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What is the screening test used to diagnose all anemia’s?
CBC
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What is the diagnostic test for thalassemia & sickle cell anemia?
Hemoglobin Electrophoresis
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Hemoglobin electrophoresis is used to diagnose what 2 anemia’s?
Thalassemia & Sickle Cell Anemia
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A patient has a low Ferritin level, what type of anemia does the patient have?
Iron Deficiency Anemia
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The patients Ferritin level is normal/high what type of anemia does the patient have?
Thalassemia Minor/Trait
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Patients who have chronic illness or autoimmune illnesses are at higher risk for what type of anemia?
Normocytic Anemia
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What is another name for pernicious Anemia?
B12 Deficiency Anemia
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What type of symptoms will a patient exhibit with pernicious/B12 Anemia?
Neurological Symptoms (such as tingling/numbness)
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What is a cheap screening alternative to diagnosis sickle cel anemia?
Sickledex
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A patient’s parietal antibody/intrinsic factor antibody test are elevated. What type of anemia does the patient have?
Pernicious Anemia
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Macrocytic Anemia?
Pernicious Anemia
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A patient’s MCV is >100 (macrocytic), what 2 levels should the provider order?
B12 & Folate
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Microcytic, hypochromic anemia is considered what 2 types of anemia?
Iron Deficiency Anemia & Thalassemia
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Thalassemia is seen most commonly in people from what decent?
Mediterranean (Asian)
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Average Lifespan of normal RBC?
100-120 days
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COPDers & people who live at high altititudes may have a H&H that is higher or lower?
Higher (polycythemia)
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Which lab test describes the RBCs size?
MCV
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Which lab test describes the RBCs color?
MCH
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What does a serum ferritin level tell you?
Measure of iron in storage
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Best absorbed and cheapest iron supplement?
Ferrous Sulfate (take 4 hours later if patient took antacid)
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How much elemental iron should a patient recieve who take iron supplementation?
150-200mg Elemental Iron
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What does reticulocyte count measure?
Indicates ability of bone marrow to produce RBCs
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Foods rich in iron?
- Meats (red)
- Peas/Beans
- Dark, green, leafy vegetables
- While grains
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A patient complains of burning of the tongue that is caused by B12 Deficiency Anemia. What is this condition termed?
Glossitis
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A patient who has thalassemia has what type of anemia in regards to their MCV, MCH? What will their iron levels be?
Microcytic Hypochromic
Iron will be normal in thalassemia patient
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A patient who has thalassemia should NOT be given what supplement?
Never give iron supplement to thalassemia patient
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A normocytic, normchromic Anemia is often associated with what?
Anemia of Chronic Disease
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Alcoholics are at high risk what type of deficiencies?
B12 & Folate
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Patients who have a gastrectomy are at risk for what anemia?
B-12
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Multiple myeloma is a cancer of what type of cells? Will also have proteinuria with what type of proteins?
Plasma cells
Bence-Jones Proteins
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How do you differentiate between IDA & Thalassemia?
Order Iron studies - Ferritin low IDA, normal in thalassemia
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Most sensitive test for IDA?
Serum Ferritin
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Most common cause of IDA?
Blood loss
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Koilonychia is associated with which anemia?
- Iron Defeciency Anemia
- (Spoon shaped nails)
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What are food sources with Vitamin B12?
All foods from animal origin (meat, eggs, milk, cheese)
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What foods are good sources of folic acid?
Leafy Green Vegetables (kale, collard greens), grains, beans, & liver
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