RBC Flashcards
How do you asses acute blood loss
Reticulocytosis
When would you diagnose chronic anemia
Iron reserves are depleted
Clinical features of extravascular hemolysis
Anemia
Splenomegaly
Jaundice
Causes of intravascular hemolysis
Mechanical injury
Complement fixation
Intracellular parasites
Exogenous toxic factors
Morphologic intravasular hemolysis
EPO
Retic
Hemosiderosis
Pigment gallstones
Intrinsic defect
Autosomal dominant
Hereditary spherocytosis
What can triggered HS
Acute parvo virus infection
X linked recessive trait
Male affected
G6PD
Benefit of G6PD
Protection against plasmodium
What can trigger G6PD
Infections hep,pneumo and typhoid
Drugs
Fava beans
What can be seen with G6PD
Heinz bodies
Schistocytes
Spherocytes
Due to point mutation in the 6th codon glutamate to valine
Sickle cell diseasea
Major pathologic manifestation of SC
Chronic hemolysis
Mircovascular occlusion
Tissue damage
Most serious clinical feature of SC
Microvascular occlusion
Morphological feature of SC
Howell jolly bodies
New bone formation
Autosplenectomy
Treatment for Sequestration crisis and acute syndrome
Exchange transfusion
Acquired PIGA
PNh
Diagnosis and treatment of PNH
Flow cytometry
BM transplant
Causes by autoimmune gastritis and failure of IF production
Pernicious anemia
Clinical features of folate deficiency
cheilosis
Glossitis
Dermatitis
Common cause of Pure red cell aplasia
Parvo B19
Clinical features of IDA
CNS - Pica
Plummer vinson syndrome
Notable in Anemia of chronic disease
Increase hepcidin
Increase EPO in Polycythemia
Secondaey
Weak vessel walls
Scurvy and EDS
Due to hypersensitivity
Henoch schonlein purpura
Common under mucous membrane or epistaxis
Dilated tortuous blood vessels
Hereditary hemorrhagic telegiectasia
Weber osler rendu syndrome
Vessel wall abnormality that is common among amyloid light chain
Perivascular amyloidosis
When is spontaneous bleeding seen
20,000
IgG that are directed towards 2B-3A or 1b-1x
Thrombocytopenic purpura
Normal levels of ADAMTS13
HUS
Acquired platelet defects
Aspirin
Uremia
Assessment of vWF
Ristocetin test
VWF due to missense mutation
Type 1
Type of Vwf due to deletion or frameshift of both alleles
Type 3
Consumption of platelets, fibrin and coagulation
DIC
DIC to meningococcemia
Waterhouse friderichsen syndrome
Lab results of DIC
Increase PT PTT FDP