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AHN 577 heme - onc Test With Complete Solution
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AHN 577 heme - onc Test WithComplete Solution
Normal Hgb - ANSWER Men: 14-18
Women: 12-16
Normal MCV range - ANSWER 80-100 fL
-This is where the "-cytic" comes from
normal MCH values - ANSWER 27-34
- This is where the "-chromic" comes from
normal MCHC values - ANSWER 32-36 g/dL
normal TIBC levels - ANSWER 250-450
normal iron range - ANSWER 50-150 mcg/dL
Normal ferritin levels - ANSWER 12-100ng/ml
megaloblastic hyperchromic anemia - ANSWER B12 Deficient
Pernicious Anemia
Megaloblastic normochromic anemia - ANSWER Folate deficiency
normocytic normochromic anemia - ANSWER Anemia of chronic disease
microcytic hypochromic anemia - ANSWER anemia characterized by small,
pale red blood cells that lack adequate hemoglobin to carry oxygen; can be
caused by deficiency of iron or vitamin B6
,- Thalassemias
S/S of pernicious anemia - ANSWER glossitis, paresthesia, loss of vibratory
sense, loss of fine motor, + rhomberg, +babinski
- splenomegaly
Testing for pernicious anemia - ANSWER Anti-IF and Anti-parietal cell
antibodies
-Schilling test to differentiate pernicious anemia from isolated B12 deficiency
Other causes of B12 deficiency that are NOT pernicious anemia - ANSWER
-Metformin
-Etoh
-Diet
-Hemodialysis
-Tapeworms
-Malabsorption from GI surgeries
Lab Ranges for serum Folate - ANSWER <2ng/ml is diagnostic
if >4ng/ml can rule out folate deficiency
, Drugs that can cause folate deficiency - ANSWER -Methotrexate
-Pyrimethamine
-etoh
-phenytoin
-isoniazid
-birth control
s/s of folate deficiency - ANSWER -glossitis, mouth and tongue pain,
hyperpigmentation, weight loss, orthostatic hypotension
What kind of Anemia is iron deficiency anemia - ANSWER microcytic
hypochromic
MCV for iron deficiency - ANSWER <80
MCHC for iron deficiency - ANSWER <32
S/S of iron deficiency anemia - ANSWER Pica, dyspnea, mild fatigue, h/a,
palpitations, weakness, tachycardia, postural hypotension, pallor
- Cheilosis- cracking on side of mouth
-spoon shaped, brittle nails
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