Anemia Worksheet Flashcards
(106 cards)
1
Q
What do you look at on a CBC to decide if there is an anemia
A
RBC
hgb
hct
2
Q
Not Anemic
A
normal RBC
normal hgb
normal hct
3
Q
Polycythemia is dependent on
A
erythropoietin - 2 degree
malignancy of bone marrow - 1 degree
4
Q
Polycythemia
A
high RBC
high hub
high hct
5
Q
Anemia
A
Low RBC and/or
Low hgb and/or
Low hct
6
Q
Anemias are classified by
A
cell size and color
7
Q
Color is a measure of
A
hgb content
8
Q
How do you determine cell size and color
A
RBC indicies
9
Q
MCV
A
cell size
10
Q
MCH
A
color (hgb)
11
Q
MCHC
A
color (hgb)
12
Q
Microcytic anemia
A
decreased mcv
13
Q
normocytic anemia
A
normal mcv
14
Q
macrocytic anemia
A
increased mcv
15
Q
hypochromic anemia
A
decreased much (mchc)
16
Q
normochromic anemia
A
normal mch (mchc)
17
Q
hyperchromic anemia
A
increased mch (much)
18
Q
polychromasic is
A
too much color
19
Q
another name (aka) for hyper chromic anemia
A
polychromasic
20
Q
MC anemia in the world
A
IDA
21
Q
MC anemia based on cell size
A
microcytic
22
Q
MC microcytic anemia
A
IDA
23
Q
MC etiology of IDA is
A
chronic blood loss
24
Q
MC cause of CBL is
A
GI tract (chronic blood loss)
25
Microcytic hypochromic anemias will have
decreased RBC and/or
decreased hgb and/or
decreased hct
26
Types of microcytic hypochromic anemia
IDA
CBL
Thalassemia
ACD / ARD (if it's renal)
27
CBL is a type of
IDA
28
most common type of microcytic hypo chromic anemia
IDA
29
Microcytic hypochromic anemia has
decreased mcv
decreased mch
decreased mchc
30
DDX of mchc anemias
history
nationality
clinical presentation
iron parameters (TIBC, iron, ferritin)
31
Iron Parameters are
TIBC
ferritin
iron
32
What is the best thing to use to differentiate the mchc anemia
TIBC
33
IDA has (increased, decreased, or normal) TIBC
increased
34
CBL has (increased, decreased, or normal) TIBC
increased
35
ACD has (increased, decreased, or normal) TIBC
decreased
36
Thalassemia has (increased, decreased, or normal) TIBC
normal
37
ARD has (increased, decreased, or normal) TIBC
decreased
38
ARD is
renal
39
ARD is really a specialized
ACD
40
The presence of Reed Sternberg Cells indicates
Hodgkin's Lympoma
41
Reed Sternberg cells are found in
bone marrow or lymph node / need biopsy to discover
42
Multiple Myeloma is also called
Kahlers disease
43
Malignant proliferation of plasma cells is a sign of
multiple myeloma
44
Greater than 50,000 WBC, 5 metas, 5 myelo, 5 pros and 5 blasts is
acute myelocytic leukemia
| AML
45
Greater than 50,000 WBC, 5 E-metas, 5 E-myelo, 5 E-pros and 5 E-blasts is
acute eosinophilic leukemia
| AEL
46
Greater than 50,000 WBC, 5 L-blasts is
acute lymphocytic leukemia (ALL)
47
Must have what to designate bone marrow cells
letter
48
no letters indicates
SEGS
49
greater than 50,000 WBC is
leukemia
50
30 - 50 WBC is
leukemoid or leukemia
51
42 WBC, predominate Segs is
neutrophilic leukemoid reaction or CML
52
DDX of neutrophilic leukemia reaction or CML is
bone marrow biopsy and
| philadelphia chromosome analysis
53
42 WBC, predominate lymphocytes is
lymphocytic leukemoid reaction or CLL
54
DDX of lymphocytic leukemoid reaction or CLL
bone marrow biopsy or lymph node biopsy
55
neutrophilic leukemoid reactions resemble
CML
56
lymphocytic leukemoid reactions resemble CLL
x
57
42 WBC, 5 blasts, is
AML
58
42 WBC, 5 L-blasts, is
ALL
59
