HEME Flashcards
1
Q
Signs and Sxs:
- Weakness, faintness, vertigo
- HA
- Tachycardia, orthostatic HoTN
- Cold sensitivity
- Jaundice
- Petechiae, pallor, ecchymosis
A
Anemia
2
Q
Signs and Sxs:
- Tachycardia, orthostatic HoTN
- Cold sensitivity
- Jaundice
- Petechiae, pallor, ecchymosis
- Paresthesia, abnormal reflexes, confusion
- Decreased vibration sense
A
vit B12 deficiency (b/c of neuro sxs)
3
Q
Signs and Sxs:
- Mucocutaneous or perioperative bleeding
- Hx of bleeding after tooth extraction or surgery
A
vonWillebrand dz
4
Q
Signs and Sxs:
- Previous thrombosis
- FHx thrombosis
- Thrombosis in unusual locations like sagittal sinus, mesentery, portal systems
A
Factor V Leiden
5
Q
Signs and Sxs:
- platelets decrease by 50%
- skin necrosis, ischemic changes, bleeding
A
HIT heparin induced thrombocytopenia
6
Q
Lab Workup for Anemia
A
- CBC with indices
- Retic count
- Peripheral smear
- Stool sample for occult blood
7
Q
Normal Hgb Values
A
- M: 13-17
- F: 12-15
8
Q
Normal HCT Values
A
- M: 39-49
- F: 35-45
9
Q
Normal WBC Count
A
4000-11000
10
Q
Normal Platelet Count
A
150,000-400,000
11
Q
Normal Retic Count
A
2.5
12
Q
3 Examples of Microcytic (MVC under 80) Anemias
A
- iron deficiency
- anemia of chronic dz (late)
- sickle cell and thalassemia
13
Q
3 Examples of Normocytic (MVC 80-100) Anemias
A
- anemia of chronic dz (early)
- renal failure
- autoimmune hemolytic
14
Q
2 Examples of Macrocytic (MVC over 80) Anemias
A
- vit B12 deficiency
- folate deficiency
15
Q
Causes of Iron Deficiency
A
- women: menstruation or pregnancy
- men: GI bleed
