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EM rotation- HEME
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Last updated 6:50 PM on 11/27/22
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13 Terms
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1
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CHILD + Lymphadenopathy + bone pain + bleeding + fever in a CHILD, bone marrow > 20% blasts in bone marrow
Acute Lymphocytic Anemia (ALL)
2
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Acute Lymphocytic Anemia (ALL) treatment
chemotherapy
3
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Middle age/elderly patient, often asymptomatic (seen on blood tests), fatigue, lymphadenopathy, and splenomegaly
Chronic Lymphocytic Anemia (CLL)
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SMUDGE CELLS on peripheral smear, mature lymphocytes
Chronic Lymphocytic Anemia (CLL)
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BLASTS + AUER RODS in ADULT PATIENT
Acute Myeloid Leukemia (AML)
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Philadelphia chromosome (translocation of chromosome 9 and 22)
Chronic Myeloid Leukemia (CML)
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anemia of chronic disease tx
Erythropoietin and treat the underlying disease
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The only anemia where all three cell lines are decreased (pancytopenia)
↓ WBC ↓ RBC ↓ Platelets - will have normal MCV and ↓ Retic
Aplastic anemia
9
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population with folate deficiency
alcoholics
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folate vs. B12 deficiency
folate has no neuro symptoms.
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B12 or folate ?
Megaloblastic anemia'
Serum folic acid: low
Macro-ovalocytes and hypersegmented PMNs
Elevated homocysteine, normal MMA
folate deficiency
12
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after infection or medication in an African American male + Heinz Bodies and Bite Cells on a smear
G6PD deficiency
13
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