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Patho
Hematological Systems
Question | Answer |
---|---|
Anemia | too few RBC's |
Polycythemia | too many RBC's |
Leukopenia | too few WBC's |
Leukocytosis | too many WBC's |
Thrombocytopenia | too few platelets |
Thrombocythemia | too many platelets |
carry oxygen & nutrients, transport hormones, remove wastes, deliver cells to prevent infection, stop bleeding, promote healing | hematopoetic functions |
Lymphadenopathy | enlargement of lymph nodes |
Splenomegaly | enlargement of spleen |
increased platelet formation, increased clotting activity | hypercoagulability |
immature WBC's taking over | "shift to the left" |
see these cells in "shift to the left" | polymorphonuclear leukocyte (segmented neutrophils) |
composed of fibrin and blood cells | blood clot |
blocks flow to distal tissues | blood clot |
a blood clot that breaks away from vessel wall | embolus |
autoimmune disease in which blood does not clot as it should (platelets are destroyed in spleen) | Idiopathic Thrombocytopenia Purpura (ITTP) |
promote coagulation & stops bleeding from damaged blood vessels | clotting factors |
vitamin K deficiency, reduction in clotting factors due to liver disease | impaired clotting |
syndrome of uncontrolled bleeding resulting from systemic multiple clots (due to depletion of clotting factors) | Disseminated Intravascular Coagulation (DIC) |
organ that filters blood and removes unwanted material | spleen |
X-linked recessive disorder where no factor VIII is generated, leading to excessive bleeding | Hemophilia A |
disorder that decreases platelet stickiness | Von Willebrand Disease |
manifestations of DIC | hemorrhage from every opening, abdominal distention, hematuria (blood in urine) |
diagnosis and treatment of DIC | accelarated clotting, decreased platelet count, removal of primary event, heparin if organ failure from hypoxemia, plasma with factor VIII |
clinical manifestations of anemia | increased HR and RR, dizziness, fatigue, skin pallor, nausea, decreased hair and skin quality |
anemia due to loss of blood | hemorrhagic anemia |
whole blood is used for this type of anemia | hemorrhagic anemia |
type of anemia caused by excessive destruction of RBC's (bone marrow unable to compensate) | hemolytic anemia |
type of anemia caused by hemoglobin "S" | sickle cell anemia |
sickling happens in respone to... | hypoxia (lack of oxygen) |
type of anemia caused by dysfunction of bone marrow to replace dying cells; consequently all blood cell types are affected | aplastic anemia |
type of anemia caused by lack of intrinsic factor, a substance needed to absorb vit B-12 from stomach (vit B-12 is need for RBC production) | pernicious anemia |
most common type of anemia | iron deficiency anemia |
low white blood count (1000 or less) | neutropenia |
caused by Epstein-Barr virus, that infects B lymphocytes | mononucleosis |
swolen lymph nodes, severe sore throat and fever, overwhelming fatigue | mononucleosis |
cancer of one class of WBC in bone marrow resulting in proliferation of that cell type to the exclusion of others | leukemia |
acute leukemia | poorly differentiated cells |
chronic leukemia | well differentiated cells |
acute lymphoblastic leukemia (ALL) | childhood leukemia |
acute myeloblastic leukemia | usual onset after 60 years old |
chronic lymphoblastic leukemia (CLL) | disease of the elderly |
chronic myeloblastic leukemia (CML) | worst kind of leukemia (median survival 3-4 years) |
symptoms of leukemia | anemia, neutropenia, thrombocytopenia |
Hodgkin's Disease | presence of Reed-Sternberg cell, spreads predictably |
cancer of the lymph | Hodgkin's Disease(s) |
Non-Hodgkin's Disease | no R-S cell, spreads unpredictably |
cancer of the plama cells in bone marrow | multiple myeloma |
bone pain, Bence Jones proteins found in urine, fractures, recurrent infections | multiple myeloma |