Physical assessment exam 3 Flashcards

1
Q

Blood counts:

-Variation in normal range due to age?

A

Young children have
high Lymphocytes
low Neutrophils

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2
Q

MCV

A

Mean corpuscular volume

  • Avg Size of the RBC
  • -helps define macro, normo, or micro anemias
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3
Q

MCH

A

Mean Corpuscular Hemoglobin

  • Avg weight of Hb in the RBC
  • -Seen in Hypochromic (hypochromia) Anemia
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4
Q

MCHC

A

Mean Corpuscular Hemoglobin Concentration

  • Hb concentration
  • -ALWAYS Low if Hypochromic anemia

*only HIGH in Hereditary spherocytosis

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5
Q

RDW

A

RBC Distribution Width

-RANGE of the RBCs (normal RBCs are very similar)

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6
Q

Macrocytic Anemia

  • Hb/Hematocrit
  • RBC
  • MCV
  • MCH
  • MCHC
A

Microcytic Anemia

  • Hb/Hematocrit- less
  • RBC - less
  • MCV - more
  • MCH - more
  • MCHC - normal
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7
Q

Causes of Macrocytic anemia

Causes (2)

A

Folate and B12 deficiency

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8
Q

Microcytic Hypochromic Anemia

  • Hb/Hematocrit
  • RBC
  • MCV
  • MCH
  • MCHC
A

Microcytic Anemia

  • Hb/Hematocrit - less
  • RBC - NORMAL
  • MCV - less
  • MCH- less
  • MCHC - less
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9
Q

Microcytic Hypochromic anemia caused by (3)

A

Microcytic Hypochromic anemia

  • Iron deficiency
  • Thalassemia
  • Chronic causes (uremia, Rheumatoid, infection)
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10
Q

Aniso
Poikilo
Hypochromia
Polychromasia

A

Size
Shape
pale
Blue

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11
Q

Normocytic Anemia

  • Hb/Hematocrit
  • RBC
  • MCV
  • MCH
  • MCHC
A

Normocytic Anemia

  • Hb/Hematocrit - less
  • RBC - less
  • MCV - NORMAL
  • MCH - NORMAL
  • MCHC - NORMAL
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12
Q

PHYSIOLOGIC REASONS for Leukocytosis (3)

A

Exercise
Stress (Emotions)
COLD (not virus)

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13
Q

Types of Pathologic Leukocytosis (5)

A
Neutrophilic
Eosinophilia
Lymphocytosis
Monocytosis
Basophilia
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14
Q

of WBC for Leukocytosis

A

10,000 or more in mm3

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15
Q

of WBC for Neutrophilic Leukocytosis

A

6,000 or more in mm3

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16
Q

1 cause of Nphil Leukocytosis

A

Bacterial infection

17
Q

Reasons for Eosinophilia (3)

A

Eosinophilic syndrome (a PRIMARY cause)

Allergic reactions (secondary)
parasitic infection (secondary)
18
Q

Causes of lymphocytosis (2)

A
LEUKEMIA
Viral infections (mononucleosis and hepatitis)
19
Q

causes of Monocytosis (2)

A

Cancers

autoimmunity

20
Q

causes of Basophilia

A

Myeloproliferative disorders: CML

CML: Chronic myelogenous Leukemia

21
Q

Causes of Neutropenia (Pathologic) (4)

A

Viral infections
HUGE Bacterial infections
Meds
Radiation

22
Q

Causes of Lymphopenia (4)

A

Chemo
Radiation
Aplastic anemia
Cancer

23
Q

Keys for further inspection for potential bleeder using med history (6)

A
  • Relatives
  • Post op bleeders
  • Excessive post trauma bleeders
  • Anticoagulative drugs
  • Antiplatelet drugs
  • Secondary drug side effects
24
Q

Tests used to find bleeders (6)

A
INR (coumadin only)
PFA 
PT
PTT
Platelet count
(CBC)
25
Q

Physical and oral cavity findings indicating possible bleeders (4)

A

Petechiae
Ecchymoses
Hematomas
Gingival bleeding (idiopathic)

26
Q

Acquired diseases causing bleeding disorders (5)

A
  • Liver
  • Leukemia
  • Uremia (severe Renal disease)
  • SLE
  • ?Malabsorption-syndrome?
27
Q

Drugs that INDUCE Thrombocytopenia as side effect (4)

A

Furosemide-Water pill
NSAIDS
Antibiotics
GOLD (arthritic treatment)

28
Q

Hemophilia B

A

Christmas factor loss

FACTOR 9

29
Q

Hemophilia A

A

“classic hemophilia”

FACTOR 8

30
Q

Another factor causing hemophilia

A

Factor 11

31
Q

von Willebrand disease effects what FACTOR and what other problem

A

Factor 8!

AND causes abnormal platelet function

32
Q

Affected by coumadin? Which factors (4)

A

2
7
9
10

33
Q

Intrinsic Factors (4)

A

8
9
11
12

34
Q

Extrinsic Factors (2)

A

TPA / Factor 3 Tissue Thromboplastin

7

35
Q

****Mark book for PT PTT INR PFA Platelet count etc

A

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