Lecture 4- Anemia Flashcards Preview

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Flashcards in Lecture 4- Anemia Deck (20):
1

watermelon stomach is a significant cause of acute or chronic gastrointestinal blood loss in the elderly. is characterized endoscopically by “watermelon stripes.”

Vascular ectasia

2

What is anemia of chronic dz associated w/?

Chronic inflammatory disease
Neoplasia

3

A congenital or acquired defect affecting the biosynthesis of:
Heme
Iron-sulfur cluster generation
Mitochondrial protein synthesis within a RBC precursor

Sideroblastic Anemia

4

2 macrocytic anemias

B12 and Folate deficiency

5

what are spoon shaped nail beds

Koilonychia

6

most frequently used for iron deficiency anemia.

Serum ferritin-

7

Hb below the WHO threshold

(Hb < 13 g/dL for men; < 12 g/dL for women)

8

how do you treat sideroblastic anemia?

Trial of pyridoxine

9

what nutrients do elderly need more of?

calcium
protein

10

what nutrients do elderly need less of?

calories

11

symptoms of vitamin B12 deficiency.

Neuropathy
ataxia
dementia

12

when should you screen for B12 deficiency?

>65 years

13

what is the number one reason for weight loss

depression then malignancy

14

what is MUST

malnutrition universal screening tool.
BMI, weight loss, anorexia.

15

what is MST

malnutrition screening tool
for acutely hospitalized patients

16

What is MNA

mini-nutritional assessment
questions specific to diet
predicts poor outcomes in patients

17

lab tests for malnutrition.

lipids, CBC, comprehensive metabolic panel, albumin, total protein

18

if a person's terminal ileum is taken out, what do they need to be supplemented with?

supplement with Vit B 12

19

what is pernicious anemia?

deficiency in intrinsic factor

20

what vitamin helps to absorb iron?

vitamin C