Polycythemia Flashcards
What is erythropoeitin
hormone produced by the kidneys that plays a crucial role in red blood cell production.
What is the cause of polycythemia vera
JAK2 mutation causes RBC production without the proper protein(erythropoietin)
Dx testing for polycythemia vera
Low erythropoietin and JAK2 +
Signs/symptoms of polycythemia vera
Headache, dizziness, visual disturbances, pruritis, splenomegaly
Cause of secondary polycythemia
1)Hypoxia
2)Erythropoietin stimulating tumora
3)physiologic response to ⬇️ O2 availability (high altitude, sleep apnea, ❤️ disease)
Signs/ symptoms of secondary polycythemia
Cyanosis and clubbing
Lab dx for secondary polycythemia
⬆️Hgb & Hct
⬆️erythropoietin levels
Cause of Relative polycythemia
Decrease plasma volume ie dehydration, burns, stress
What labs are used to dx relative polycythemia?
BUN >24
Specific gravity >1.03
RBC will be normal as the polycythemia is from the low volume