Hematology Flashcards

(48 cards)

1
Q
  • Where is hemoglobin located?
  • What important mineral is required for hemoglobin?
A
  • RBCs
  • Iron is needed for hemoglobin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the purpose of hemoglobin?

A

Allows RBCs to pick up oxygen from lungs and deliver it to body tissues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is erythropoiesis?

What stimulates it?

A

Creation of RBCs

Stimulated by erythropoietin (kidney hormone) that is secreted when blood oxygen is low.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Hematopoiesis?

A

Creation of ALL blood cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Anemia

  • What is it?
A

Reduction in total number of RBCs

or

Reduction in quality/quantity of hemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Anemia

What can cause it?

A
  • Impaired RBC production
  • Blood loss
  • RBC destruction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is hypoxemia?

What is this an indicator for?

A

Reduced oxygen in arterial blood

Anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are symptoms of anemia?

A

Fatigue, weakness, dyspnea, pallor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are these types of anemia:

  • Microcytic
  • Macrocytic
  • Hypochromic
A
  • Microcytic= RBCs are abnormally small
  • Macrocytic= RBCs are abnormally large
  • Hypochromic= RBCs are pale red
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Macrocytic-Normochromatic anemia

  • What does it cause?
  • What is it caused by?
A

Characterize by defective DNA synthesis

Caused by vitamin B12/folate deficiencies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Macrocytic-Normochromatic Anemia

What is pernicious anemia?

Treatment (for all macro. anemia)?

A
  • Lack of intrinsic factors that allow absorption of vitamin B12
  • Parenteral (through needle) dose of vitamin B12
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a Schillings test?

What is a positive/negative test

A

Uses radioactive B12 to determine if someone absorbs B12.

  • Normal patient will have radioactive urine
  • If not, will have B12 in feces
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Folate deficiency anemia

What is it?

What are the treatments

A

Inadequate amounts of Folate (B9).

Daily oral dose of folate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Folate deficiency causes what to RBCs?

A

Macrocytic RBCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Microcytic-Hypochromatic Anemia

What is it caused by?

A
  • Iron deficiency
  • Disorder to prophyrin/heme synthesis
  • Disorder to globin synthesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Iron deficiency anemia

What is it?

What can it be caused by?

A

Not enough Iron for RBCs to produce hemoglobin

Blood loss: body reuses iron, unless lost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the signs/symptoms of Iron deficiency anemia?

A

Glossitis (inflammation of tongue)

Cold sensitivity

Spoon Nails

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Normocytic-normochromatic anemia

What is it?

What is a type of anemia that is example?

A
  • RBCs normal in size; Insufficient in number
  • Aplastic Anemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Aplastic Anemia

What is it caused by (physiologically)?

A
  • Bone marrow depression that caused reduction in hematopoietic cell lines (decrease in all Blood cells)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Aplastic Anemia

What are the causes?

Treatment?

A
  • Radiation, chemical, toxins
  • Bone marrow transfusions
21
Q

Hemolytic anemia

What is it?

A

Accelerated destruction of RBCs

22
Q

Hemolytic anemia

What are the 2 types?

A

Congenital

Defective RBCs (sickle cell anemia)

Acquired

Spleen traps/destroy RBCs (autoimmune)

23
Q

What is Sickle cell anemia?

A

Misshaped RBCs that cannot efficiently carry oxygen.

24
Q

What is polycythemia?

A

Overproduction of RBCs?

25
What are these terms: * Leukocytosis * Leukopenia
* Leukocytosis= WBC count higher than normal (caused by infection) * Leukopenia= WBC count lower than normal
26
_Infectious Mononucleosis_ What is it? What virus causes it?
Self-limiting infection of B cells transmitted through saliva Caused by Epstein-Barr virus
27
_Leukemia_ What is it?
Uncontrolled proliferation of **malignant leukocytes** causing overcrowding in bone marrow
28
_Leukemia_; What are these terms: * Pancytopenia * Acute Leukemia * Chronic Leukemia
* Pancytopenia= Decreased production of all normal blood cells * Acute Leukemia= Presence of undifferentiated, immature blast cells * Chronic Leukemia= Have mature blast cells, but do not function properly
29
What are these types of acute **leukemia**: * Acute lymphocytic leukemia (ALL) * Acute myelogenous leukemia (AML)
ALL: Person has too many immature B cells (lymphoblasts) AML: Person has too many myeloblasts
30
What are these types of chronic leukemia: * Chronic myelogenous leukemia (CML) * Chronic lymphocytic leukemia (CLL)
_CML_: Too many blood cells being made _CLL_: Commonly in older adults Caused by a B cell disorder
31
What are the main differences (signs) of acute vs chronic leukemia?
_Acute_ * Progresses rapidly * Common in children _Chronic_ * Progresses slowly * Common in adults/more in men
32
What are the signs of all leukemias?
Anemia (bleeding problems) Increased infection Weight loss
33
_Lymphadenompathy_ What is it?
Swollen lymph nodes Palpable and tender
34
_Lymphadenompathy_ Local vs General
Local: Lesions near enlarged nodes General: Presene of malignant/nonmalignant disease
35
What is this malignant lymphoma: Hodgkin Lymphoma It is curable?
**Painless**, enlarged lymph nodes with presence of **Reed-Sternberg cells** **Yes**
36
If Hodgkin Lymphoma progresses, what can it cause? What lymph nodes are usually the first to be affected?
Fever, night sweats In neck (does not spread easily)
37
What is this malignant lymphoma: Non-Hodgkin Lymphoma What is it caused by?
Painless, swollen lymph nodes that spread, with **no reed-sternberg cells** Usually caused by previous **Viral** disease
38
What are the treatments for non-Hodgkin lymphoma?
Bone marrow transplant
39
What is Burkitt Lymphoma? What is it caused by?
Type of non-Hodgkin lymphoma : Very fast growing tumor of Jaw * Caused by Epstein-Barr virus
40
What is mutiple myeloma (MM)? What is the indicator for it?
Malginant proliferation of plasma cells: Creates malignant antibody; **M-protein** * Becomes most prominent protein in blood
41
What are the main symptoms of Mutliple Myeloma?
* Hypercalcemia (breakdown of bones from overcrowding) * Bone pain * Renal failure * Anemia
42
What are the proteins (Ig) that Multiple Myeloma plasma cells produce?
* M-proteins * Bence Jones protein
43
_Thrombocytopenia_ What is it? What are the causes?
Low circulating platelets (\<150,000) _Causes_: Hyperspelinism (overactive spleen)
44
What are these disorders of platelets: Petechiae Purpura
Petechiae: Small bleeds (red dots) \<3mm Pupura: Reddish-purple bleeds \>3mm
45
What are bruises also known as?
Ecchymosis
46
What are the jobs of Vitamin K? What is it produced by?
Synthesis and regulation of procoagulant and anticoagulant factors (helps with clotting) Produced by liver (liver disease can mess up clotting factors)
47
What is Disseminated Intavascular Coagulation?
Systemic body reaction that causes widespread coagulation (clotting) **and** Hemorrhaging Caused by certain **stimulus** (Pregnancy)
48
Disseminated Intravascular Coagulation (DIC), what are the signs?
Bleeding from IV line. Systemic Cyanosis