Data

Question 1

ANEMIA WITH HIGH MCV

Answer 1

ANEMIA WITH HIGH MCV

• Drugs • Vit B12/Folate deficiency • Liver disease • Hypothyrodism • Post splenectomy

Question 2

APPROACH TO ANEMIA

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Question 3

نجوم و ABG

Question 4

HOW TO READ A BLOOD GAS

Answer 4

• 1st look at pH
• Normal, borderline normal or abnormal
• High: alkalosis, low: acidosis • Then PaCO2
• with pH (metabolic), against pH (respiratory)
• High: acidosis, low: alkalosis • Then HCO3
• High: alkalosis, low: acidosis

Question 5

ANION GAP

Answer 5

ANION GAP
• Serum anion gap = Measured cations - Measured anions • Serum anion gap = (Na + K) - (Cl + HCO3)
• High anion gap > 12*

Question 6

CF

Answer 6

Metabolic alkalosis

Question 7

CHOLESTASIS, or NO?

Answer 7

Direct bilirubin is considered elevated if it is greater than
1.0 mg/dL (17.1 micromol/L) if the total serum bilirubin is
<5.0 mg/dL (85.5 micromol/L). • Or greater than 20 percent of the total serum bilirubin if the
total serum bilirubin is >5.0 mg/dL (85.5 micromol/L).

Question 8

WBC IN CSF

Answer 8

Neonate
• Preterm less than 30
• Te r m l e s s t h a n 2 0
• Infant less than 10 • Child less than 7