Module 2: Hypochromic Anemias Flashcards

1
Q

Refractory anemia

A

One which responds poorly to treatment

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2
Q

To determine transferrin saturation you need to measure:

A

Serum iron and total iron binding capacity

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3
Q

Sideropenic anemia

A

An anemia caused by biochemical abnormalities in the synthesis of heme in developing red cells - not due to a lack of iron

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4
Q

The most common cause of iron deficiency in infants

A

Iron poor diet

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5
Q

The plasma iron transport protein is called:

A

Transferrin

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6
Q

Where is most body iron found?

A

The red blood cells

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7
Q

Relative anemia may be expected during:

A

Pregnancy

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8
Q

The protein responsible for temporary storage of iron in body cells

A

Apoferritin

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9
Q

Where does iron absorption mainly take place?

A

In the duodenum and jejunum

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10
Q

The major cause of iron deficiency in North America

A

Iron loss through acute or chronic bleeding

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11
Q

Functions of iron in the body

A

Formation of heme (in hemoglobin and myoglobin)
Component of cytochromes, catalases and myeloperoxidase
Enzyme activator in some reactions

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12
Q

Normal transferrin saturation

A

About 30%

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13
Q

Stages of iron deficiency anemia progression

A
Iron depletion (iron stores are reduced but not absent)
Iron deficiency (iron stores are depleted to almost 0)
Iron deficiency anemia (Hb is decreased with hypochromia and microcytosis)
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14
Q

Iron depletion

A

Iron stores are reduced, but not absent

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15
Q

Iron deficiency

A

Iron stores are depleted to almost zero

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16
Q

Iron deficiency anemia

A

Hemoglobin is decreased with hypochromia and microcytosis

17
Q

RBC morphology in severe cases of iron deficiency anemia

A

Hypochromia and microcytosis as well as ovalocytes and target cells

18
Q

Iron assay

A

Measures the amount of circulating iron that is bound to transferrin

19
Q

TIBC

A

Total iron binding capacity

Measures the ability of transferrin to carry iron (indirect measure of transferrin)

20
Q

Transferrin saturation

A

Ratio of serum iron and total iron binding capacity multiplied by 100

21
Q

sTfR

A

Soluble Transferrin Receptor (used if it is known that the patient has inflammation)
Indicates the number of erythrocyte transferrin receptors present on the cell

22
Q

FEP

A

Free erythrocyte protoporphyrin
Increases in iron deficiency because RBC protoporphyrin IX accumulates and leaks out of the red cells in increased amounts when there is decreased or no iron in the cells available to bind with the protoporphyrin in order to make heme