PATH 181 correlations Flashcards
1
Q
Acute Bleed RBC HB HCT MCV MCH MCHC RDW Morphology ret count Type of anemia
A
RBC=decreased Hb=decreased HCT=decreased MCV=normal MCH=normal MCHC=normal RDW=normal Morph=normal Ret count= increased Anemia=normocytic/normochromic
2
Q
Iron Def WBC RBC HB HCT MCV MCH MCHC RDW PLT morph ret count serum iron TIBC transferrin ferritn anemia
A
WBC=normal RBC=decreased HB=decreased HCT=decreased MCV=decreased MCH=decreased MCHC=decreased RDW=increased PLT=variable morph=hypocrhomia, micrsocytosis, ansiocytosis ret count=normal serum iron=decreased TIBC=increased Transferrin=decreased Ferritin=decreased Anemia=Microcytic/hypochromic
3
Q
Megaloblastic Anemia WBC RBC HCT Hemoglobin MCH MCV MCHC RDW ret count morph neutrophils PLT serum iron inconjugated bilirubin LD serum b12 folic acid serum homocysteine urine urobilinogen urine bilirubin Anemia
A
WBC= normal RBC=decreased HCT=decreased Hemoglobin=decreased MCH=normal MCV=increased MCHC=normal RDW=increased ret count= decreased morph=megaloblasts neutrophils=hypersegmented and enlarged PLT=normal to decreased serum iron=increased unconjugated bilirubin=increased LD=increased Serum B12=decreased Folic acid=decreased Serum homocysteine=increased urine urobilinogen=increased urine bilrubin=negative Anemia=Macrocytic/normochromic
4
Q
What type anemia is aplastic anemia?
A
normochromic/normocytic
5
Q
What type of anemia is sickle cell anemia?
A
normocytic/normochromic
6
Q
What type of anemia is Thalassemia?
A
microcytic/hypochromic
7
Q
What type of anemia is hemolytic disease of newborn?
A
normocytic/normochromic
8
Q
What type of anemia is immune hemolytic anemia?
A
normochromic/ normocytic
9
Q
Hemochromatosis HB serum iron and ferriton Transferrin saturation TIBC genetic tests
A
HB-increased serum iron and ferritin=increased transferrin sat=increased TIBC=decreased gentic tests=positive
10
Q
Mono WBC Lymph RBC platelets LD,AST,ALT, bilirubin heterophile antibody test EBV IgM IgG
A
WBC=decreased Lymph=increased RBC=normal Platelets=normal LD,AST,ALT, bilirubin=increased heterophile antibody test=positive EBV=positive IgM=increased early IgG=increased later
11
Q
multiple myeloma Blood: Pancytopenia ESR anion gap calcium uric acid urea,creatinine total protein Albumin monoclonal immunoglobin B2 microglobulin Urine: bence jones Albumin Microscpoic
A
Pancytopenia=normocytic normochromic ESR=increased Anion gap=decreased Calcium=increased Uric acid=increased Urea,creatinine=increased Total protien=increased Albumin=decreased Monoclonal=increased B2=increased Urine; bence jones=positive Albumin:increased Micrscopic: hyaline casts tubular epithelial casts
12
Q
Hemo A and B PT APTT PLT count Bleeding time Factor VIII Factor IX
A
PT=normal APTT=prolonged PLT=normal Bleeding time=normal Factor 8/9= decreased
13
Q
Von Willebrands PT PTT PLT count PLT function Bleeding time
A
PT=normal PTT= normal or prolonged PLT= normal PLT function= variable Bleeding time= prolonged
14
Q
DIC PT PTT Platelets D-Dimer Fibrinogen RBC LD inconjugated bilirubin Free haptoglobin
A
PT=prolonged PTT=prolonged Platelets=decreased D-Dimer=postive Fibrinogen= decreased RBC=decreased -schisocytes LD=increased -intravascular hemolysis unconjugated bilrubin=increased Free haptoglobin=decreased
15
Q
Gomerulonephritis: Nepthritic Blood: WBC RBC ESR NA,K,Cl, HCO3 total calcium ionized calcium urea creatinine lipids albumin Urine: GFR volume osmolality urea/creatinine MIcroscpoic exam: RBC WBC Casts Appearance
A
Blood: WBC= normal increased RBC=decreased ESR=increased Lytes=normal total calcium=normal ionized calcium=normal Urea,creatinine=increased lipids=normal albumin=decreased Urine: GFR= decreased volume=decreased osmolatlity=increased urea/creatinine=decreased microscopic=dysmorphic WBC=increased Casts= RBC appearance= murky brown
16
Q
