Hematology Flashcards
What is the Intrinsic pathway?
What is the Extrinsic pathway?
What is the common pathway? What is Clotting factor 1?
What are the Vitamin K dependent Clotting factors?
What is thrombin? What does it do?
What is antithrombin? What does it do?
How do healthy cells keep from clotting?
How does damaged cells/adhered platelets create clotting?
What does Plasmin do?
TE-EN (2 above and below 10; VIII, IX, XI, XII); PTT (patatatatata)
Tissue trauma 3 + 7 = 10 = PT
The rest, 13 is the cross-linker. Factor 1 = fibrin = tissue factor
Cunts and Sluts created in 1972 (C, S, 10, 9, 7, 2(thrombin))
CF 2; activates V, VIII, and XI. Also C/S to keep it in control
CF 3; irreversibly inactivates thrombin
Negative-Negative charge repelling platelets
Thromboplastin; converts Prothrombin => Thrombin
Causes clot to retract
What is Transferrin when is it seen?
What is Ferritin when is it seen?
Transportation of iron in blood (seen when iron demand is high, but not seen in anemia of chronic disease)
Primary iron storage (seen when iron is high and in anemia of chronic disease)
What are the three main types of blood transfusions? When are they used?
- Packed RBCs = concentrated Hb for increased oxygen in acute blood loss/anemia
- “6-pack” Platelet and freshly frozen plasma = increased coagulation for severe bleed
- Cryoprecipitate = Fibrinogen, CF VIII/XIII for deficiencies
What is the Flow cytometry value for B-cell cancer?
20 (like B = 2)
What is Felty’s syndrome?
Severe Rheumatoid arthritis => granulocytopenia/splenomegaly/neutropenia. I felt your belly too long and your spleen enlarged and made you susceptable like AIDS
What is the pathology of Mononucleosis?
URI => lymphadenopathy => splenomegaly
What is the most common cause of parasitic cysts in the spleen? What is a key feature of it? How many people have accessory spleen? What is natural Asplenia associated with?
Echinococcus. NO epithelial lining. 20-35%. Situs inversus and cardiac malformations.
What does Hydroxyurea do? What is that a treatment for?
How do I remember that?
Increases fetal hemoglobin, is an antineoplastic, and antiretroviral. Sickle/HbC/β-thallasemia/Cancer/AIDS
Hy** _dro_oling **XY** baby. I want to go back to you carelessly **ureating, before I knew about cancer and AIDS
- What does Cyclosporine inhibit? When would you not use it? What are the side effects? What is special about its number 1 side effect? How do I remember this shit?
- What does Tacrolimus inhibit? What are the side effects of Tacrolimus? How do I remember this shit?
- Sirolimus(rapamycin)? What are the side effects? How do I remember this shit?
Cyclo**phillin from activating calcineurin => IL-2. Young/Acute immune attack/Side effects too much. _**N****ephrotoxic**(treated with mannitol),gingival hyperplasia, hirsutism, liver dysfunction, andGout. I besportinea new kidney and have to protect it from myhairy/big gummed_**self even if it means Gout.
FKBP => calcineurin => IL-2. Nephrotoxic**, linked to cancer (lymph/skin), PNS neuropathy, HTN, pleural effusion, **hyperglycemia**. Oh **Limus**, I need to **Tackle you down for not treating your kidney right, you have DM/HTN and possibly PNS neuropathy/Pleural effusion from me tackling you. I hope you get cancer.
FKBP (mTOR**) => **Cdk 2** => blocks proliferation (IL-2). Hyperlipidemia and profound **Myelosuppression. Sirons must block T**h**or**’s reproduction by Fu_ck_ing his **fat** _d_ick with **2 at a time
What is Azathioprine? What does it do? When do you use it? What are the side effects? What is the major drug interaction to look out for? How do I remember this shit?
What is ALG and ATG used for? What are they especially good for? How do I remember between the two?
Pro-drug for mercaptopurine**. Inhibits **DNA synthesis** (**T-cells**) for A/G. T-cell cancer and stopping acute autoimmune reaction. **Bone marrow inhibition**, linked to cancer, GI toxicity. **Allopurinol** blocks **Xanthine oxidase** => toxic levels. **Aza** **thi** was saying **o**’ lack of _purine_s can prevent **T**-cells from attacking transplants. Blocks **All** **o**’ **purines metabolism even the purine blockers metabolism.
kidney transplants** and **acute rejection episodes** respectively. Polyclonal, good for steroid resistance. _A_l is a _Lucky orGan receiver, unT_il he **Gets a rejection episode.
What are the 1st generation anti-H1?
What are the 2nd generation anti-H1?
-phen- -ramine; Chlorpheniramine and Diphenhydramine.
-adine; Fexofenadine and Loratadine
What does COX enzymes do?
What are the COX enzymes?
What does Aspirin do?
What does Ibuprofen do?
What does Tylenol do?
Turns Arachidonic acid into PGH2
COX-1 = constitutive (always expressed) COX-2 = inducible (changes its expression) COX-3 = brain variant
Irreversibly inhibits all COX enzymes
Competively inhibits all COX enzymes
Blocks COX-3
What are the following drugs a recombination of? What are they used in?
- Aldesleukin
- Erythropoeitin
- Filgrastim
- Sargramostim
- α-interferon
- β-interferon
- γ-interferon
- Oprelvekin and Thrombopoietin
- IL-2. Renal cell cancer/melanoma (activates T-cells)
- epoetin. Anemias (especially in renal failure)
- Granulocyte colony-stimulating factor. Neutropenia
- Macrophage colony-stimulating factor. Lack of Macrophages
- Anti-HBV/HCV, Kaposi’s sarcoma, leukemia, and melanoma
- Multiple sclerosis
- Chronic granulomatous diseases
- IL-11. Thrombocytopenia
What are the following drugs an antibody(-mab) for? What diseases could use them?
- Muromonab
- Daclizumab/Basiliximab
- Infliximab
- Adalimumab
- Abciximab
- Trastuzumab
- Rituximab
- Omalizumab
- CD3. Organ rejection (T cells)
- IL-2 receptor. Organ rejection (T cells)
- TNF-α. Crohn’s, autoimmune arthritis, ankylosing spondylitis
- TNF-α. Crohn’s, autoimmune arthritis
- Glycoprotein IIb/IIIa. Prevent cardiac ischemia in angina
- erb-B2. HER-2 breast cancer
- CD20. B-cell non-Hodgkin’s lymphoma
- IgE. Severe asthma
What does Probenecid do?
What does Allopurinol do?
What does Febuxostat do? How is it different?
Prevents the reabsorption of uric acid (Gout).
Inhibits Xanthine oxydase => prevent production of purines.
Above, but liver metabolized and higher CVD risk.