Shared Flashcard Set

Details

ICM- Hematology and Oncology
Iron Deficiency and Megaloblastic anemias (T Pierce)
7
Medical
Professional
11/16/2009

Additional Medical Flashcards

 


 

Cards

Term
esential nutrients of erythropoiesis
Definition
  • iron
  • cobalamin
  • folic acid
Term
folic acid (enzyme, function, source, absorption, storage)
Definition
  • thymidylate synthetase
  • function in DNA synthesis
  • found in vegetables, fruit liver
  • absorbed at proximal intestines
  • stored in liver
Term
cobalamin (enzyme, func, source, absorption, storage)
Definition
  • methionine synthetase
  • function- DNA synthesis
  • source- meat, milk, egg
  • absorption- terminal ilium
  • storage- liver, kidney
Term
iron (enzyme, function, source, absorption, storage)
Definition
  • ferrochelatase
  • function- Hb syn.
  • source- meat, fortification
  • absorbed in prox. intestines
  • storage- macrophages
Term
importance of iron
Definition
  • oxygen carrrying ion part of heme group
  • exists as ferrous or ferric state, but only ferrous can bind oxygem
  • heme- made of porphyrin and iron
  • Hb- made of four globular protein subunits and with heme
Term
roles of iron as a nutrient
Definition
  • reversible oxygen binding- Hb, Mg
  • enzyme
    • heme (cytochromes)
    • iron sulfure cluster (aconitase)
    • ribonucleotide reductase
  • immunity- free radicals to destroy microbes
Term
causes of iron deficiency
Definition
  • chronic blood loss
    • GI bleed (carcinoma, ulcers, diverticuli, A-V malformation, hookworm)
  • dietary insufficiency
    • rapidly growing kids
    • women of child bearing age
  • malabsorption
    • s/p gastrectomy
    • s/p resection prox. small bowel
    • crohn's disease
    • celiac disease
  • pregnancy and lactation
  • hemoglobinuria
    • secondary to intravascular hemolysis
      • PNH
      • runner's anemia
Supporting users have an ad free experience!