Shared Flashcard Set

Details

Random Heme/Onc
First Aid 2012 pp327-394
98
Medical
Graduate
02/07/2013

Additional Medical Flashcards

 


 

Cards

Term
lifespan of RBC, platelets
Definition
120 days, 8-10 days
Term
anisocytosis
Definition
varying size of RBCs
Term
pokilocytosis
Definition
varying shapes of RBCs
Term
platelet granules
Definition
dense granules -- ADP, Ca2+ (activates coag cascade)
alpha granules -- vWF, fibrinogen
Term
platelet receptors
Definition
GpIb -- vWF (and vWF to collagen)
GpIIb/IIIa -- fibrinogen
Term
CD14
Definition
macrophages
Term
neutrophil enzymes
Definition
lysozyme
myeloperoxidase (turn pus green!!)
lactoferrin (binds iron)
Term
neutrophil attractants
Definition
CILK
C5a, IL-6, LB4, Kallikrein
Term
eosinophil relesase
Definition
major basic protein -- can cause direct tissue damage!!
histaminase/arylsulfatase -- limit mast cells
Term
basophil releases
Definition
heparin
histamine
LTD4
Term
causes of eosinophilia
Definition
NAACP
Neoplastic!!
Asthma
Allergic processes (attracted by mast cell's eosinophilic chemotactic factors!!)
Collagen vascular disease!!
Parasites
Term
mast cells release
Definition
heparin
histamine
eosinophilic chemotactic factors
Term
"tennis racket" granules
Definition
Langerhans' cells
Term
CD19
Definition
B cells
Term
majority of circulating lymphocytes are...
Definition
T cells
Term
NK cells release
Definition
cytolysin
Term
most common blood type
Definition
O
Term
which blood type can --> fetal hemolysis
Definition
Rh negative
blood type O
Term
where coag factors are synthesized
Definition
all by liver EXCEPT VIII
Term
intrinsic pathway -- how measured, factors involved
Definition
PTT
all factors EXCEPT VII and XIII
Term
extrinsic pathway -- how measured, factors involved
Definition
PT
I, II, V, VII, X
tissue factor
Term
named factors
Definition
II = thrombin
I = fibrinogen
Term
inactivated by antithrombin
Definition
II, VII, IX, X, XI, XII
Term
anti-phospholipid syndrome -- PT, PTT
Definition
long PTT
Term
elevated ESR
Definition
IL-1, IL-6, TNF-alpha --> fibrinogen!!
Term
low ESR
Definition
polycythemia??, sickle cell, CHF??, microcytosis, hypofibrinogenemiaa
Term
acanthocyte
Definition
liver disease
abetalipoproteinemia
Term
basophilic stippling
Definition
TAIL (without I)
Thalassemias
Anemia of chronic disease
Lead poisoning
Term
macro-ovalocyte
Definition
megaloblastic anemia, marrow failure!!
Term
spherocyte
Definition
HS, autoimmune hemolysis!!
Term
teardrop cell
Definition
bone marrow infiltration (i.e. myelofibrosis)
Term
target cell
Definition
HALT said the hunter to his target
HgC
Asplenia!!
Liver disease!!
Thalassemia
Term
Heinz bodies
Definition
G6PD def, alpha-thal!!
Term
Plummer-Vinson syndrome
Definition
1. iron def anemia
2. esophageal web
3. atrophic glossitis
Term
alpha-thals
Definition
1 -- silent carrier
2 -- trait
3 -- HbH disease (beta4)
4 -- hydrops fetalis (Hb Barts -- gamma4)
Term
"crew-cut" on skull x-ray
Definition
beta-thal, sickle cell
Term
beta-thal
Definition
point mutations --> dec. beta-globin synthesis
1 -- minor (high HbA2 -- alpha2delta2; high HbF -- alpha2gamma2)
2 -- major
Term
lead poisoning -- symptoms, treatment, where do you work?
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
Term
treatment for sideroblastic anemia
Definition
B6!! cofactor for delta-ALA synthase!!
Term
folate vs. B12 def
Definition
folate -- high homocysteine, normal methylmalonic acid
B12 -- high homocysteine, high methylmalonic acid
Term
non-megaloblastic macrocytic anemias
Definition
liver disease
alcoholism
reticulocytosis
5-FU, AZT, hydroxyurea
Term
intravascular hemolysis vs. extravascular hemolysis
Definition
intra -- low haptoglobin, hemoglobin in urine
extra -- high unconj bili, jaundice
Term
high hepcidin
Definition
anemia of chronic disease
Term
viruses causing aplastic anemia
Definition
parvo, EBV, HIV, HCV
Term
hemolytic anemia in a newborn
Definition
pyruvate kinase def -- can't make enough ATP to maintain RBC structure --> removed by spleen!!
Term
HbC defect
Definition
glutamic acid --> lysine
Term
paroxysmal nocturnal hemoglobinuria
Definition
impaired GPI synthesis --> can't hold CD59, CD55
Term
sickle cell defect
Definition
glutamic acid --> valine
Term
warm vs. cold agglutinin
Definition
warm -- IgG, auto-immune stuff (SLE, CLL), drugs
cold -- IgM, infection (acute) or neoplasm (chronic, CLL)
Term
direct vs. indirect Coombs
Definition
direct -- detect Ig on RBC
indirect -- detect Ig in serum
Term
hemochromatosis vs. sideroblastic anemia
Definition
BOTH: high iron

