Podcast
Questions and Answers
What is the normal life span of erythrocytes?
What is the normal life span of erythrocytes?
- 90 days
- 120 days (correct)
- 150 days
- 60 days
What is the approximate diameter range of erythrocytes?
What is the approximate diameter range of erythrocytes?
- 12-14 um
- 6-8 um (correct)
- 3-5 um
- 9-11 um
Growth factor that stimulates erythrocyte production from myeloid progenitor cells and influences colony-forming unit-erythrocytes (CFU-Es) to differentiate into erythroblasts?
Growth factor that stimulates erythrocyte production from myeloid progenitor cells and influences colony-forming unit-erythrocytes (CFU-Es) to differentiate into erythroblasts?
- Erythropoietin (correct)
- Insulin-like growth factor 1
- Interleukin-3
- Tumor necrosis factor
What is the central pallor size of erythrocytes?
What is the central pallor size of erythrocytes?
What is the diameter of erythrocytes, on average, in comparison to the size of the nucleus of a small lymphocyte?
What is the diameter of erythrocytes, on average, in comparison to the size of the nucleus of a small lymphocyte?
Which type of progenitor cell does erythropoietin stimulate to produce erythrocytes?
Which type of progenitor cell does erythropoietin stimulate to produce erythrocytes?
Where is erythropoietin mainly produced?
Where is erythropoietin mainly produced?
What condition is associated with increased central pallor of erythrocytes?
What condition is associated with increased central pallor of erythrocytes?
What regulates erythropoiesis in addition to erythropoietin?
What regulates erythropoiesis in addition to erythropoietin?
What is the reference range of red blood cell count for males in conventional units?
What is the reference range of red blood cell count for males in conventional units?
What role does androgen play in erythropoiesis?
What role does androgen play in erythropoiesis?
What condition leads to a decrease in central pallor of erythrocytes?
What condition leads to a decrease in central pallor of erythrocytes?
Hemoglobin continues to be produced by reticulocytes for approximately ___ hours after exiting the bone marrow?
Hemoglobin continues to be produced by reticulocytes for approximately ___ hours after exiting the bone marrow?
What is the size range of a polychromatophilic normoblast (rubricyte)?
What is the size range of a polychromatophilic normoblast (rubricyte)?
Which normoblast has an eccentric nucleus with small, fully condensed (pyknotic) nucleus and pale blue to salmon cytoplasm?
Which normoblast has an eccentric nucleus with small, fully condensed (pyknotic) nucleus and pale blue to salmon cytoplasm?
Which normoblast begins to produce hemoglobin, resulting in gray-blue cytoplasm?
Which normoblast begins to produce hemoglobin, resulting in gray-blue cytoplasm?
What is the N:C ratio of a pronormoblast (rubriblast)?
What is the N:C ratio of a pronormoblast (rubriblast)?
Which type of cell contains no nucleus but has mitochondria and ribosomes?
Which type of cell contains no nucleus but has mitochondria and ribosomes?
What is the approximate size of an orthochromic normoblast (metarubricyte)?
What is the approximate size of an orthochromic normoblast (metarubricyte)?
What is the primary source of energy for early red blood cells?
What is the primary source of energy for early red blood cells?
What is the best indicator of bone marrow function?
What is the best indicator of bone marrow function?
Which mechanism is responsible for maintaining the proper volume ratio and flexibility of erythrocytes?
Which mechanism is responsible for maintaining the proper volume ratio and flexibility of erythrocytes?
What is the approximate lipid composition of the erythrocyte membrane?
What is the approximate lipid composition of the erythrocyte membrane?
In which type of anemia are macrocytes (RBCs > 8 um in diameter) commonly seen?
In which type of anemia are macrocytes (RBCs > 8 um in diameter) commonly seen?
What is the size range of microcytes?
What is the size range of microcytes?
Which substance is required for the transport of oxygen in erythropoiesis?
Which substance is required for the transport of oxygen in erythropoiesis?
In which type of anemia are microcytes (RBCs less than 6 um in diameter) commonly seen?
