solution
What are the 3 major categories of anemia?
factor production depletion
Where is peripheral blood located?
outside the bone marrow
According to Mosby, how much iron do we absorb in a day?
1 mg
What is the definitive test for pernicious anemia?
Shilling's test
What is the problem with treating pernicious anemia with only folate?
B12 deficiency will still have neurologic damage
What transports iron in the blood?
transferrin
What is the most common cause of anemia?
bleeding
With blood loss from chronic bleeding, the anemia has what type of RBC Morphology?
Microcytic and hypochromic
What is the most common cause of GI bleeding in men below 40yoa?
peptic ulcer
What becomes deficient first with iron deficiency?
Bone marrow (then iron, then RBCs)
What wintrobe indice do we look at to determine the cause of anemia?
MCV
What is the most common cause of increased serum iron?
hemolytic anemia
Sickle cell anemia is an example of what type of anemia?
Depletion anemia
What is the most common malignant disease in children?
ALL
Where is the problem located with production-defect anemia?
bone marrow
What is an aka for Thalassemia major?
Cooley's anemia
What is sickle cell crisis?
failure to exchange O2
What type of hemoglobin do we find in infants?
hemoglobin F
What is the name of the cells that are found with Hodgkin Disease (HD)?
Reed-Sternburg
What is the most common hemoglobin abnormality?
sickle cell anemia
What is the most sensitive test for iron deficiency other than bone marrow iron stain?
serum ferritin
, What vitamin can cause increase iron absorption?
vitamin c
What is typically found with Non-Hodgkin lymphoma (NHL)?
Painless lymph nodes
What is the term for lymphoma that spreads to bone marrow and peripheral blood?
leukemia lymphoma
What is the Caloric Study used to evaluate?
CN VIII and temporal of cerebellum
What are some interfering factors associated with a Cardiac Stress Test?
heavy meals & nicotine
What does manometry measure?
pressure
What is the Bernstein test used to evaluate?
Esophagitis
What is synchronous contraction of the esophagus called in elderly patients?
Presbyesophagus
What is achalasia?
failure of LES to relax & obstructs passage of food
What kind of deficiencies do we find in Factor Deficiency Anemia?
iron, b12 and folic acid
What are the 2 classifications for PAP smear that were discussed?
cell and CIN
What does tourniquet test evaluate?
defects in capillary wall
What is basophilic stippling an indication of?
lead poisoning
What is the gold standard test for iron deficiency anemia?
a. serum iron
b. serum ferritin
c. bone marrow aspiration
d. total binding capacity
Bone marrow aspiration
What is the functional test for folic acid?
Hypersegmented Neutrophils
If you suspect your patient has kidney disease what lab value would be a good test to
run?
CCR
A 56 yoa woman has elevated ALP, AST & ALT. She also has low albumin. What does
this indicate?
Liver disease
If a patient presented to your office with breast cancer, what CPK isoenzyme would be
elevated?
CPK-BB
What cardiac lab test is more sensitive to MI than AST and elevates with small infarcts?
LDH
What is the typical visceral pain referral pattern for gallbladder and liver?