Physical assessment exam 3 Flashcards
Blood counts:
-Variation in normal range due to age?
Young children have
high Lymphocytes
low Neutrophils
MCV
Mean corpuscular volume
- Avg Size of the RBC
- -helps define macro, normo, or micro anemias
MCH
Mean Corpuscular Hemoglobin
- Avg weight of Hb in the RBC
- -Seen in Hypochromic (hypochromia) Anemia
MCHC
Mean Corpuscular Hemoglobin Concentration
- Hb concentration
- -ALWAYS Low if Hypochromic anemia
*only HIGH in Hereditary spherocytosis
RDW
RBC Distribution Width
-RANGE of the RBCs (normal RBCs are very similar)
Macrocytic Anemia
- Hb/Hematocrit
- RBC
- MCV
- MCH
- MCHC
Microcytic Anemia
- Hb/Hematocrit- less
- RBC - less
- MCV - more
- MCH - more
- MCHC - normal
Causes of Macrocytic anemia
Causes (2)
Folate and B12 deficiency
Microcytic Hypochromic Anemia
- Hb/Hematocrit
- RBC
- MCV
- MCH
- MCHC
Microcytic Anemia
- Hb/Hematocrit - less
- RBC - NORMAL
- MCV - less
- MCH- less
- MCHC - less
Microcytic Hypochromic anemia caused by (3)
Microcytic Hypochromic anemia
- Iron deficiency
- Thalassemia
- Chronic causes (uremia, Rheumatoid, infection)
Aniso
Poikilo
Hypochromia
Polychromasia
Size
Shape
pale
Blue
Normocytic Anemia
- Hb/Hematocrit
- RBC
- MCV
- MCH
- MCHC
Normocytic Anemia
- Hb/Hematocrit - less
- RBC - less
- MCV - NORMAL
- MCH - NORMAL
- MCHC - NORMAL
PHYSIOLOGIC REASONS for Leukocytosis (3)
Exercise
Stress (Emotions)
COLD (not virus)
Types of Pathologic Leukocytosis (5)
Neutrophilic Eosinophilia Lymphocytosis Monocytosis Basophilia
of WBC for Leukocytosis
10,000 or more in mm3
of WBC for Neutrophilic Leukocytosis
6,000 or more in mm3