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What is Pernicious anemia? -CORRECTANSWER lack of intrinsic factor and decreased
b12
Pernicious anemia s/s -CORRECTANSWER beefy red tongue
fatigue
paresthesia of hands/feet
What are the types macrocytic anemias -CORRECTANSWER Pernicious anemia
folate deficiency anemia >103mm
causes of macrocytic anemias -CORRECTANSWER liver disease
low b12 or folate
gastrectomy
malabsorption
alcoholism
Types of microcytic anemia -CORRECTANSWER iron deficiency
anemia of chronic disease late stage
lead poisoning, thalassemias
,MCV <87mm
Some signs of microcytic anemia -CORRECTANSWER occult blood in stool
menorrhagia
Characteristics of normocytic anemia -CORRECTANSWER anemia of chronic disease,
sickle cell, impaired bone marrow, hemolytic anemia, 87-103mm
What is the primary storage for iron -CORRECTANSWER ferritin >100 = normal
increased ferritin is caused by? -CORRECTANSWER inflammatory disease, hepatitis,
CRF,
What does transferrin do? -CORRECTANSWER regulates iron absorption and transport
in body, low levels = protein malnutrition, >200 is normal
total iron binding capacity (TIBC) -CORRECTANSWER high when iron low 240-450
> 400 with iron deficiency anemia
Hormone levels in Primary hypothyroidism? -CORRECTANSWER High TSH, low T3
and T4
, Hormone levels in Secondary hypothyroidism -CORRECTANSWER low TSH, low
T3/T4, malfunction of pituitary
What is Hashimoto's thyroiditis? What are the hormone levels associated ? -
CORRECTANSWER autoimmune thyroiditis, high TSH, low T3/T4
Myxedema s/s -CORRECTANSWER puffy face with hypothyroid
What is Grave's disease? -CORRECTANSWER autoimmune disorder leading to
hyperthyroidism, patients have antibodies mimicking TSH, high T4/T3
Primary Hyperthyroidism hormone levels -CORRECTANSWER Low TSH High T3,T4
excessive iodine uptake causes: -CORRECTANSWER hyperthyroidism
first lab test for thyroid disorders -CORRECTANSWER TSH
TSH improves after ___ weeks of levothyroxine -CORRECTANSWER 6-8 weeks
subclinical hypothyroid hormone levels -CORRECTANSWER elevated TSH, normal T4
and Free T4