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Pathology - Systemic Pathology 1A
Pathology - Systemic Pathology 1A
22
Medical
Professional
04/19/2013

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Term
In which disease are Heinz bodies and Bite cells seen?
Definition
G6PD Deficiency
Term
What are Heinz bodies ?
Definition
Precipitates of denatured globin in red cells
Term
What stain you can do to look for Heinz bodies ?
Definition
Supravital staining
Term
Two types of microcytic anemias ?
Definition
Iron deficiency anemia
Thalassemias
Term
Only hemolytic anemia due to acquired mutation in myeloid stem cells (mutation in PIGA gene) ?
Definition
PNH (Paroxysmal Nocturnal Hemoglobinuria)
Term
In PNH, mutation in PIGA leads to absence of CD55, CD59, and C8 binding proteins, and this causes ?
Definition
Complement mediated hemolysis of RBCs
Term
Flaer test can diagnose what ?
Definition
PNH
Term
Intravascular hemolysis and venous thrombosis are complications of what ?
Definition
PNH

Thrombosis is leading cause of death
Term
You see schistocytes (fragmented RBCs) in what type of anemia ?
Definition
Microangiopathic hemolytic anemia
Where RBCs are mechanically damaged by passing through obstructed blood vessels

This anemia also can be seen in conditions like DIC, malignant hypertension, SLE, TTP, and disseminated cancer
Term
Most common anemia in hospitalized patients ?
Definition
Anemia of chronic disease

Increase IL-6 causes increase in hepcidin
Term
Biochemical indicators of anemia of chronic disease ?
Definition
Increase serum ferritin, increase bone marrow iron
Decrease serum Fe and decrease TIBC
Decrease EPO (erythropoietin levels)
Term
2 causes of megaloblastic anemias ?
Definition
Folate deficiency or Vit B12 (cobalmin) deficiency

Both needed for synthesis of thymidine base which is needed for DNA synthesis, leads to nuclear/cytoplasmic asynchrony
Term
One big clinical difference in folate vs. Vitamin B12 deficiency that can be seen in megaloblastic anemia ?
Definition
Vitamin B12 deficiency gives rise to neurological abnormalities (demyelinating disorder of peripheral nerves and spinal cord)
Term
3 clinical symptoms found in all anemias ?
Definition
Pallor, fatigue, lassitude
Term
Mechanism of pernicious anemia ?
Definition
Atrophic gastritis -> IF not produced -> Vitamin B12 not absorbed -> megaloblastic anemia

Most common in North Europeans
Insidious onset
Term
Immunophenotype markers for Hairy cell leukemia ?
Definition
CD11c, CD20, CD25, CD103+
Term
Specific stain for Hairy cell leukemia ?
Definition
TRAP stain positive
Term
Immunophenotype markers for SLL / CLL (Chronic Lymphocytic Leukemia) ?
Definition
CD5 CD19 CD20 CD23 CD43 positive
Term
Immunophenotype markers fro Burkitt's Lymphoma ?
Definition
CD10 CD19 CD20 Surface Ig
Term
Characteristic translocation and immunophenotype markers for Follicular Lymphoma ?
Definition
t(14;18) translocation

CD10+ CD19 CD20 BCL6
Term
90% of NHLs (Non-Hodgkin's Lymphomas) are ?
Definition
B cell lymphomas
Term
Reed-Sternberg cells are characteristic of what lymphoma ?
Definition
Hodgkin's Lymphoma
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