RBC WBC

Term

Definition

Causes

Manifestations

General Anemia

Decrease in erythrocytes, hemoglobin, or abnormal hemoglobin, reducing oxygen-carrying capacity and causing tissue hypoxia

1. Decreased erythrocytes

2. Reduction of hemoglobin

3. Presence of abnormal hemoglobin

1. Weakness

2. Fatigue

3. Pallor

4. Syncope

5. Dyspnea

6. Tachycardia

Iron-Deficiency Anemia

Very common anemia due to insufficient iron for hemoglobin production

1. Decreased iron consumption

2. Decreased iron absorption

3. Increased bleeding

1. Cyanosis to sclera

2. Brittle nails

3. Decreased appetite

4. Headache

5. Irritability

6. Stomatitis

7. Pica

8. Delayed healing

Pernicious Anemia

Vitamin B12 deficiency, often caused by a lack of intrinsic factor needed for absorption

1. Autoimmune destruction of intrinsic factor

1. Bleeding gums

2. Diarrhea

3. Impaired sense of smell

4. Loss of deep tendon reflexes

5. Personality changes

6. Paresthesia

7. Unsteady gait

Aplastic Anemia

Bone marrow depression leading to pancytopenia (reduction of all blood cells)

1. Idiopathic

2. Autoimmune conditions

3. Medications

4. Medical treatments

5. Viral infections

6. Genetic abnormalities

1. Weakness, pallor, dyspnea (anemia)

2. Recurrent infections (leukocytopenia)

3. Bleeding (thrombocytopenia)

Hemolytic Anemia

Anemia caused by excessive erythrocyte destruction

1. Idiopathic

2. Autoimmune reactions

3. Genetic disorders

4. Infections

5. Blood transfusion reactions

6. Blood incompatibility in neonates

1. Fatigue

2. Jaundice

3. Pallor

4. Tachycardia

5. Splenomegaly

Sickle Cell Anemia

Genetic disorder in which abnormal hemoglobin (Hemoglobin S) causes erythrocytes to sickle, leading to hypoxia and ischemia

1. Genetic (autosomal co-dominant)

2. More common in people of African, Mediterranean, South/Central American, Caribbean, and Middle Eastern descent

1. Pain episodes (tissue ischemia/necrosis)

2. Abdominal pain

3. Bone pain

4. Jaundice

5. Frequent infections

6. Delayed growth

Thalassemia

Inherited blood disorder affecting hemoglobin production, due to lack of alpha or beta globin

1. Genetic (autosomal dominant)

2. More common in Mediterranean, Asian, Indian, African descent

1. Fatigue

2. Dyspnea

3. Hepatosplenomegaly

4. Bone deformities

5. Jaundice

6. Delayed growth

Polycythemia Vera

Neoplastic disease characterized by abnormally high erythrocyte production

1. Idiopathic

1. Cyanotic or plethoric skin

2. High blood pressure

3. Tachycardia

4. Headaches

5. Visual disturbances

6. Thrombosis risks

Hemophilia A

X-linked recessive bleeding disorder caused by a deficiency of clotting factor VIII

1. Genetic (X-linked inheritance)

1. Bleeding (e.g., bruising, petechiae)

2. Prolonged bleeding after injuries or surgeries

Disseminated Intravascular Coagulation (DIC)

Life-threatening condition involving widespread coagulation followed by massive bleeding

1. Immune response to other conditions (e.g., infections, cancer, trauma)

1. Tissue ischemia

2. Abnormal bleeding (e.g., bruising, petechiae)

3. Organ failure in severe cases

Idiopathic Thrombocytopenia Purpura (ITP)

Autoimmune condition where platelets are destroyed, leading to hypocoagulation

1. Idiopathic

2. Autoimmune diseases

3. Immunizations (live vaccines)

4. Viral infections

5. Immunodeficiency disorders

1. Bleeding (e.g., bruising, petechiae)

Thrombotic Thrombocytopenic Purpura (TTP)

Deficiency in an enzyme needed for cleaving von Willebrand’s factor, leading to platelet aggregation and depletion

1. Idiopathic

2. Genetic predisposition

3. Medical treatments

4. Cancer

5. Medications

6. Pregnancy

7. HIV

1. Purpura

2. Fatigue

3. Fever

4. Headache

5. Tachycardia

6. Jaundice

7. Neurological changes (confusion, speech changes)

This table should be neat and helpful for studying!

Disease

Characteristics

Manifestations

Neutropenia

1. Neutrophils < 1500 cells/mL

2. Causes:

  2.1. Increased usage

  2.2. Drug suppression

  2.3. Radiation therapy

  2.4. Congenital conditions

  2.5. Bone marrow cancers

  2.6. Spleen destruction

  2.7. Vitamin deficiency

1. Depends on severity

2. Infections (respiratory, skin, gastrointestinal)

3. Signs of infection (fever, malaise, chills)

Lymphomas

1. Cancers of the lymphatic system

2. Most common hematologic cancer in the US

3. Two main types:

  3.1. Hodgkin's lymphoma

  3.2. Non-Hodgkin's lymphoma

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Hodgkin's Lymphoma

1. Least common of the two

2. Solid tumors with Reed-Sternberg cells

3. Typically in lymph nodes of upper body

4. Several subtypes

5. Very curable with treatment

1. Painless enlarged nodes

2. Weight loss

3. Fever

4. Night sweats

5. Coughing

6. Splenomegaly

Non-Hodgkin's Lymphoma

1. Affects the lymphatic system

2. No Reed-Sternberg cells

3. More common in Caucasians

4. Can originate in T or B cells

5. Many types with poor prognosis

6. Involves genetic, environmental, immune factors

Similar to Hodgkin's, but differs in spread and diagnosis

Leukemia

1. Cancer of leukocytes

2. Second most common blood cancer

3. Abnormal proliferation of leukemia cells

4. Risk factors: chemical exposure, smoking, certain diseases

5. Types:

  5.1. ALL

  5.2. AML

  5.3. CLL

  5.4. CML

1. Leukopenia

2. Anemia

3. Thrombocytopenia

4. Lymphadenopathy

5. Bone pain

6. Hepatomegaly

7. CNS dysfunction

Acute Lymphocytic Leukemia (ALL)

1. Primarily affects children (75% of childhood leukemias)

2. Responds well to therapy, good prognosis

-

Acute Myeloid Leukemia (AML)

1. Primarily affects adults

2. Responds fairly well to treatment, worse prognosis than ALL

-

Chronic Lymphocytic Leukemia (CLL)

1. Primarily affects adults

2. Poor response to therapy, but patients often live many years post-diagnosis

-

Chronic Myeloid Leukemia (CML)

1. Primarily affects adults

2. Poor response to chemotherapy, improved prognosis with bone marrow transplant

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Multiple Myeloma

1. Plasma cell cancer (third most common)

2. Excessive abnormal plasma cells in bone marrow

3. Causes bone destruction and hypercalcemia

4. Often well advanced at diagnosis

1. Gradual onset

2. Anemia

3. Bone pain

4. Hypercalcemia

5. Renal impairment