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Heme/Onc Buzzwords
Buzzwords in heme/onc phys and Pathophys for Step 1
67
Medical
Graduate
06/04/2010

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Cards

Term
Schilling Test
Definition
B12 Deficiency- determines cause
Term
Hypersegmented Neutrophil
Definition
B12 Deficiency
Term
Smooth Tongue
Definition
B12 Deficiency
Term
Basophilic stippling
Definition
Pb poisoning
the Pb impairs ribonuclease dysf(x) (among others) and ribosomes persist in RBCs
Term
Cooley's Anemia
Definition
Beta Thalassemia Major
causes sever hemolytic anema
Term
Hb Bart
Definition
Alpha Thalassemia w/ four gene deletions four gamma chains in Hb molecules
Incompatible with life
Term
Osmotic Fragility Test
Definition
Hereditary Spherocytosis
RBCs are fragile and burst in hypotonic solution
Term
Bite Cells
Definition
G6PD Deficiency
Result of spleen removing Heinz bodies
Term
Fava Beans
Definition
G6PD Deficiency- pts must avoid eating them
Term
[image]
Definition
Sickle Cell Anemia
Term
Howell Jolly Bodies
Definition
Loss of splenic macrophage f(x)
Post-splenectomy in:
Hereditary Spherocytosis
Sickle Cell Anemia
Term
Aplastic Crisis
Definition
Parvovirus B19 infx in pts w/:
1. Sickle Cell Anemia
2. Hereditary Spherocytosis
3. Paroxismal Nocturnal Hemoglobinuria
Term
Salmonella Osteomyelitis
Definition
Sickle Cell pts
Term
Acute Chest Syndrome
Definition
Sickle Cell Dz
- Vaso-occlusive crisis in lungs presenting w/ fever, cough, CP and pulm infiltrates
- May have fat embolus, pneumonia (S. pneumo, viral, or mycoplasma)
Term
Splenic Infarction/auto-splenectomy
Definition
Sickle Cell pts
Caused by a vaso-occlusive crisis in splenic vessels (no collateral supply)
Term
Hand-Foot Syndrome
Definition
Sickle Cell Dz
5-FU side effect
Dactylitis of the bones of the hands and feet
Term
Vaso-Occlusive Crisis
Definition
Sickle Cell Dz
Episodes of hypoxia or infarction caused by obstruction of small vessels by sickled RBCs.
Causes acute pain in areas that are involved.
Term
Sequestration Crisis
Definition
Sickle Cell Dz
Children w/ in tact spleens can have massive entrapment of sickle RBCs causing rapid splenic enlargment, hypovolemia, and sometimes shock.
Can be fatal.
Term
"Crew-Cut" Skull; "Hair on End" appearance
Definition
Sickle Cell Anemia, thalassemias
Appearance of skull due to erythroid hyperplasia (marrow expansion)
Term
[image]
Definition

"Crew Cut" Skull

Sickle Cell Anemia

Thalassemias

Term
Exposures for Farmers
Definition
Organophosphates poisoning (pesticides)
Term
Target Cells
Definition
Thalassemias (Dx on PBS)
Sickle Cell Anemia/hemoglobinopathy
Alcoholics
Term
[image]
Definition

Target Cells

Sickle Cell Anemia

Thalassemias

Chronic Alcoholism

Term
Schistocytes
Definition
Microangiopathic Anemia
Formed from mechanical damage caused by RBCs passing through a narrowed vessel.
Seen in DIC, TTP/HUS, SLE, malignant HTN.
Intravascular Hemolysis
Term
Reed-Sternberg Cells
Definition
Hodgkin's Lymphoma
CD30+ and CD15+
Term
Owl's Eye
Definition
Reed-Sternberg Cell's of Hodgkin's Lymphoma
Term
Starry Sky appearance
Definition
Burkitt's Lymphoma
Sheets of lymphocytes interspersed w/ non-neoplastic macs
Term
Smudge Cells
Definition
Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)
Term
Auer Rods
Definition

AML (Acute promyelocytic leukemia)

M2 and M3 Subtypes

Term
Tear Drop Erythrocytes/Dacrocytes
Definition
Myelofibrosis
Term
Punched-Out bone Lesions
Definition
Multiple Myeloma
Seen in skull and vertebrae
Term
[image]
Definition

