Hem/Onc Flashcards

1
Q

Hemoglobin SC

A

C + S

mild hemolytic anemia

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2
Q

Hemoglobin C Heterozygote

A

Normal

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3
Q

Hemoglobin C Homozygous

A

mild hemolytic anemia, but no vasoocclusive crises

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4
Q

Diamond Blackfan Anemia

A

anemia + thumb anomalies

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5
Q

Wiskott-Aldrich Syndrome

A

x-linked immunodeficiency w/ eczema

thrombocytopenia w/ small platelets

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6
Q

TAR syndrome

A

thrombocytopenia-absent radii syndrome

autosomal recessive, presents in neonatal period

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7
Q

Schwachman-Diamond Syndrome

A

AR, SBDS gene

  • neutropenia
  • metaphyseal dysostoses
  • exocrine pancreatic insuffiency, diarrhea, recurrent infections, FTT
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8
Q

Fanconi Anemia

A
AR, poor DNA repair
absent thumbs, absent radii
pancytopenia
microcephaly, renal anomalies
cafe-au-lait spots, dark pigmentation
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9
Q

RDW and anemia

A

increased in IDA, normal in thalassemias

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10
Q

B thal major

A
  • Cooley anemia, no B-globin production
  • only HbF present
  • transfusion dependent
  • chipmunk facies (expansion of bone marrow in facial bones)
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11
Q

Cyclic Neutropenia

A

fever, neutropenia (<200), ulcers, cervical lymphadenitis every 21 days

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12
Q

EPO production in utero

A

liver

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13
Q

Bernard-Soulier Syndrome

A

AR
mild thrombocytopenia w/ giant, abnormal platelets
severe mucocutaneous bleeding in infancy

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14
Q

Kostmann Syndrome

A

severe congenital neutropenia

AR, young age w/ severe bacterial infections, ANC <200

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15
Q

Chronic Benign Neutropenia

A

persistent neutropenia but w/o infections

autoantibodies to granulocytes

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16
Q

Complication of goat milk intake

A

folate deficiency

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17
Q

Abnormal thumbs, think….

A

trisomy 18, fanconi anemia

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18
Q

APC resistance

A

Factor V Leiden

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19
Q

Maternal Autoimmune Neonatal Thrombocytopenia due to

A

transplacental passage of maternal IgG antiplatelet antibodies

20
Q

Fanconi Anemia, main complication

21
Q

Delayed separation of umbilical cord or omphalitis, clinical clue for

A

leukocyte adhesion deficiency

22
Q

Job Syndrome

A

Hyperimmunoglobulin E syndrome

S aureus infections, skin abscesses

23
Q

Abnormal thumbs, think….

A

trisomy 18, fanconi anemia

24
Q

Evans Syndrome

A

ITP + AIHA

25
Maternal Autoimmune Neonatal Thrombocytopenia due to
transplacental passage of maternal IgG antiplatelet antibodies
26
Type 1 vWD
most common, decreased in amount of vWF
27
Type 2 vWD
2A: decreasing binding 2B: increased binding,but bleeding disorder
28
Type 3 vWD
severe, undetectable vWF and low factor 8
29
Kasabach-Merritt Syndrome
hemangioma thrombocytopenia syndrome
30
Ewing Sarcoma translocation
t11:22
31
Philadelphia Chromosome
t9:22 | associated with CML
32
Juvenile Monomyelocytic Leukemia
<2 years of age | associated with NF1, monosomy 7
33
Burkitt Lymphoma, common location
peyer's patches in GI tract, so ileocecal junction
34
Parinaud Syndrome
impaired upward gaze | due to pineal tumors
35
Ewing Sarcoma - features
diaphyseal long bones + flat bones (ribs, pelvis) | onion-skinning
36
Osteoarscoma - features
sunburst pattern | metaphyseal involvement
37
LiFraumeni Syndrome
p53 | gliomas, ependymomas, choroid plexus carcinomas
38
Langerhans Cell Histiocytosis staining
CD207/langerin | CD1a
39
Osteochondroma - features
metaphyses of long bones | broad based projection from surface of the points, cartilage cap
40
hemangioblastomas in CNS, think
VHL
41
Most common malignancy in infants
neuroblastoma
42
Orbital Chloroma, think...
AML
43
Most common CNS tumor in children
glioma - nonmalignant | medulloblastoma - malignant
44
Osteoid osteoma - features
benign tumor, lucency with surrounding sclerotic bone often not on x-ray, but on CT Given NSAIDs, pain due to prostaglandins
45
Most common posterior fossa mass
astrocytoma