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Patho Exam 3 part 1
48
Pathology
Graduate
11/17/2012

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Term
Anemia is
Definition
Decrease in RBCs or decrease in quality or quantity of Hgb
Term
Pernicious anemia is caused by
Definition
parietal cell destruction which leads to B12 deficiency
Term
Pernicious anemia affects ____ synthesis of _____
Definition
DNA and RBCs
Term
Pernicious anemia occurs most often in
Definition
older women
Term
B12 in absorbed in the
Definition
gut
Term
Lack of intrinsic factor leads to the inability to absorb
Definition
B12
Term
S/S of pernicious anemia
Definition
sallow colored skin, sore beefy red tongue, PARATHESIAS
Term
Folate deficiency is required for
Definition
DNA and RNA synthesis
Term
Alcoholism and poor nutrition are the major contributors to
Definition
folate defiency
Term
S/S of folate defiency
Definition
chioloysis, stomatis, decreased RBC, MCV volumed elevated, homocysteine increased
Term
Pernicous anemia is the most _____ megablastic anemia
Definition
common
Term
Pernicous anemia is an __________ absence of ___________
Definition
autoimmune and intrinsic factor
Term
__________ is the most common type of anemia
Definition
Iron Defiency Anemia
Term
IDA is most often caused by
Definition
chronic bleeding, pregnancy*, dietary deficiency
Term
Chronic IDA, clinical manifestations include
Definition
brittle spoon shaped nails, sore tongue, Hgb and RBC will be low, MCV low
Term
Sideroblastic anemia is
Definition
dysfx of iron uptake in RBCs

causes an increase in iron in tissues=iron overload
Term
What are the 3 types of sideroblastic anemia
Definition
acquired, reversible, and hereditary
Term
What are some reversible causes of sideroblastic anemia?
Definition
alcoholism, TB meds, copper deficiency, and hypothermia
Term
___________ is impaired synthesis of alpha or beta chain Hgb A (adult Hgb)
Definition
Thalessemia
Term
Thalessemia can be either a ________ or __________
Definition
autosomal recessive or autosomal dominant traits
Term
Hgb electrophoresis determines
Definition
the type of Thalassemia
Term
Relative polycythemia is r/t
Definition
dehydration
Term
___________ is abnormal proliferation of bone marrow stem cells with self destruction expansion of RBCs.
Definition
Absolute (secondary) polycythemia
Term
Neutropenia occurs during
Definition
prolonged infection
Term
What is a leukomoid reaction?
Definition
increase in immature leukocytes (neutrophils in particular)
Term
Eosinphilia occurs during
Definition
most allergic reactions
Term
Eosinopenia occurs during
Definition
stress response and drugs
Term
Infectius mono is an acute infection of the
Definition
B lymphocytes
Term
Mono is often caused by
Definition
EBV and CMV
Term
B lymphocytes have __________ receptors
Definition
EBV
Term
Idiopathic Thrombocytopenia Purpura occurs due to
Definition
an immune response that causes platlet destruction
Term
Thrombocytopenia is platlet drop below
Definition
150,000
Term
ITP sometimes requires a __________ to control bleeding
Definition
spleenectomy
Term
Triggers to DIC include
Definition
trauma, pregnancy related issues,and septicemia
Term
DIC results in consumption of clotting factors centrally which leads to
Definition
bleeding peripherally
Term
Endothelial damage is the primary initiator of
Definition
DIC during sepsis or trauma
Term
Tx for DIC requires
Definition
removal of underlying cause
Term
Sickle Cell Anemia is a
Definition
genetic mutation of HgBs in the erythrocytes
Term
Sickle Cell Anemia is an __________ disorder
Definition
autosomal recessive
Term
List the types of Sickle Cell Anemia Crisis
Definition
vasocclusive, sequestration (young children) aplastic, hyperhemolytic (very rare)
Term
When do we see Sickle Cell Anemia present in children?
Definition
around 6-12months of age
Term
Iron deficiency anemia in children is r/t
Definition
decrease erthropoiesis
Term
1/3 of infants with severe IDA will have chronic ____________ due to ____________
Definition
GI bleeds and cows milk
Term
Blood test for Pernicious Anemia includes
Definition
MCV above 100fl
Normal MCHC
Macrocytes on peripheral smear
Low (or normal) Serum Cobalamine
Increase Homocysteine
Methamyloic Acid- most inclusive test
Term
In chronic IDA, serum ferritin will _______ and total iron binding apacity will be _______
Definition
low and high
Term
With chronic (primary) ITP
Definition
IgG autoantibodies are made against platlet associated antigens
Term
During DIC, a person's___________ and __________ levels will increase.
Definition
Fibrin Degradation Product (FDP) and D-dimer
Term
In DIC, lab values will also indicate
Definition
low platlet counts, increased clotting times, and presence of FDP
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