In which type of anemia are microcytes (RBCs less than 6 um in diameter) commonly seen?
What is the defining characteristic of normocytes (discocytes)?
What is the defining characteristic of normocytes (discocytes)?
What does anisocytosis indicate in a red blood cell population?
What does anisocytosis indicate in a red blood cell population?
In which condition is an increase in RDW (red blood cell distribution width) most likely to be seen?
In which condition is an increase in RDW (red blood cell distribution width) most likely to be seen?
When is dimorphism, a heterogeneous RBC population, most likely to be observed?
When is dimorphism, a heterogeneous RBC population, most likely to be observed?
What is the general term used to describe variation in shape of red blood cells?
What is the general term used to describe variation in shape of red blood cells?
Which condition is associated with evenly spaced sharp projections and a central pallor area in red blood cells?
Which condition is associated with evenly spaced sharp projections and a central pallor area in red blood cells?
What condition is commonly associated with unevenly spiculated red blood cells with bulbous and rounded ends?
What condition is commonly associated with unevenly spiculated red blood cells with bulbous and rounded ends?
Which condition is associated with red blood cells showing a central area of hemoglobin surrounded by a colorless ring and a peripheral ring of hemoglobin?
Which condition is associated with red blood cells showing a central area of hemoglobin surrounded by a colorless ring and a peripheral ring of hemoglobin?
In which conditions are poikilocytosis observed?
In which conditions are poikilocytosis observed?
What is the distinguishing characteristic of acanthocytes?
What is the distinguishing characteristic of acanthocytes?
What is the defining characteristic of acanthocytes?
What is the defining characteristic of acanthocytes?
What causes the formation of echinocytes (crenated and burr cells)?
What causes the formation of echinocytes (crenated and burr cells)?
What is the cause of spiculated red blood cells with an increased surface-to-volume ratio?
What is the cause of spiculated red blood cells with an increased surface-to-volume ratio?
What causes the excessive cholesterol in the membrane of crenated cells?
What causes the excessive cholesterol in the membrane of crenated cells?
What condition is commonly associated with target cells (codocytes or Mexican hat cells)?
What condition is commonly associated with target cells (codocytes or Mexican hat cells)?
Which condition is associated with evenly spaced sharp projections and a central pallor area in red blood cells?
Which condition is associated with evenly spaced sharp projections and a central pallor area in red blood cells?
Which type of red blood cell is associated with defects of the red cell membrane proteins?
Which type of red blood cell is associated with defects of the red cell membrane proteins?
In which condition are sickle cells most commonly seen?
In which condition are sickle cells most commonly seen?
What causes the cell shape of schistocytes (RBC fragments) in microangiopathic hemolytic anemias?
What causes the cell shape of schistocytes (RBC fragments) in microangiopathic hemolytic anemias?
What is the defining characteristic of schistocytes (RBC fragments)?
What is the defining characteristic of schistocytes (RBC fragments)?
Which condition is associated with pear-shaped cells and one blunt projection?
Which condition is associated with pear-shaped cells and one blunt projection?
What is the characteristic feature of spherocytes?
What is the characteristic feature of spherocytes?
What causes the characteristic cell shape of sickle cells?
What causes the characteristic cell shape of sickle cells?
What is the defining characteristic of stomatocytes (mouth cells)?
What is the defining characteristic of stomatocytes (mouth cells)?
Which condition is most commonly associated with the presence of teardrop cells (dacryocytes) in the blood?
Which condition is most commonly associated with the presence of teardrop cells (dacryocytes) in the blood?
What is the characteristic cell shape of spherocytes associated with?
What is the characteristic cell shape of spherocytes associated with?
Which condition is commonly associated with the presence of schistocytes (RBC fragments) in the blood?
Which condition is commonly associated with the presence of schistocytes (RBC fragments) in the blood?
What is the most likely cause of stomatocytes in the blood?
What is the most likely cause of stomatocytes in the blood?
What condition is associated with the presence of elliptocytes (ovalocytes) in the blood?
What condition is associated with the presence of elliptocytes (ovalocytes) in the blood?
