Rbc Flashcards
Extravascular Hemolytic anemia
Anemia splenomeg jaundixe
Anemia hb hburia hemosiderunria jaundice
Intravascular Hemolytic anemia
Hemolytic anemia
Normonlastss, reticulocytosis, cholelith
Morphology of Hemolytic anemia
Normochtic, normochromoic
Genetic of hereditary apherocytosis
Ad
Spheorid cell, less deformable
hereditary apherocytosis
Mutation of ankyrin band 3 /
Spectrin
hereditary apherocytosis
Congestion of cords of billroth inc # of cords of billroth, inc phagocytes in spleen
hereditary apherocytosis
Due to parvovirus b19
hereditary apherocytosis
Due to env mononuc
hereditary apherocytosis
Small dark nuclear remants preaent n rbc os asplenic pts
Howell jolly bodies in splenomegaly
Xnlinked recessive disorder, reduce ability rbc to protect themselves agaisnt oxidative ij and lead to hemolysis
G6pd
What infn causeG6pd
Biral hepa, pneumonia, typhoid fevery
Drugs cause G6pd
Antimalarial, sulfa, nitrofurantoin
Protective against malaria
G6pd
Rate lim of pp
G6pd
Reduce nadp to nadph
G6pd
Membrane bound precipitates in denatured globin chains
Heinz bodies
Rbcs wt damaged membranes
Bkte cells
Acute intravasculae hemolysis wrhin 2-3 days- anemia, hbnuria, hbnemia
G6pd
Recovery helarded by reticuloscytosis
G6pd
Autosomal recessive hemoglobinopathy, african
Sickle cell anemia
Small nuclear remannts in rbc dt asplenia
Howell jolly
Trapping of sickles cell leads to splenic fibrosis
Autosplenectomy
Dehydrated rbcs wt bulls eye appearance
Trget cells
Rbc like curved blades
Sickled cellt
Episode of hupoxid inj and infarct
Vasooclusive crisis
Massive entrapment of sickles crll leads to rapud splenic enlargemnt hypovolemia
Sequestration crisi
Infection of rbc progenitors by parvo b19
aastoc anemia
Inability to con urine
Hypostjenuria
Inc susceptibility wr encapsulated organis
Sickle cell
Prom cheeckbones, crewvut skull appearnce
Sickle cell
Best initial dx for sickle cell
Pbs
Dx gold standard
hb electropheresis
Doc fir sickle crll ania
Hydroxyurea
Chipmunk facies, crew cut skull, splenomegaly, hemochromotasosi
Thalassemia
Codixytes
Thalassemia
Basophilic stippling
Thalassemia
Microcytic hupochrmoic
Thalassemia
1 tx for hemochromatosi
Phleb
Id nonresponsive
chelation wt deferoxamine
Intravasculat hemolysis dt inc complement mediated rbc lysis
Pnh
Dx of pnh
Flow cytometry
Low rbc during sleep
Pnh
Rm temp death of rbc
Warma agglutinin
Death rbc by col
Cold aglutinin seen wt mycoplasma pn
Ig cold hot
Igm igg
Igg ti bloodw
Direct coombs
Normal rbc to pts serum
Indirect coombs
Rbc damaged thru passing narrowed vessels
Microangiopathic
Microangiopathic seen in
Dic, ttp, hus, sle
Morpho microangiopathic
Sccjistocytes, blur cell
Impairment if dna synt leads to distinctive morphologic chanes
Megaloblastic anemia
Morph of megaloblastic
Macoovalocyte if rbc, hypersegmented neutr
Diff deficiency if vit b12 folate👻
Neurologic sx🎅
Parasituc infxn of megaloblastuc
Diphy🎣
Tx 🎣
Prai
Caused by autoimmune gastritis and fec if
Pernicious anemia
Atrophy of fundic glands, intestinaluziation
Pernicious anemia
Shiny glazed beefy tongue
Pernicious anemia
Demyelination of dirsala nd lat tracts of sc
Pernicious anemia
Stage 1 scholling
Vit b12
Schilling stage 2
If
Low stage 1 nirmal stage 2
Pernicious anemia
Parasitic infxn lead to microcytic hypochromic anemia
Hookworms
Doc for hookworlms
Albendazole
Morpho ida
Disappearance if stainable iron fr macrophages in marrow in prissiona blu
S/sx o ia
Pica, plummer vinson syndrome ( esophageal webs, atrophic glossitis
Stimulate hepcidin
6
Reduce iron transerfr stirage pool to bone marriw
Hepsidin
Syndrome of chronic primary hematopoietic failure and atendant pancytopenia
Aplastic anemia
Ab cause idiosyncratzic aplastic anemia
Chloram
Chemical causes aplastic anemia
Benzene
Morph aplastic anemia
Hypocellular bm wt fat cells dry tap
Diff aa and myelodysplastic anemia
Mds has hypercellular
Selective hypoplasia of marriw erythroid. Normal granulpoiesis and thrombopoiesus
Pure red cella palsia
Plt less than 100,00
Thrombocytopeniat
Spont blleed
Caused bu antipaletelet antibidy
Itp
Sec to viral infxn
Ito
Morfo itp
Congestionnof sinusoids enlargement of follicles, megathrombocytes
Mist feared complication of itp
Intracranial bleed
Tx ito
Glucocorticoid, splenectomy, rituxab
Spectrum of ttp and hus
Thrombotic microangiopathis
Pentad if ttp
Fever, thrombocytopenia, mha, neuro def, renal failure
Triad hus
Microangiopathic hemolytic anemia, thrombocytopenia, renal failure
Def of adamst13
Ttp
Causes by shiga like toxin ehec
Hus
Inc bleeding time
Platelet dysfxn
Defective plt adhesion
Bernard soulier
Dec gp 2b-3a
Glanzman
Sx of bleeding + normal platelet
Vwd
Tx of vwd
Desmoprrssin
Most common life threatening assoc wt life threatening bleeding
Hemophilia a
Chrisas disease
Heophilia b
Acute, subacute or chronic thrombohemorrhaguc disorder
Dic
Causes of dic
Sepsis, trauma, obstetric comp, pancreetitis, malig, mephrotic synd, transfusion
Fibrin thrombi lead to massive adrenal hemorrhages
Water friderichsen synd
Post partum pituitary necrosi
Sheehan synd
Widespread microtjrombi onnplacenta
Toxemia n preg
Tests for dic
Fibrinogen, plt, pt/ptt, fibrin, degradation products
Premature destruction of rbc, elev erythropoeitin level. Accumulation of hb pro
Hemolytic anemia