hemochromatosis -- high ferritin, low TIBC
sideroblastic anemia -- nml ferritin, nml to low TIBC
Term
thrombin time
Definition
tests fibrinogen/thrombin
Term
bleeding time
Definition
platelet plug formation
Term
Bernard-Soulier disease
Definition
decreased Gp1b
low platelet count (giant platelets -- stick to each other, but not to collagen!!, too big to count!!)
Term
Glanzmann's thrombasthenia
Definition
decreased GpIIb/IIIa
Term
ITP
Definition
anti-GpIIb/IIIa antibodies
low platelet count (removed by spleen)
Term
TTP
Definition
ADAMTS13 (vWF metalloprotease) def.
low platelet count b/c aggregate (lots of vWF) and used up (thrombosis)
Term
causes of DIC
Definition
STOP Making New Thrombi
Sepsis
Trauma
Obstetric
Pancreatitis
Malignancy
Nephrotic syndrome
Transfusion
Term
most common cause of hypercoagulability
Definition
Factor V Leiden
Term
protein C activated by...
Definition
thrombomodulin (from endothelial cells)
Term
pro-aggreggation and anti-aggreggation prostaglandings
Definition
pro - TxA2 from platelets
anti - PGI2 (prostacyclin) from endothelial cells
Term
protein C and degrade
Definition
V and VIII
Term
prothrombin gene mutation
Definition
increased plasma prothrombin levels --> hypercoag
Term
increased risk of arterial AND venous thrombosis
Definition
homocystienuria, anti-phospholipid antibody syndrome
Term
what's in FFP
Definition
coag factors
Term
what's in cryoprecipitate
Definition
fibrinogen, VIII, XIII, vWF
Term
electrolyte changes with blood transfusion
Definition
hypocalcemia -- citrate is calcium chelator
hyperkalemia -- lysed RBCs
Term
leukemoid reaction vs. CLL
Definition
CLL -- low leukocyte alk phos; monoclonal
leukemoid reaction -- high leukocyte alk phos; polyclonal
Term
Reed-Sternberg
Definition
Hodgkin's
Term
Hodgkin's vs. non-Hodgkins
-- who gets it
-- where/spread
-- B signs
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
Term
CD30
Definition
Reed-Sternberg
Term
CD15
Definition
Reed-Sternberg
Term
Hodgkin's lymphoma types, prognosis, most common?
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!
Term
starry sky
Definition
Burkitt's
Term
Burkitt types
Definition
Endemic/African -- jaws
Sporadic/American -- pelvis/abd

"starry-sky", proliferation rate (Ki-67 fraction) ~100%!!
Term
non-Hodgkin's B-cell lymphoma types
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)
Term
CD5+
Definition
mantle cell, T cells
Term
T cell lymphomas
Definition
adult t-cell lymphoma -- HTLV-1
mycosis fungoides/Sezary syndrome -- CD4+
Term
multiple myeloma vs. Waldenstrom's macroglobulinemia vs. MGUS
Definition
MM -- IgG or IgA
Waldenstroms -- IgM (--> hyperviscosity like retinal vasc dilation with blindness!); no lytic lesions
MGUS -- MM with no symptoms
Term
Tdt+
Definition
ALL
Term
CALLA+
Definition
ALL
Term
ALL + mediastinal mass
Definition
T-ALL
Term
most common malignancy in kids
Definition
ALL
Term
smudge cells
Definition
CLL/SLL (usually B-cell)
Term
TRAP+
Definition
hairy cell (B-cell)
Term
AML
Definition
t(15;17)
Auer rods -- peroxidase +
all-trans retinoic acid
DIC
Term
CML
Definition
t(9;22), bcr-able
low leukocyte alkaline phosphatase
blast crisis
Term
Ewing's sarcoma
Definition
t(11;22)
Term
CD1a
Definition
Langerhans cell histiocytosis, T cells
Term
polycythemia vera, essential thrombocytosis
Definition
increased sensitivity to growth factors
Term
CD10
Definition
B cell
Term
CD2
Definition
T cell
Term
CD3
Definition
T cells
Term
CD4
Definition
Th cells
Term
CD8
Definition
Tc cells
Term
ritocin
Definition
activates GpIb
von Willibrand's disease -- poor platement adhesion in presence of retocin
Term
why reticulocytes are blue
Definition
residual rRNA
Term
pure RBC aplasia
Definition
thymoma
lymphocytic leukemias
parvovirus
Supporting users have an ad free experience!