Hematology

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1
What are the three main blood components formed in the bone marrow?
Red blood cells (erythrocytes), white blood cells (leukocytes), and platelets (thrombocytes)
2
What does a CBC evaluate?
Red blood cells, white blood cells, and platelets
3
What is the normal RBC range?
3.6 – 5.4
4
What is the normal hematocrit range?
37% – 50%
5
What is the normal hemoglobin range?
12 – 16.5
6
What is the normal total WBC range?
5,000 – 10,000
7
What is the normal neutrophil percentage?
47% – 63%
8
What is the normal lymphocyte percentage?
24% – 40%
9
What is the normal platelet range?
150,000 – 400,000
10
What is the primary function of erythrocytes?
Deliver oxygen to tissues via hemoglobin
11
What does hematocrit measure?
The percentage of blood made up of red blood cells
12
What does a low hematocrit indicate?
Blood loss or fluid overload
13
What does a high hematocrit indicate?
Dehydration
14
What is hypoxia?
Low oxygen at the tissue level
15
What are classic signs of hypoxia from anemia?
Fatigue, tachypnea, tachycardia, pallor
16
What is pallor?
Pale skin and mucous membranes due to low hemoglobin or RBCs
17
What is anemia?
Decreased RBCs, hemoglobin, and hematocrit causing tissue hypoxia
18
What are the three major causes of anemia?
Blood loss, decreased or faulty RBC production, and RBC destruction
19
What is the most common nutritional anemia worldwide?
Iron deficiency anemia
20
Why is iron necessary for RBC production?
Iron is required to produce hemoglobin
21
What are causes of vitamin B12 deficiency?
Poor diet, lack of intrinsic factor, gastric surgery, Crohn’s disease
22
Why are lifelong B12 injections required without intrinsic factor?
Vitamin B12 cannot be absorbed without intrinsic factor
23
What hormone stimulates RBC production?
Erythropoietin (EPO)
24
How does kidney failure cause anemia?
Decreased erythropoietin leads to decreased RBC production
25
What is hemolytic anemia?
Anemia caused by red blood cells being destroyed faster than they can be replaced
26
What is the inheritance pattern of sickle cell anemia?
Autosomal recessive
27
What commonly triggers sickle cell crisis?
Dehydration, infection, and hypoxia
28
What are the three types of sickle cell crisis?
Vaso-occlusive, sequestration, and aplastic
29
What is the priority treatment for sickle cell crisis?
Oxygen, IV fluids, and pain medication
30
Sickle cell crisis is primarily a problem of what ABC category?
Circulation
31
What is polycythemia?
Too many red blood cells causing thick blood (hyperviscosity)
32
What causes secondary polycythemia?
Chronic hypoxia such as COPD, sleep apnea, or high altitude
33
What is the treatment for polycythemia?
Phlebotomy, oxygen, and aspirin
34
What is leukocytosis?
Elevated white blood cell count
35
What is leukopenia?
Decreased white blood cell count
36
What type of infection increases neutrophils?
Acute bacterial infection
37
What type of infection increases lymphocytes?
Viral or chronic bacterial infection
38
What is leukemia?
Malignant overproduction of nonfunctioning white blood cells crowding the bone marrow
39
Why do leukemia patients develop anemia, infection, and bleeding?
Bone marrow crowding suppresses RBCs, WBCs, and platelets
40
What is thrombocytopenia?
Platelet count less than 140,000 causing increased bleeding risk
41
What is thrombocytosis?
Elevated platelet count increasing clot risk
42
What are petechiae?
Pinpoint hemorrhages of small capillaries
43
What is purpura?
Red or purple skin discoloration that does not blanch with pressure
44
What is ecchymosis?
Bruising from blood leaking into tissues under the skin
45
What is epistaxis?
Bleeding from the nose
46
What is menorrhagia?
Excessive menstrual bleeding
47
What is hemorrhage?
Blood leaving a blood vessel internally or externally
48
What is hypovolemia?
Decreased circulating blood volume
49
What is tachycardia?
Increased heart rate
50
What is tachypnea?
Increased respiratory rate
51
What is Idiopathic Thrombocytopenic Purpura (ITP)?
An autoimmune disorder that destroys platelets
52
What is DIC?
A coagulation disorder causing both widespread clotting and hemorrhage
53
What happens first in DIC?
Massive clot formation that depletes platelets and clotting factors
54
Why does bleeding occur in DIC?
Clotting factors and platelets become exhausted
55
What are common triggers of DIC?
Sepsis, trauma, burns, obstetric complications, and cancer
56
What lab findings are seen in DIC?
Decreased platelets and increased D-dimer
57
What is hemophilia?
A genetic bleeding disorder caused by clotting factor deficiency
58
If an anemic patient has a low PaO2 on ABG, what condition is present?
Hypoxia
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