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lifespan of RBC, platelets |
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Definition
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dense granules -- ADP, Ca2+ (activates coag cascade) alpha granules -- vWF, fibrinogen |
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Definition
GpIb -- vWF (and vWF to collagen) GpIIb/IIIa -- fibrinogen |
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Definition
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lysozyme myeloperoxidase (turn pus green!!) lactoferrin (binds iron) |
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Definition
CILK C5a, IL-6, LB4, Kallikrein |
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major basic protein -- can cause direct tissue damage!! histaminase/arylsulfatase -- limit mast cells |
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NAACP Neoplastic!! Asthma Allergic processes (attracted by mast cell's eosinophilic chemotactic factors!!) Collagen vascular disease!! Parasites |
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heparin histamine eosinophilic chemotactic factors |
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majority of circulating lymphocytes are... |
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which blood type can --> fetal hemolysis |
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where coag factors are synthesized |
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Definition
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intrinsic pathway -- how measured, factors involved |
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Definition
PTT all factors EXCEPT VII and XIII |
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Term
extrinsic pathway -- how measured, factors involved |
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Definition
PT I, II, V, VII, X tissue factor |
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Definition
II = thrombin I = fibrinogen |
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inactivated by antithrombin |
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Definition
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anti-phospholipid syndrome -- PT, PTT |
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Definition
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Definition
IL-1, IL-6, TNF-alpha --> fibrinogen!! |
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Definition
polycythemia??, sickle cell, CHF??, microcytosis, hypofibrinogenemiaa |
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Definition
liver disease abetalipoproteinemia |
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Definition
TAIL (without I) Thalassemias Anemia of chronic disease Lead poisoning |
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Definition
megaloblastic anemia, marrow failure!! |
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HS, autoimmune hemolysis!! |
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Definition
bone marrow infiltration (i.e. myelofibrosis) |
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HALT said the hunter to his target HgC Asplenia!! Liver disease!! Thalassemia |
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Definition
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Definition
1. iron def anemia 2. esophageal web 3. atrophic glossitis |
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1 -- silent carrier 2 -- trait 3 -- HbH disease (beta4) 4 -- hydrops fetalis (Hb Barts -- gamma4) |
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"crew-cut" on skull x-ray |
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Definition
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Definition
point mutations --> dec. beta-globin synthesis 1 -- minor (high HbA2 -- alpha2delta2; high HbF -- alpha2gamma2) 2 -- major |
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Term
lead poisoning -- symptoms, treatment, where do you work? |
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Definition
LEAD, SUCks to be a kid that eats lead Lead Lines (gingivae = Burton's lines; epiphyses) Encephalopathy, Erythrocyte basophilic stippling Abd coli, sideroblastic Anemia Drops (wrist and foot), Dimercaprol and EDTA for treatment Succimer for kids treatment
battery, ammunition, radiator factories |
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Term
treatment for sideroblastic anemia |
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Definition
B6!! cofactor for delta-ALA synthase!! |
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Definition
folate -- high homocysteine, normal methylmalonic acid B12 -- high homocysteine, high methylmalonic acid |
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Term
non-megaloblastic macrocytic anemias |
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Definition
liver disease alcoholism reticulocytosis 5-FU, AZT, hydroxyurea |
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Term
intravascular hemolysis vs. extravascular hemolysis |
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Definition
intra -- low haptoglobin, hemoglobin in urine extra -- high unconj bili, jaundice |
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Definition
anemia of chronic disease |
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Term
viruses causing aplastic anemia |
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Definition
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Term
hemolytic anemia in a newborn |
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Definition
pyruvate kinase def -- can't make enough ATP to maintain RBC structure --> removed by spleen!! |
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Definition
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paroxysmal nocturnal hemoglobinuria |
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Definition
impaired GPI synthesis --> can't hold CD59, CD55 |
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Definition
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Definition
warm -- IgG, auto-immune stuff (SLE, CLL), drugs cold -- IgM, infection (acute) or neoplasm (chronic, CLL) |
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Term
direct vs. indirect Coombs |
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Definition