In which type of anemia are pencil forms of elliptocytes most commonly seen?
In which type of anemia are pencil forms of elliptocytes most commonly seen?
Which of the following diseases is NOT associated with an increased presence of nucleated RBCs in the peripheral blood smear?
Which of the following diseases is NOT associated with an increased presence of nucleated RBCs in the peripheral blood smear?
In which condition would a few nucleated RBCs in a peripheral blood smear be considered normal?
In which condition would a few nucleated RBCs in a peripheral blood smear be considered normal?
Which disease is NOT commonly associated with the presence of nucleated RBCs in the peripheral blood smear?
Which disease is NOT commonly associated with the presence of nucleated RBCs in the peripheral blood smear?
Which condition is most likely to be associated with the presence of nucleated RBCs in the peripheral blood smear?
Which condition is most likely to be associated with the presence of nucleated RBCs in the peripheral blood smear?
What is the significance of the presence of orthochromic normoblasts (metarubricytes) in the peripheral blood smear?
What is the significance of the presence of orthochromic normoblasts (metarubricytes) in the peripheral blood smear?
In which of the following disorders would a normal newborn most likely have a few nucleated RBCs on a peripheral blood smear?
In which of the following disorders would a normal newborn most likely have a few nucleated RBCs on a peripheral blood smear?
Which condition is NOT commonly associated with the presence of Howell-Jolly bodies in the blood?
Which condition is NOT commonly associated with the presence of Howell-Jolly bodies in the blood?
What is the most likely cause of Howell-Jolly bodies in erythrocytes?
What is the most likely cause of Howell-Jolly bodies in erythrocytes?
In which condition are Howell-Jolly bodies most commonly seen?
In which condition are Howell-Jolly bodies most commonly seen?
Which condition is likely to show the 'blueberry bagel' appearance in red blood cells?
Which condition is likely to show the 'blueberry bagel' appearance in red blood cells?
What is the characteristic appearance of basophilic stippling in red blood cells?
What is the characteristic appearance of basophilic stippling in red blood cells?
Which of the following conditions is associated with basophilic stippling in red blood cells?
Which of the following conditions is associated with basophilic stippling in red blood cells?
What is the characteristic staining pattern of Pappenheimer bodies with Wright's stain?
What is the characteristic staining pattern of Pappenheimer bodies with Wright's stain?
What accumulates to cause the formation of Pappenheimer bodies?
What accumulates to cause the formation of Pappenheimer bodies?
In which of the following conditions are Pappenheimer bodies commonly observed?
In which of the following conditions are Pappenheimer bodies commonly observed?
What is the significance of Cabot rings in the peripheral blood smear?
What is the significance of Cabot rings in the peripheral blood smear?
Which of the following correctly describes the composition of Cabot rings?
Which of the following correctly describes the composition of Cabot rings?
In which type of anemia is the presence of Cabot rings most commonly associated?
In which type of anemia is the presence of Cabot rings most commonly associated?
What type of crystal is condensed and rod-shaped?
What type of crystal is condensed and rod-shaped?
What is the defining characteristic of Hemoglobin SC crystals?
What is the defining characteristic of Hemoglobin SC crystals?
In which condition are HEMOGLOBIN SC CRYSTALS (WASHINGTON MONUMENT) observed?
In which condition are HEMOGLOBIN SC CRYSTALS (WASHINGTON MONUMENT) observed?
Which condition is most likely to be associated with the presence of Heinz bodies in red blood cells?
Which condition is most likely to be associated with the presence of Heinz bodies in red blood cells?
Which of the following is a condition where Heinz bodies may be seen due to denatured hemoglobin?
Which of the following is a condition where Heinz bodies may be seen due to denatured hemoglobin?
In which of the following conditions might Heinz bodies be visualized using a supravital stain?
In which of the following conditions might Heinz bodies be visualized using a supravital stain?
What is the distinguishing characteristic of normochromasia?
What is the distinguishing characteristic of normochromasia?
What condition is often associated with hypochromasia?