Gomerulonephritis: Nepthrotic Blood: WBC RBC ESR NA,K,Cl, HCO3 total calcium ionized calcium urea creatinine lipids albumin Urine: GFR volume osmolality urea/creatinine MIcroscpoic exam: RBC WBC Casts Appearance
A
WBC=increased RBC=decreaed ESR=increased lytes=normal total calcium=normal ionized calcium=normal urea, creatinine=increased lipids=increased Albumin=decreased urine: GFR=decreased volume=decreased Protein=increased osmolity=increased urea/creatinine=decreased WBC=increased Casts=fatty casts Oval fat bodies fat droplets
17
Q
Renal Tubular acidosis Blood: Na, K Cl pH Urine: Na, K pH Microscopic
A
Blood: Na, K=decreased Cl= increased pH=decreased Urine: Na,K= increased pH=increased microscopic= RBC, WBC, renal tubular cells
18
Q
Cystitis Blood Protein Leukocyte Nitrites
A
Blood= negative
Protein= negative
Leukocyte=postive
nitrites = positive
19
Q
Plyelonephritis Blood Protein leukovyte nitirtes SG
A
Blood= positive Protein=present Leukocyte=positive Nirtites=positive SG=decreased
20
Q
Renal Failure WBC RBC Na K Cl pH Mg Ca Albumin urea,creatinine
A
WBC= increased RBC=normal or decreased Na=normal or decreased K=increased Cl=increased pH=decreased Mg=increased Ca=decreased Albumin=decreased Urea,creatinine, uric acid=increased
21
Q
Renal Failure GFR Volume Na SG Albumin
A
GFR decreased Volume=decreased Na=increased SG=decreased Albumin=increased
22
Q
Heart failure WBC RBC Na, Cl, Protein, albumin AST, CK, LD GGT pO2 pCO2 Creatine, urea Urine Na, total volume BNP
A
WBC=increased RBC=increased Na, Cl, Protein, Albumin=decrease AST, CK,LD= increased GGT=increased pO2=decreased pCO2=decreased Creatinine, urea=increased Urine Na, Total volume= decreased BNP=increased
23
Q
Order of markers from forst etected to last
A
Myoglobin, troponin, CK, AST, LD
24
Q
Malabsorption Albumin/total protein Calcium Vit A,D,K,E Prothrombin time
A
Albumin=decreased
Calcium=decreased
Vit A,D,K,E= decreased
Prothrombin time=prolonged
25
Q
GI disease WBC RBC ESR Prothrombin time H,Na,K,Cl pH, CO2 Albumin Calcium
A
WBC=shift to left Prothrombin time=prolonged H, Na, K, Cl= decreased pH, CO2= increased Albumin=decreased Calcium=decreased
26
Q
Prehepatic RBC ret count inconjugated bilirubin Conjugated bilirubin Total bilirubin Urine urobilinigen Urine bilirubin Albumin LD AST ALT, GGT, ALP Prothrombin time B12, Folic acid
A
RBC=decreased ret count= increased Unconjugated bilirubin= increased Conjugated biliruibin= normal Tota; bilirubin=normal to increased Urine urobilinogen=increased Urine bilirubin=normal Albumin=normal LD=increased AST=increased ALT, GGT, ALP= normal Prothrombin time=normal B12, folic acid= decreased
27
Q
Hepatic RBC WBC Prothrombin time Urea Glucose total bilirubin, Conjugated and unconjugated Urine urobilinogen Urine bilirunin Albumin Globulin ALT,AST ALP LD GGT Ammonia cholesterol
A
RBC=normal or decreased WBC=normal to increased Prothrombin time=prolonged Urea=normal Glucose=normal Conjugated and uconjugated=increased Urine urobilinigen=increaed Urine bilirubin= normal to increased Albumin=normal to decreased Globulin=normal to increased ALT,AST= increased ALP= normal LD= increased GGT= increased Ammonia=normal or increased Cholesterol=normal or deceased
28
Q
Post hepatic WBC RBC Prothrombin time Urea Glucose Total bilirunbin, conjuated unconjugated bilirubin Urine urobilnogen Urine bilirubin Albumin Globulin ALT,AST ALP LD GGT amylase/lipase
A
WBC=normal RBC= normal Prothrombin time= normal Urea= normal Glucose= normal Total bilirubin, conjugated= increased Unconjugated= normal or increased Urine urobilinogen=decreased Urine bilinogen= increased Albumin=normal Globulin=normal ALT, AST= normal ALP=increased LD=normal GGT= increased Amylase/lipase= increased if pancreas
29
Q
Pancreatitis WBC ESR Amylase urine amylase Lipase Calcium Mg GGT, AST, LD ALT ALP T bilirubin
A
WBC= increased ESR= incrreased Amylase= increased Urine amylase= increased Lipase= increased Calcium= increased or decreased Mg= decreased GGT, AST, LD= increased ALT= normal ALP= normal T bilirubin
