Patient with a blood disorder Flashcards

1
Q

What is blood composed of?

A

55% plasma fluid and 45% formed elements

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2
Q

what does the 45% formed elements in blood consist of?

A

44% erythrocytes (RBC)

1% leukocytes (WBC)

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3
Q

what is plasma composed of?

A

90% water and 10% is plasma proteins, inorganic salts, gases, and substances being transported

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4
Q

What is the normal platelet count?

A

140,000 - 400,000/mm^3

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5
Q

What is the normal values of hemoglobin

A

12 to 17.2 g per mL depending on gender

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6
Q

What two groups are white blood cells divided into

A

granulocytes and the agranulocytes

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7
Q

Granulocytes

A

neutrophils, eosinophils, and basophils

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8
Q

Agranulocytes

A

lymphocytes, monocytes

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9
Q

These are active in the blood clotting mechanism

A

platelets

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10
Q

A reduction in red blood cells to a level below normal level for the individual
Oxygen carrying capacity to the cells is diminished

A

Anemia

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11
Q

Failing to produce intrinsic factor resulting in deficiency of vitamin B12

A

Pernicious anemia

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12
Q

An autosomal recessive trait that approximately 10% of african americans have

A

Sickle cell anemia

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13
Q

Crescent or sickle shape assumed by the erythrocytes when the defective hemoglobin loses oxygen

A

Sickle cell anemia

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14
Q

Readiographic findings of sickle cell anemia

A

Coarse trabecular pattern appearing as horizontal rows between teeth (step ladder) with large marrow spaces

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15
Q

Oral manifestations of sickle cell anemia

A
Necrosis of the dental pulp
Osteomyletis of the jaw
Enamel hypomineralization
Overgrowth of facial bones
Pallor of buccal mucosa
Numb chin syndrome
Facial and dental pain
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16
Q

Findings suggesting a blood disorder

A

Gingival bleeding, spontaneously or excessive
History of difficulty controlling bleeding
History of bruising easily with large ecchymoses
Numerous petechiae
Markes pallor of the mucous membranes
Atrophy of the papillae of the tongue
Persistant sore tongue (glossodynia)
Infections that do not respond to TX (candiasis)
Severe ulcerations (no response to TX)
Exaggerated gingival responses

17
Q

What are the plasma proteins

A

Albumin
Gamma globulins
Beta globulins
Fibrinogen and prothrombin

18
Q

Fibrinogen and prothrombin

A

clotting

19
Q

Albumin

A

Maintains tissue fluid pressure

20
Q

Gamma globulins

A

circulating antibodies

21
Q

Beta globulins

A

transports hormones, metallic ions, and lipids