What condition is often associated with hypochromasia?
In which type of anemia are microcytosis and hypochromasia commonly seen?
In which type of anemia are microcytosis and hypochromasia commonly seen?
Qual es le principal characteristicas de polychromasia in le hemoglobina?
Qual es le principal characteristicas de polychromasia in le hemoglobina?
Qual es le causa plus probabile del macrocytosis observate con polychromasia?
Qual es le causa plus probabile del macrocytosis observate con polychromasia?
Qual es le signification de un tintura blau que se observa in le hemoglobina quando colorate con Wright?
Qual es le signification de un tintura blau que se observa in le hemoglobina quando colorate con Wright?
What is the definitive method for determining true rouleaux formation?
What is the definitive method for determining true rouleaux formation?
In which conditions would one most likely see excessively blue color to the smear macroscopically and microscopically?
In which conditions would one most likely see excessively blue color to the smear macroscopically and microscopically?
What causes the stacking or 'coining' pattern of erythrocytes known as rouleaux formation?
What causes the stacking or 'coining' pattern of erythrocytes known as rouleaux formation?
What is the characteristic feature of agglutination in cold autoimmune hemolytic anemia?
What is the characteristic feature of agglutination in cold autoimmune hemolytic anemia?
What is the corrective measure for a false low RBC and hematocrit, and false high MCHC (>37 g/dL) when using an automated cell counting instrument in cold agglutinin disease?
What is the corrective measure for a false low RBC and hematocrit, and false high MCHC (>37 g/dL) when using an automated cell counting instrument in cold agglutinin disease?
Which type of antibodies and complement lead to agglutination of erythrocytes in cold autoimmune hemolytic anemia?
Which type of antibodies and complement lead to agglutination of erythrocytes in cold autoimmune hemolytic anemia?
What is the primary function of hemoglobin?
What is the primary function of hemoglobin?
Which amino acid chain determines the type of hemoglobin?
Which amino acid chain determines the type of hemoglobin?
What gives erythrocytes their characteristic red color?
What gives erythrocytes their characteristic red color?
What is the role of the amino acid sequence in the globin chain of hemoglobin?
What is the role of the amino acid sequence in the globin chain of hemoglobin?
What gives erythrocytes their characteristic red color?
What gives erythrocytes their characteristic red color?
How many heme groups are present in the structure of hemoglobin?
How many heme groups are present in the structure of hemoglobin?
Where does heme synthesis occur in the immature red blood cell?
Where does heme synthesis occur in the immature red blood cell?
Which chromosome controls the globin synthesis for alpha chains?
Which chromosome controls the globin synthesis for alpha chains?
What is the primary determinant of globin synthesis location?
What is the primary determinant of globin synthesis location?
Where does heme synthesis occur in the immature red blood cell?
Where does heme synthesis occur in the immature red blood cell?
What is the primary source of energy for early red blood cells?
What is the primary source of energy for early red blood cells?
Which amino acid chain determines the type of hemoglobin?
Which amino acid chain determines the type of hemoglobin?
What is the major free hemoglobin transport protein that binds to released free hemoglobin in intravascular hemolysis?
What is the major free hemoglobin transport protein that binds to released free hemoglobin in intravascular hemolysis?
Which laboratory parameter is most likely to be decreased in the context of intravascular hemolysis?
Which laboratory parameter is most likely to be decreased in the context of intravascular hemolysis?
What is the likely result in urine associated with intravascular hemolysis?
What is the likely result in urine associated with intravascular hemolysis?
Where does the protoporphyrin ring get metabolized to bilirubin and urobilinogen in extravascular hemolysis?
Where does the protoporphyrin ring get metabolized to bilirubin and urobilinogen in extravascular hemolysis?
What happens to the globin chains of senescent/old RBCs during extravascular hemolysis?
What happens to the globin chains of senescent/old RBCs during extravascular hemolysis?
What happens to the iron in senescent/old RBCs during extravascular hemolysis?
What happens to the iron in senescent/old RBCs during extravascular hemolysis?
What does serum ferritin measure?