presence of blasts and/or pros is
acute leukemia
60
absence of blasts and pros is
chronic leukemia
61
WBC differential
segs, bands, lymphs, basophils, eosinophils, monocytes, atypical lymphocytes, metas, myelos, pros, blasts
62
WBC differential count should equal
100
63
bone marrow
metas, myelos, pros, blasts and stem cells
64
bone marrow cells in peripheral blood is good or bad
bad
65
metas, myelos, pros, and blasts listed on a differential belong to the ____ unless they are designated by a letter
neutrophils/segs
66
if there is no letter then the bone marrow cell belongs to
neutrophils/segs
67
bone marrow cell with a letter belong to the linage of that letter
x
68
L-blasts would become
lymphocytes
69
L-pros would become
lymphocytes
70
B-blasts would become
basophils
71
B-metas would become
basophils
72
normocytic normochromic anemias will have decreased
decreased RBC and/or
| decreased Hgb and/or decreased hct
73
normocytic normochromic anemia have normal
mcv, mch, mchc
74
normocytic normochromic anemia
```
hemolytic anemia / sickle cell
acute blood loss (ABL)
aplastic
ACD
ARD
```
75
DDX of MCHC Anemias
```
History
Cell morphology
clinical presentation
race
xray for h-shaped vertebra for sickle cell
```
76
Macrocytic Normochromic / Hyperchromic Anemia have decreased
RBC and/or
hgb and/or
hct
77
Macrocytic normochromic / hyperchromic anemias have increased
mcv
normal/increased mch
normal /increased mchc
78
macrocytic normochromic has
increased mcv
| normal mch/mchc
79
macrocytic hyperchromic has
increased mcv
| increased mch/mchc
80
another name for microcytic hyperchromic is
polychromasia
81
macrocytic anemias have increased
mcv
82
do you care about the cell color with microcytic anemia
no
83
mc anemias have the same list of differentials
B12 deficiency *
Folic Acid Deficiency *
Alcoholism
Liver Disease
84
megaloblastic anemias are
B12 (50%) and Folic Acid (50%)
85
causes of nonmegaloblastic anemias
alcoholism and liver disease
86
MC macrocytic anemia
megaloblastic
87
include or exclude the megaloblastic before considering the non-megaloblastic
x
88
DDX of the Microcytic Anemia
History
Clinical Presentation
Bone Marrow Biopsy
Vitamin Assay (B12, folate bloodwork)
89
If you have a B12 deficiency anemia then it is most likely a lack of
Intrinsic Factor (IF)
90
B12 deficiency anemia is also called
Pernicious Anemia
91
1/4 patients with pernicious anemia die of
stomach cancer
92
Leukemias are classified by
acute or chronic
| predominant cell or significant cell or major immature cell
93
Normal WBC counts
5,000 - 10,000
94
Less than 5,000 WBC is due to
virus (leukopenia)
95
10,000 - 18,000 WBC is due to
infection / inflammation especially bacterial (could be viral)
96
20,000 - 30,000 with s/s of abdominal complaint most likely due to a
"hot abdomen" such as peritonitis, diverticulitis
97
30,000 - 50,000 WBC is most likely due to
leukemoid reaction or leukemia
98
If it is a leukemia it is most likely
chronic
99
Greater than 50,000 WBC
leukemia
100
Segs primarily respond to
bacteria
101
bands primarily respond to
bacteria
102
lymphcytes primarily respond to
viral
103
eosinophils primarily respond to
parasites
104
basophils primarily respond to
hypersensitivity / allergies
105
monocytes respond to help
neutrophils
106
increase in immature cells is called a
shift to the left (schilling shift)