Birbeck's Granules = Tennis Raquets

 

Histiocytosis X

 

Term
Birbeck's Granules
Definition
Histiocytosis X/Langerhans Cell Histiocytosis
Term
Osmotic Fragility Test
Definition
Positive in hereditary spherocytosis
Term
Helmet Cells
Definition
Microangiopathic Anemia
Formed from mechanical damage caused by RBCs passing through a narrowed vessel.
Seen in DIC, TTP/HUS, SLE, malignant HTN.
Intravascular Hemolysis
Term
Popcorn Cells
Definition
Hodgkin's Lymphoma- Lymphocytic predominance
Term
Blast Crisis
Definition
CML -> AML
Term
leonine facies
Definition
Sezary Syndrome
Term
Rouleau Formation
Definition
Multiple Myeloma
Agglutination of RBCs that look like stacked up poker chips on PBS
Term
Pt w/ hemorrhagic cystitis. What drug?
Definition
Cyclophosphamide
Term
White Eye Reflex/Lack of Red Reflex
Definition
MCC: 1. congenital cataract (can be due to congenital infx- CMV, rubella, etc.) 2. retinoblastoma
Term
Patches over knuckles (Cancer assoc)
Definition
Goltran's Patches- assoc. w/ dermatomyositis
Term
Sterile Vegetations on mitral valve (cancer assoc)
Definition
Marantic endocarditis (can embolize)
Mucus-secreting colon cancers
Term
AFP as Tumor Marker- What Cancers?
Definition
1. Yolk-Sack tumors/endodermal sinus tumors, certain types of testicular cancer, e.g.
2. Hepatocellular Carcinoma
Term
Leser-Trelat Sign
Definition

sudden appearance of numerous pigmented seborrheic keratoses

Gastric Adenocarcinoma

Term
Burr Cells
Definition
Normocytic Anemia in Chronic Renal Failure
RBCs w/ undulating membrane
Term
Dactylitis
Definition
Sickle Cell Anemia
Term
[image]
Definition
Howell-Jolly Bodies (G6PD)
Term
[image]
Definition

Basophilic Stippling 

Pb poisoning

Term
Echinocytes
Definition

Pyruvate Kinase Deficiency (PKD)

Thorny projections from RBC membranes b/c of dehydration of the cell

Term
Basophilia
Definition
Myeloproliferative d/o: Essential Thrombocythemia
Term
PT (Prothrombin Time)
Definition
Measures activity of Extrinsic P'way (I, II, V, VII and X)
Used to monitor Warfarin Tx
Term
PTT (Partial Thromboplastin Time)
Definition
Measures activity of Intrinsic p'way (I, II, V, VIII, IX, X, XI and XII)
Used to monitor heparin tx
Term
Vit K dependent factors
Definition
II, VII, IX and X
Term
[image]
Definition

Burr Cells

Due to damage from a deficiency in EPO caused by Chronic Renal Failure 

Term
[image]
Definition

Smudge Cells

CLL

Term
HbC
Definition
Mild hemolytic anemia
Caused by point mutation in beta globin gene (glu -> lys)
Term
Exposure for Lab Technician
Definition
CN poisoning
HA, Flushing, tachypnea, tachycardia, N/V, confusion, weakness
Term
Hemearthrosis
Definition
Hemophilia (usually A)
Factor VIII deficiency
Term
Drugs with agranulocytosis as Side Effect
Definition
Carbamazepine
Clozapine
PTU/methimazole
requires weekly WBC monitoring
Term
[image]
Definition

Bite Cells and Heinz Bodies (inset)

G6PD deficiency

Term
Cold agglutinins
Definition
Mycoplasma
IgM
Term
CTX that causes pulmonary fibrosis
Definition
Busulfan and Bleomycin
Term
CTX that causes hemorrhagic cystitis and antidote
Definition
Cyclophosphamide and mesna
Term
CTX that causes CHF-like cardiotoxicity
Definition
Dauno/Doxyrubicin
Term
CTX that is metabolized by xanthine oxidase
Definition
6-MP; be careful if also on allopurinol, but it will incrase the toxicity of 6-MP
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