

What is the most common type of anemia

A

-iron deficiency anemia

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2
Q

What are the causes of iron deficiency anemia

A

-<supply (malnutrition and malabsorption as celiac disease)

->demand (pregnancy and growth)

-loss (chronic GI blood loss as peptic ulcer, meckel’s, ancylostoma duodenale, colon cancer, polyps)

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3
Q

What is the main symptoms of IDA

A

-fatigue
-exercise intolerance
-pallor
-koilonychia (HY)
-restless leg syndrome (HY)
-PICA (HY)

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4
Q

What is the triad of plummer vinson syndrome

A

-IDA
-esophageal web (dysphagia)
-glossitis (red buffy tongue)

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5
Q

What is the result of iron study of IDA
-serum iron
-ferritin
-TIBC
-TIBC saturation percentage

A

-decrease
-decrease
-increase
-decrease

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6
Q

In IDA, there is an increase of a specific lab test called

A

-free erythrocyte protoprophrine

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7
Q

What is the result of iron study of anemia of chronic disease
-serum iron
-ferritin
-TIBC
-TIBC saturation percentage

A

-decrease
-increase
-decrease
-decrease

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8
Q

What is the type of genetic autosomal in thalassemia

A

-autosomal recessive

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9
Q

What is the chromosome affected in alpha thalassemia

A
  • chromosome 16
    -alpha thalassemia occurs as the result of deletion of alpha gene in chromosome 16
    -thus it leads to less alpha production
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10
Q

What is the characteristic of alpha thalassemia 1

A

-alpha thalassemia minima
-asymptomatic (silent carrier)

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11
Q

What is the characteristic of alpha thalassemia 2

A

-alpha thalassemia minor
-mild

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12
Q

What is the characteristic of alpha thalassemia 3

A

-HbH (B4)
-moderate to severe

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13
Q

What is the characteristic of alpha thalassemia 4

A

-hemoglobin barts
-hydrops fetalis

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14
Q

What is the affected chromosome in beta thalassemia

A

-chromosome 11

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15
Q

What is the type of heterozygous beta thalassemia

A

-minor

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16
Q

What is the type of homozygous beta thalassemia

A

-intermedia
-major (cooley’s)

17
Q

What increases in beta thalassemia if Hb electrophoresis is done

A

-HbA2 and HbF

18
Q

What is the major characteristic found in beta thalassemia major

A

-hair on end (crew hair cut)
-hepatomegaly
-2ry hematochromatosis

19
Q

What happens to the blood count in thalassemia

A

-increase

20
Q

What is the causes of sideroblastic anemia

A

-X-linked genetic
-alcoholism
-B6 def.
-lead poisoning

21
Q

What is the peripheral blood smear finding in sideroblastic anemia

A

-basophilic stippling