direct -- detect Ig on RBC indirect -- detect Ig in serum |
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Term
hemochromatosis vs. sideroblastic anemia |
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Definition
BOTH: high iron
hemochromatosis -- high ferritin, low TIBC sideroblastic anemia -- nml ferritin, nml to low TIBC |
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Definition
tests fibrinogen/thrombin |
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Definition
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Definition
decreased Gp1b low platelet count (giant platelets -- stick to each other, but not to collagen!!, too big to count!!) |
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Term
Glanzmann's thrombasthenia |
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Definition
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Definition
anti-GpIIb/IIIa antibodies low platelet count (removed by spleen) |
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Definition
ADAMTS13 (vWF metalloprotease) def. low platelet count b/c aggregate (lots of vWF) and used up (thrombosis) |
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Term
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Definition
STOP Making New Thrombi Sepsis Trauma Obstetric Pancreatitis Malignancy Nephrotic syndrome Transfusion |
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most common cause of hypercoagulability |
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Definition
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protein C activated by... |
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Definition
thrombomodulin (from endothelial cells) |
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Term
pro-aggreggation and anti-aggreggation prostaglandings |
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Definition
pro - TxA2 from platelets anti - PGI2 (prostacyclin) from endothelial cells |
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Definition
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prothrombin gene mutation |
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Definition
increased plasma prothrombin levels --> hypercoag |
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Term
increased risk of arterial AND venous thrombosis |
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Definition
homocystienuria, anti-phospholipid antibody syndrome |
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Definition
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what's in cryoprecipitate |
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Definition
fibrinogen, VIII, XIII, vWF |
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Term
electrolyte changes with blood transfusion |
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Definition
hypocalcemia -- citrate is calcium chelator hyperkalemia -- lysed RBCs |
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Term
leukemoid reaction vs. CLL |
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Definition
CLL -- low leukocyte alk phos; monoclonal leukemoid reaction -- high leukocyte alk phos; polyclonal |
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Definition
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Hodgkin's vs. non-Hodgkins -- who gets it -- where/spread -- B signs |
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Definition
Hodgkin's -- EBV, bimodal; localized with continguous spread, lots of B symptoms non-Hodgkins -- HIV/immunosuppression, mutiple with extranodal and noncontinguous spread, fever B symptoms |
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Hodgkin's lymphoma types, prognosis, most common? |
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Definition
nodular sclerosing -- excellent prog; most common lymphocyte-predominant -- excellent prog lymphocyte-rich -- intermediate prog mixed cellularity -- intermediate prog lymphocyte depleted -- poor prog
** Reed-Sternberg cells bad ** lymphocytes good! |
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Definition
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Definition
Endemic/African -- jaws Sporadic/American -- pelvis/abd
"starry-sky", proliferation rate (Ki-67 fraction) ~100%!! |
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Term
non-Hodgkin's B-cell lymphoma types |
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Definition
Burkitt's -- t(8;14), c-myc Diffuse large B-cell Mantle cell -- t(11;14), cyclin d1 Follicular -- t(14;18), bcl2 Marginal/MALToma -- t(11;18) |
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Definition
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Definition
adult t-cell lymphoma -- HTLV-1 mycosis fungoides/Sezary syndrome -- CD4+ |
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multiple myeloma vs. Waldenstrom's macroglobulinemia vs. MGUS |
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Definition
MM -- IgG or IgA Waldenstroms -- IgM (--> hyperviscosity like retinal vasc dilation with blindness!); no lytic lesions MGUS -- MM with no symptoms |
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most common malignancy in kids |
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t(15;17) Auer rods -- peroxidase + all-trans retinoic acid DIC |
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Definition
t(9;22), bcr-able low leukocyte alkaline phosphatase blast crisis |
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Definition
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Definition
Langerhans cell histiocytosis, T cells |
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polycythemia vera, essential thrombocytosis |
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Definition
increased sensitivity to growth factors |
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Definition
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activates GpIb von Willibrand's disease -- poor platement adhesion in presence of retocin |
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why reticulocytes are blue |
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Definition
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Definition
thymoma lymphocytic leukemias parvovirus |
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