Levels Of Anemia149 Hemoglobinlessthan11149 Hemoglobinlesthan9Moderate149 Hemoglobinlessthan7Severe Hypoxia149 LowPO2149 OxygenContentHemoglobinPO2149 Acutesignssymptoms149 ID: 945245
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THE ANEMIASInadequate ConstructionVsExcessive Destruction Levels Of A
nemia Hemoglobinlessthan11 Hemoglobinlesthan9:Moderate
49; Hemoglobinlessthan7:Severe Hypoxia LowPO2 OxygenConte
nt=Hemoglobin+PO2 Acutesigns/symptoms: Chronicsigns/sympt
oms: Cyanosis FivegramsofhemoglobinareFULLY desaturated Two way
s to approach Anemia (1) Check RETICULOCYTE COUNT ANEMICLow RET
ICULOCYTE count Hypoproliferative (1)SomethingisMISSING f
romthebonemarrowor (2)Bonemarrowis suppressedHigh RETICUL
OCYTE Hyperproliferative HemolyticAnemia Intravasc
ular Extravascular Vasculitis in progress Extravascular Hemolys
is Mcc: Autoimmune hemolysis: Do coombs test Drugs that cause
extravascular Hemolysis Penicillins Cephalosporins
Sulpha Dapsone AlphaMethylDopa PTU HIPPPE Par
oxysmal Nocturnal Hemoglobinuria First described in military re
cruits RBCs are sensitive to hemolysis by acidosis HAMS t
est Hereditary Spherocytosis Autosomal Dominant SPECTRIN
defect Osmotic fragility test Hereditary Elliptocytosis A
utosomal Dominant Some RBCs can talk Here is what they ha
ve to say Reticulocyte Spherocyte Elliptocyte Schistocyte Tear Drop C
ell Target Cell Heinz Body Basophilic Stippling Acanthocytes Anisocyt
osis Poikylocytosis The second way to approach Anemia Check a C
BC with differential MCV MCH MCHC Microcytic Hypoch
romic Low MCV Low MCH Impaired hemoglobin PRODUCTIO
N Microcytic Hypochromic Anemias Iron Deficiency Chronic
Disease, late Lead poisoning Thallessemias Hemoglob
inopathies Sideroblastic anemia Microcytic Hyperchromic L
ow MCV High MCHC ( MCH/MCV) The cells are too small Micro
cytic Hyperchromic Anemias Hereditary Spherocytosis Normocytic
Normochromic Normal MCV Normal MCH NOTHING is wrong
with the RBCs You do not have enough of them Normocytic
Normochromic Anemias Acute Hemorrhage (less Than 4 days)
Chronic disease, early Renal failure Hypothyroidism, earl
y Macrocytic Anemia High MCV Impaired nuclear division Ma
crocytic Anemias B12 Deficiency Folate Deficiency H
ypothyroidism, severe Reticulocytosis Alcohol Chemo
therapy drugs Anticonvulsants Anticonvulsants Phenytoin
149; Ethusuximide Valproic Acid Carbamezapine Organizatio