Pack Flashcards

1
Q

What are some of the physical findings of anemia?

A

Pallor (pale palms)

koilonychia : spoon shaped nails
Angular stomatitis (Breaking down of tissues of the sides of the lips)

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2
Q

What is a physical sign of Iron deficiency?

A

Kolionychia

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3
Q

What is a physical sign of Hemolytic anaemia?

A

Jaundice (yellow skin)

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4
Q

What is a physical sign of Sickle cells?

A

leg ulcers

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5
Q

What is a physical sign of thalasemia?

A

Bone deformities

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6
Q

What are the 1st line investigations

A

CBC
Reticulocyte count

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7
Q

What are the 2nd line investigations

A

Hb electrophoresis
Serum Fe,
TIBC ,
Ferritin,
B 12 and folate
*Bone marrow examination

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8
Q

What is hematocrit?

A

a measurement of the proportion of blood that is made up of red blood cells.

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9
Q

What is the MCV

A

Mean cell volume (measure cell volume)

The average size of RBC’s

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10
Q

What is a normocytic, microcytic, and macrocytic anemia.

A

normocytic: MCV: normal Hemoglobin: low

microcytic:MCV: low Hemoglobin: low

macrocytic: MCV: high Hemoglobin: low

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11
Q

What is MCH

A

MCH “Mass of cells hemoglobin”

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12
Q

What is normochromic and hypochromic?

A

MCH = Low = hypochromic
MCH = normal = normochromic

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13
Q

What is MCHC?

A

MCHC (measure cell hemoglobin concentration)

a measurement of the amount of hemoglobin a red blood cell has relative to the size of the cell.

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14
Q

What is RDW?

A

The standard deviation of the MCV (differences in size of the rbcs)

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15
Q

Give me an example of a condition with high anisocytosis

A

Iron deficiency anemia

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16
Q

What is anisocytosis

A

High RDW is high anisocytosis

and vice versa

17
Q

What are hemolytic anemia?

A

RBCs break down before the 120

18
Q

What do all hemolytic anemias share in common?

A

all have elevated reticulocyte count

bc the bone marrow is trying to compensate the early death of RBCs

19
Q

What does Microcytic, Hypochromic anemia incude?

A

Microcytic, Hypochromic anemia incudes
1. {{c1::Iron deficiency}}
2. {{c2::Anemia of chronic disease}}
3. {{c3::Thalessemia}}

20
Q

What are some Normocytic Normochromic anaemias

A

Acute blood loss
Anemia of renal failure

21
Q

Example of Macrocytic anemias?

A

Megaloblastic anemia
* B12/ Folate deficiency

22
Q

What is hypoprolifertive anemia?

A

When hemoglobin and reticulocyte is low

23
Q

What is hyperprolifertive anemia?

A

When hemoglobin is low and reticulocyte count is high

24
Q

What is aplastic anemia?

A

Anemia where hematopoetic stem cells are destroyed (bc they became like plastic so they are fragile)

25
Q

What is pancytopenia?

A

Where platelets, rbcs, and wbcs are low. BC they are all on the pan.

26
Q

What are Hyperproliferative anaemias?

A

hemolytic anaemias (bc it happens after the cell has been formed)

Hereditary causes: thalassemia or sickle cell disease or G6PD deficiency

Acquired causes: immune hemolytic anemia