14 morph Flashcards

(39 cards)

1
Q

normocytic normochromic

A

anemia of acute blood loss

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2
Q

RBCs small, hyperchromic, lacking central pallor

A

hereditary spherocytosis (HS)

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3
Q

Howell-jolly bodies

A

in asplenia?

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4
Q

Heinz bodies

A

G6PD

=dark inclusions visible with crystal violet

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5
Q

bite cells

A

G6PD

=as Mfs remove heinz bodies

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6
Q

Peripheral blood: irreversibly sickled cells, reticulocytosis and target cells d/t RBC dehydration

A

Sicklce cell anemia

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7
Q

chronically dehydrated, dense, rigid RBCs

A

SCA end stage

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8
Q

microcytic, hypochromic RBCs

A

B-thalassemia

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9
Q

RBCs relesed from BM have inclusions –> extravasc hemolysis

A

B-thalassemia

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10
Q

massive erythroid hyperplasia

A

B-thalassemia

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11
Q
  • Anisocytosis (variable RBC size).
  • Poikilocytosis (variable shape).
  • microcytosis
  • Hypochromia.
  • Target cells.
  • Basophilic stippling.
  • Fragmented RBCs
A

B-thalassemia

-(all except snisocytosis and pokilocytosis = minor)

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12
Q

Hb Barts

A

Infants w a-thalassemia: unpaired γ-globin chains form tetramers: 4 deletions

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13
Q

HbH

A

Adults w a-thalassemia: unpaired β-globin chains form tetramers : 3 deletions

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14
Q

IgG (sometimes IgA) Abs to RBCs

A

Warm Ab Type of immunohemolytic anemia

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15
Q

RBCs = spherocytes

A
  • hereditary spherocytosis (HS)

- Warm Ab Type of immunohemolytic anemia

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16
Q

IgM to RBC at low temps

A

Cold Agglutinin type of immunohemolytic anemia

17
Q

IgG autoAbs bind to the P group Ag on the RBC surface in cool, peripheral regions of the body.

A

Cold Hemolysin type of Immunohemolytic Anemias

18
Q

Schistocytes

A

Microangiopathic Hemolytic Anemia d/t trauma

19
Q

burr cells

A

Microangiopathic Hemolytic Anemia d/t trauma

20
Q

helmet cells

A

Microangiopathic Hemolytic Anemia d/t trauma

21
Q

triangle cells

A

Microangiopathic Hemolytic Anemia d/t trauma

22
Q

abn lg erythroid precursors

A

megaloblastic anemia

=megaloblasts

23
Q

PB: Macro-ovalocytes: large, oval RBCs*

A

megaloblastic anemia

24
Q

PB: Hyperchromic d/t ample Hb (lack fentral pallor)

A

megaloblastic anemia

25
PB: MCHC is not elevated | Decreased reticulocyte count
megaloblastic anemia
26
PB: Aniscocytsosis and poikilocytosis (variable size and shape) of the RBCs.
megaloblastic anemia
27
PB: Hypersegmented neutrophils ( > 5 lobes)
megaloblastic anemia
28
- Hypercellular marrow - Promegaloblasts (most primitive cells) large with very basophilic cytoplasm, prominent nucleoli, and fine nuclear chromatin pattern. - nuclear to cytoplasmic asynchrony. - Giant metamyelocytes and band forms.
BM in megaloblastic anemia
29
giant myelocytes and metamyelocytes
pernicious anemia
30
Microcytic, hypochromic anemia in blood smears, but is normocytic, normochromic in the beginning.
iron deficient anemia
31
Central pallor is enlarged in RBCs and Hb may only be seen in a narrow peripheral rim
iron deficient anemia
32
Poikilocytosis (pencil cells)
iron deficient anemia
33
- Hypocellular bone marrow - -'Dry tap' on marrow aspiration, bone marrow bx necessary for dx - Granulocytopenia - Thrombocytopenia - Systemic hemosiderosis
aplastic anemia
34
nml sized spleen increased # megakaryocytes megathrombocytes
Chronic Immune Thrombocytopenic Purpura (ITP)
35
B/l renal cortical necrosis
DIC
36
ARDS if pulmonary vasculature is involved.
DIC
37
CNS: microinfacrst, which can be complicated by hem
DIC
38
Adrenals: waterhouse-friderichsen synd causes fibrin thrombi in meningococcemia
DIC
39
Giant hemangiomas: kasabach-merritt syndrome (thrombi form in neoplasms).
DIC