Wk 2 Four Different Types of Anemia

Question 1

What are four reasons someone might have iron deficiency anemia?

Answer 1

Poor intake
Inadequate gut absorption
Blood loss
Hemolysis

Question 2

What is the number one most common symptom of iron deficiency anemia?

Answer 2

Pallor

Question 3

Most people with iron deficiency anemia are

Answer 3

Asymptomatic

Question 4

Where should you look to assess for pallor?

Answer 4

Conjunctiva

Question 5

If someone has pallor in their conjunctiva, they have lost the…

Answer 5

line of demarcation

Question 6

Another manifestation of iron deficiency anemia is…

Answer 6

epithelial atrophy

Question 7

How does epithelial atrophy manifest?

Answer 7

Usually as glossitis, a flat, red sore tongue

Question 8

What is the medical term for inflammed lips?

Answer 8

Cheilitis (pronounced key litis)

Question 9

What is the medical term for brittle hair and nails?

Answer 9

Koilonychia (pronounced coy low nick iah)

Question 10

Three types of epithelial atrophy associated with iron deficiency anemia

Answer 10

Glossitis
Cheilitis
Koilonychia

Question 11

Pica is associated with which type of anemia?

Answer 11

Iron deficiency anemia

Question 12

Epithelia atrophy is more expected in…

Answer 12

late/long term iron deficiency anemia

Question 13

What is the medical term for ice cravings?

Answer 13

Pagophasia

Question 14

Pagophasia is associated with which type of anemia?

Answer 14

Iron deficiency anemia

Question 15

Pagophasia is a type of…

Answer 15

Pica

Question 16

A patient with iron deficiency anemia RBC would look…

Answer 16

Microcytic and hypochromic

Question 17

What does microcytic mean?

Answer 17

Small in size

Question 18

Why does hypochromic mean?

Answer 18

Pale in color

Question 19

What type of cells secrete intrinsic factor?

Answer 19

Parietal cells in the gut mucosa

Question 20

Intrinsic factor is required for __ absorption

Answer 20

Cobalamin

Question 21

Who gets pernicious anemia?

Answer 21

People who don’t make intrinsic factor due to an autoimmune disease

Question 22

Who else might be b12 deficiency?

Answer 22

Someone who has had bowel surgery/gastrectomy
Limited absorption of b12
Strict vegans (low intake)
Alcoholics

Question 23

What is the most common cause of b12 deficiency?

Answer 23

pernicious anemia

Question 24

The manifestations of b12 deficiency are…

Answer 24

insidious

Question 25

What are the manifestations of b12 deficiency anemias?

Answer 25

N/V, abdominal pain Glossitis Cheilitis

Question 26

What are the neuromuscular manifestations of b12? (5)

Answer 26

``` Weakness Parasthesia Reduced vibratory/position sense Ataxia Impaired thought processes ```

Question 27

What is ataxia?

Answer 27

Unbalanced, uncoordinated

Question 28

What is parasthesia?

Answer 28

Numbness/tingling in fingers/toes

Question 29

What are the RBCs going to look like for someone who has b12 deficiency anemia?

Answer 29

Macrocytic | Normochromic

Question 30

Who gets folate deficiency?

Answer 30

Usually not an absorption problem but an intake problem (diet/alcoholism) or pregnancy (increased demand)

Question 31

What are the manifestations of folate deficiency anemia?

Answer 31

Insidious and very similar to b12

Question 32

How do you differentiate between b12 deficiency and folate deficiency?

Answer 32

Absence of neurological symptoms

Question 33

What do the RBCs look like for someone who has folate deficiency anemia?

Answer 33

Macrocytic | Normochromic

Question 34

Aplastic anemia effects...

Answer 34

WBCs Platelets RBCs

Question 35

What is a term for a patient with low WBC, platelets, and RBCs?

Answer 35

pancytopenia

Question 36

Most patients with aplastic anemia is caused by...

Answer 36

idopathic

Question 37

What are the s/s of aplastic anemia

Answer 37

Leukopenia/neutropenia Anemic Thrombocytopenia

Question 38

How is aplastic anemia diagnosed?

Answer 38

Bone marrow biopsy

Question 39

A patient with aplastic anemia will be at risk for...

Answer 39

Fatigue Infection Bleeding

Question 40

What do the RBCs look like for someone with aplastic anemia?

Answer 40

Normocytic and normochromic, but there are just less of them because the red bone marrow isn't producing them