rev Flashcards
Serum
= Plasma – (Fibrinogen, clotting factor II, IV, VII).
↓ plasma protein➝↑ permeability➝
edema
Albumin / Globulin ratio (A/G ratio): =
1.2 – 1.6
Size of RBCs :
7.5micro in diameter “variable”
Hb important buffer in blood as it contains
many amino acids histidine
Factors↑ erythropoietin:
(1) Hypoxia
(2) 3C: Catecholamine, corticosteroid, cobalt salts.
(3) 2A: Androgen, alkalosis.
(4) Growth hormone & thyroxine
Renal failure is associated with anemia that can be treated only by
erythropoietin
In………………………… the stem cells do not respond to erythropoietin
aplastic anemia
Iron is released from heme by
Heme oxygenase enzyme
Total body iron :
(4-5 g)
Plasma globulin (Transferrin) is …………. saturated.
35%
Vit. B12 Not synthesized in the body, so it’s called …………
extrinsic factor.
( ↓ RBCs↓ WBCs, ↓Platelet)
Pancytopenia
Macrocytic (↑ MCV) Hyperchromic (↑ MCH):
a- Vit. B12 deficiency
b- Folic acid deficiency
ABO system antibodies are …………….. type & can’t cross placenta
IgM
- Rh-antibodies “anti-D” are……………… type & can cross placenta.
IgG
Role of thrombin:
Conversion of fibrinogen to fibrin.
+ ve feedback through activation V, VIII.
Enhance platelet aggregation.
Activate factor XIII to stabilize fibrin.
Activate plasminogen into plasmin (fibrinolytic).
Functions of platelet:
Formation of platelet plug. Release chemical agents: - ADP - Serotonin, epinephrine, thromboxan A2 - Factor XIII stabilization of fibrin - Platelet factor 3 (catalyze clotting process) Induce clotting retraction.
Clothing factors not synthesized in liver:
a) IV (Ca2+).
b) XII from platelet.
c) IIII from tissue.
d) VWF
Action of protein C:
Inhibit V, VIII
Smooth endothelial lining of vessel ➝ prevent activation of
intrinsic pathway
Antithrombin III (heparin cofactor I):
causes inactivation of
factor IX, X, XI, XII, II
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