New topics Flashcards
too much Fe is?
hemochromatosis
hemochromatosis heredity is?
Auto res
Skin hyperpigment, diabetes, ED could be?
hemochromatosis
hemochromatosis diag?
High FE, Ferritin sat. genetic testing
hemochromatosis tx?
phleb
hemochromatosis is associated with
cirrhosis, HCC, BRONZE diabetes, cardiomyopathy
Neutropenia is due to?
Phenothiazines, or chemo.
is HIV associated with Lymphocytopenia?
Yes
Multiple Myeloma can be casued by? its a dysplasti hematopoetic progenitor cell
Myelodysplasia
Myelodysplasia diag?
CBC, peripheral smear, biopsy
Myelodysplasia tx?
Transfusion, SCT (curative)
increased hgb, hct is?
Polycythemia
primery Polycythemia
myeloid cell proliferation
2nd Polycythemia
high alt
Jak2, shower pruritis, PLETHERA, visual changes (amarosus fugax), splenomegaly
Polycythemia
Polycythemia diag?
CBC, erythropoeitin
Polycythemia tx?
Phlebotomy (45% hct) ->splenectomy.
Polycythemia complications?
Thrombus, Budd chiari, acute myeloid leukemia
What is BUDD CHIARI?
Hepatic vein thrombus - splenomegaly and ascites due to fluid backup. + varices (anal, esophageal, caput medusa).
Mild allergi hypersensitivity rxn or febrile non-hemolytic.
Transfusion reaction
Acute rxn of Transfusion reaction is?
Taco = too much fluid Trali = immune rxn, pum edema
delayed rxn of Transfusion reaction is?
anamestic responce = immune responce
Transfer rxn tx?
stop transfusion
hemolysis - aggressive IV
Anaphylactic - epi, antihistamine.
intrinsic pathway factors are?
12,11,9,8- slow
Extrinsic pathway is?
7,5,10, thrombin, fibrin
Heparin antidote is?
Protamine sulfate
LMWH - -parin (xa) can cause? antidote?
renal failure
Protamine sulfate
warfarin. 1972 chevy silverado?
Vitamin K dependant
10, 9, 7, 2 Protein C and S
Warfarin can cause what problem?
Skin Necrosis
Direct thrombin inhibiters are?
dabigatron, argatroban
Direct thrombin inhibiters antidote is?
Idarucizumab - (direct dare)
Xa inhibiters -xabans CI?
pregnancy, bleeding.
Xa inhibiter antidote is?
AndeXanet
if you have a DVT or PE what is the tx?
Fondaparinux
ASA CI?
tinnitis + toxicity
and Reyes, Pregnancy, Metabolic acidosis
ADP inhibitor is?
Clopidegral
Clopidegral is used in?
NSTEMIs and unstable angina
Clopidegral CI?
TTP
tPA - plase + Urokinase
used up to 4.5 hours of strokes
CI is?
intracranial hemorrhage, AV malfomation, uncontrolled HTN, Neurosurg trauma (3 months)