Sample Questions Blood Disorders Flashcards
Oral manifestations of iron deficiency anemia
angular chelitis
atrophic glossitis
mucosal pallor
Plummer-Vinson syndrome
rare condition in middle aged Scandinavian women
chronic Fe deficiency
dysphagia, atrophic mucositis of aerodigestive tracts
predisposition to oral/esophageal SCC
RBCs in iron deficiency anemia
hypochromatic and microcytic
Clinical symptoms of pernicious anemia
fatigue, headache, breath shortness
paresthesia, tingling, numbness of extremities
burning/painful tongue, lips, and buccal mucosa
atrophic, pale, erythematous oral mucosa
loss of tongue filiform papillae
RBCs in pernicious anemia
macrocytic and hyperchromatic
Clinical symptoms of sickle cell crisis
extreme pain from ischemia and infarction
Most affected areas during sickle cell crisis
long bones, lungs, abdomen
Radiographic features of sickle cell anemia
step ladder trabeculation of posterior mandible
hair on end appearance of calvarium
Cause of thalessemia
decreased synthesis of alpha or beta globulin Hb chains
Age predilection of thalessemia
children and young adults
Clinical features of thalessemia
jaundice
fever
malaise
weakness
Maxillary enlargement in thalessemia is due to
bone marrow hyperplasia
Radiographic features of thalessemia
hair on end skull films
honeycombed appearance of trabeculae in jaws
RBCs in thalessemia
hypochromatic and microcytic
What is the risk of blood transfusions in thalessemia pateints?
hemochromatosis
Leukopenia is mainly due to a decrease in what WBC type?
neutrophils
Causes of agranulocytosis
idiopathic
congenital
drug related (chemo)
Oral manifestations of agranulocytosis
punched out, necrotic ulcerations of oral mucosa and tongue
Symptoms of agranulocytosis
malaise sore throat fever chills bone pain
Treatment of agranulocytosis
antibiotic therapy
bone marrow stimulating cytokines
cessation of drug if drug related
Cause of cyclic neutropenia
idiopathic
Oral clinical features of cyclic neutropenia
oral ulcerations on tongue, buccal mucosa, gingiva
severe periodontal disease in children
Clinical features of cyclic neutropenia
fever
malaise
sore throat
URIs
Leukocytosis
increased mature circulating WBCs
normal response to infectious diseases
Mono is cause by what virus? what cell types does it infect?
EBV infects epithelial cells and B lymphocytes
Oral manifestations of mono
vesicles and ulcerations on soft palate
Life threatening risk of mono
hepatosplenomegaly
Cell type in acute leukemias
immature blast cells
Cell type in chronic leukemias
well-differentiated WBCs
Genetic mutation implicated in leukemia
Philadelphia chromosome
Lab findings (CBC) in leukemia
decreased RBCs and platelets (thrombocytopenia)
normal to elevated WBCs
Oral manifestations of leukemia
hard/soft palate and gingival hemorrhages
hypertrophic, inflamed gingiva
candida and herpetic infections
gingival infiltrates