CH. 68 Pt with a blood disorder

Question 1

What is the primary organ important for blood clotting?

Answer 1

Liver

Question 2

What is the composition of normal blood?

Answer 2

55% plasma fluid
45% formed elements

Elements are:

Erythrocytes RBC 44%
Leukocytes WBC 1%

Question 3

These disorders result from either congenital deficiencies or clotting factors. Hereditary deficiencies have been identified for each of the coagulation factors

Answer 3

hemophilias

Question 4

What are the oral findings that may be a sign of a blood disorder?

Answer 4

• gingival bleeding
• Brusing easy
• Numerous petechiae
• Pallor of mucous membranes
• atrophy of papillae of tongue
• Sore/painful tongue
• acute/chronic infections (Candidasis)
• Severe ulcerations
• Exaggerated gingival response to local irritants (ANuG)

Question 5

A discoloration of the skin resulting from bleeding underneath, typically caused by bruising

Answer 5

ecchymosis

Question 6

1/4 size of RBC and active in the blood clotting mechanism

Answer 6

Platelet

Question 7

What are the two types of hemophilias?

Answer 7

• Hemophilia A (Classic)

- Hemophilia B (Christmas disease)

Question 8

What gases make up plasma?

Answer 8

Dissolved oxygen
carbon dioxide
nitrogen

Question 9

What is the Von Willerbrand Disease?

Answer 9

Prolonged bleeding in presence of a normal platelet count

Question 10

What is the composition of plasma?

Answer 10

90% Water

10% Plasma proteins, inorganic salts, gases, and substances being transported

Question 11

This type of anemia is primarily in pts over age 60, treatment with B12 injections

Answer 11

Pernicious anemia

Question 12

What plasma proteins make up the blood?

Answer 12

• Albumin
• Gamma globulins
• Beta globulins
• Fibrinogen

Question 13

What blood test measures how long it takes blood to clot?

Answer 13

prothrombin time

Question 14

what substances are transported with plasma?

Answer 14

• Hormones
• Nutrients
• Water products
• Enzymes

Question 15

What inorganic salts make up plasma?

Answer 15

• Sodium
• Potassium
• Calcium
• Bicarbonate
• Chloride

Question 16

White blood cells are divided Into what groups?

Answer 16

• Granulocytes

- Agranulocytes

Question 17

What is the normal value of WBCs?

Answer 17

5,000-10,000 per mm3

Question 18

What percentage of blood is WBC and RBC?

Answer 18

WBC 1%

RBC 44%

Question 19

Signs and Symptoms of Iron deficiency anemia?

Answer 19

• Pallor mucosa/weakness
• Atrophc glossitis with loss of filiform papillae
• Glossodynia (burning tongue)
• Angular cheilitis

Question 20

Glossodynia is?

Answer 20

burning tongue

Question 21

What is the treatment for Iron deficiency anemia?

Answer 21

• oral ferrous iron tablets w/ vitamin C to help absorbed them
• Folic acid for folate deficiency
• Nutritional; green legs, high in protein

Question 22

Pernicious Anemia oral findings (signs and symptoms)

Answer 22

• Glossitis
• Sensitivity to hot or spicy foods
• Gingiva and mucosa; pale, atrophic (similar to Vitamin B deficiency)

Question 23

Pernicious Anemia is also associated with what deficiency?

Answer 23

Folate deficiency anemia

Question 24

Radiographic findings of sickle cell?

Answer 24

• Osteoporotic changes

- Coarse trabecular pattern appearing as horizontal rows between teeth “step ladder” with larger marrow space

Question 25

Occurs primarily in African Americans population and white population of Mediterranean origin?

Answer 25

Sickle Cell Disease