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Plasma makes up what percent of total blood volume? |
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Erythrocytes account for ___% of total blood volume. WBC & platelets make up ___% |
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What are the hematopoittic tissues and organs? |
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Definition
Spleen Lymph nodes thymus bone marrow liver reticuloendothelial System |
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When does hematopoiesis begin? |
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Definition
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Hamatopoeisis from stem cell to erythrocyte |
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Definition
Stem cell megaloblast erythroblast normoblast reticuloblast erythrocyte |
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What is the life span of an RBC? |
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What is it called if you have too many RBC's? |
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MCV (mean corpsular value) |
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MCH (mean corpuscular hemoglobin) |
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MCHC (mean corpuscular hemoglobin concentration) |
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What do you look at on a CBC to decide if there is an anemia? |
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Definition
RBC Hgb Hct (these three make the blood indices) |
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Normal RBC Normal Hgb Normal Hct |
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Low RBC and/or Low Hgb and/or Low Hct |
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Anemias are classified by what two features? |
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The AKA for hyperchromic anemia |
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MC anemia based on cell size |
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Chronic GI tract bloodloss |
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Microcytic hypochromic anemias will have... |
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Definition
decreased RBC and/or Hgb and/or HCT
Decreased mcv, decreased mch and decreased mchc |
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Term
Five most common microcytic hypochromic anemias |
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Definition
1. IDA 2. CBL (an IDA) 3. Thalassemia (Coolys) 4. ACD (anemia of chronic disease) 5. ARD (renal DS) |
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Term
What is the best way to differentiate MCHC Anemias? |
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Definition
TIBC (total iron binding capacity) Don't forget history and clinical presentation |
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What MCHC anemias have high TIBC? |
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What MCHC anemia has normal TIBC? |
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What MCHC's have low TIBC? |
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Definition
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How much of the bodies iron is in the RBC line? |
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Definition
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What are the forms of storage iron? |
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Definition
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Acute blood loss results in a ___ anemia |
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Definition
a normocytic normochromic anemia |
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The body stores __ to __ grams of iron |
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Definition
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How much iron from your diet are you likely to absorb (%)? |
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Normal iron loss is __ g/day |
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Alpha thalassemia is seen primarily in people from ___ and ___. Beta thalassemia is seen primarily in people of ____. |
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Definition
China and southeast asia mediteranian |
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Term
Increased MCV, Normal/increased MCH, and Normal/Increased MCHC |
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Definition
Macrocytic normochromic/hyperhromic anemias |
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Term
What are the four differentials for MC anemias? |
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Definition
1. B12 deficiency 2. Folic acid deficiency 3. Liver disease 4. Alchoholism |
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Term
Megaloblastic anemias are the MC anemias caused by... |
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Definition
folic acid deficiencies (50%) B12 deficiencies (50%) |
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Nonmegaloblastic MC anemias are caused by |
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Definition
liver disease and alchoholism |
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What is the most common category of macrocytic anemia? (megaloblastic vs nonmegaloblastic) |
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Definition
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It your MC anemia is a B12 deficiency, it is most likely due to _____ and it is called ____. |
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Definition
Lack of intrinsic factor pernicious anemia. |
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What percent of pernicious anemia patients die of ____? |
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Definition
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Term
3 most common causes of B-12 deficiency |
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Definition
1. Deficiency of IF 2. Lack of gastric acid necessary to separate B-12 from binding proteins 3. Malabsorption caused by intestinal diseases |
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Term
Lemon yellow skin, premature graying, sore tongue, and diarrhea are symptoms of |
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Definition
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Vitamin B-12 deficiency caused by gastric mucosa failure to secrete intrinsic factor |
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Definition
Decreased production of RBC's and Platelets Can be caused by chemotherapeutic agants, drugs, hereditary causes, radiation and infections. Poor prognosis |
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Definition
due to increased RBC destruction |
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Definition
Serious chronic hemolytic anemia Often fatal before 30 Hands and feet swell Normocytic Normochromic |
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Absolute increase in all cell types (RBC, WBC, platelets) |
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Definition
Polycythemia Vera (primary) |
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RBC mass remains unchanged Decrease in plasma volume |
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Definition
erythrocyte sedimentation rate measures the rate that the RBC's settle in saline or plasma in 1 hour |
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CRP Indicates acute inflammatory reaction Increases sooner and returns faster than ESR |
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Definition
neutrophils eosinophils basophils |
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Combat pyogenic infections |
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Definition
fight allergies and parasitic infections |
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Fight parasitic infection |
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10-18 WBC's usually due to... (5-10 is normal range) |
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20-30 WBC most likely due to... |
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Definition
hot abdomen, such as appendicitis, pancreatitis etc. |
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30-50 WBC likely due to... |
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Segs primarily respond to... |
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Bands primarily respond to.. |
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Lymphocytes primarily respond to... |
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Definition
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Eosinophils primarily respond to... |
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Definition
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Inverted ratio (lymph>segs) seen in |
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Definition
Viral infections lymphocytic leukemia <9 year olds |
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Leukemias are classified as... |
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Definition
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Increase in immature cells is called a |
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Presence of ___ and/or ___ suggest a leukemia is acute. |
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Definition
Blasts Pros (promyelocytes-primitive cells) |
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Definition
unregulated accumulation of immature cells Left shift bleeding, splenomegaly, hepatomegaly |
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Greater than 50,000 WBC yada yada yada... 5 metas, 5 myelo, 5 pros, 5 blasts |
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Definition
AML Acute Myelocytic Leukemia has both blast and pros |
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Greater than 50,000 WBC yada yada yada 5 E-metas, 5 E-myelo, 5 E-pros, and 5 E-blasts |
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Definition
AEL Acute eosinophilic leukemia rare |
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Greater than 50,000 WBC yada yada yada 5 L-blasts |
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Definition
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Presence of ____ equals hodgkin's lymphoma |
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Malignant proliferation of plasma cells is ____. |
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