What does serum ferritin measure?
What is the primary role of ferric iron (Fe3+) in the body?
What is the primary role of ferric iron (Fe3+) in the body?
What is the purpose of measuring total iron-binding capacity (TIBC)?
What is the purpose of measuring total iron-binding capacity (TIBC)?
Which iron state is essential for binding to hemoglobin for transport to lungs and body tissues?
Which iron state is essential for binding to hemoglobin for transport to lungs and body tissues?
What does serum ferritin measure indirectly in the body?
What does serum ferritin measure indirectly in the body?
What does total iron-binding capacity (TIBC) measure in the body?
What does total iron-binding capacity (TIBC) measure in the body?
Which type of hemoglobin predominates at birth?
Which type of hemoglobin predominates at birth?
Which laboratory test can be used to identify Hgb F due to its resistance to denaturation/elution?
Which laboratory test can be used to identify Hgb F due to its resistance to denaturation/elution?
In which conditions can Hgb F be increased as a compensatory hemoglobin?
In which conditions can Hgb F be increased as a compensatory hemoglobin?
What is the primary function of Hemoglobin Hgb F?
What is the primary function of Hemoglobin Hgb F?
At what age is gamma chain production complete, and beta chain production takes over?
At what age is gamma chain production complete, and beta chain production takes over?
Which laboratory test can be used to identify Hemoglobin Hgb F due to its resistance to denaturation/elution?
Which laboratory test can be used to identify Hemoglobin Hgb F due to its resistance to denaturation/elution?
What type of hemoglobin has 200 times more affinity for carbon monoxide than for oxygen?
What type of hemoglobin has 200 times more affinity for carbon monoxide than for oxygen?
In which circulation is deoxyhemoglobin primarily seen?
In which circulation is deoxyhemoglobin primarily seen?
What is the most likely outcome of a person who inhales carbon monoxide (CO)?
What is the most likely outcome of a person who inhales carbon monoxide (CO)?
In which type of circulation is deoxyhemoglobin primarily seen?
In which type of circulation is deoxyhemoglobin primarily seen?
What happens to the iron in deoxyhemoglobin?
What happens to the iron in deoxyhemoglobin?
Which type of hemoglobin cannot transport O2 and is caused by drugs and chemicals?
Which type of hemoglobin cannot transport O2 and is caused by drugs and chemicals?
What is the effect of increased levels of methemoglobin?
What is the effect of increased levels of methemoglobin?
Which type of hemoglobin has Fe3+ and cannot transport O2?
Which type of hemoglobin has Fe3+ and cannot transport O2?
What is the distinguishing characteristic of Sulfhemoglobin?
What is the distinguishing characteristic of Sulfhemoglobin?
What is the effect of increased levels of Methemoglobin?
What is the effect of increased levels of Methemoglobin?
Which method is used to measure Sulfhemoglobin levels?
Which method is used to measure Sulfhemoglobin levels?
What does the term 'oxygen affinity' refer to in the context of hemoglobin?
What does the term 'oxygen affinity' refer to in the context of hemoglobin?
What is the significance of hemoglobin being 50% saturated with oxygen?
What is the significance of hemoglobin being 50% saturated with oxygen?
In the context of oxygen transport, what does '50% saturated with oxygen' mean for hemoglobin?
In the context of oxygen transport, what does '50% saturated with oxygen' mean for hemoglobin?
What effect does a high level of 2,3-bisphosphoglycerate (2,3-BPG) have on the oxygen affinity of hemoglobin?
What effect does a high level of 2,3-bisphosphoglycerate (2,3-BPG) have on the oxygen affinity of hemoglobin?
What effect does increased body temperature have on the oxygen affinity of hemoglobin?
What effect does increased body temperature have on the oxygen affinity of hemoglobin?
How does a left shift in the oxygen dissociation curve affect the release of oxygen to the tissues?
How does a left shift in the oxygen dissociation curve affect the release of oxygen to the tissues?
What effect does a high level of 2,3-bisphosphoglycerate (2,3-BPG) have on the oxygen affinity of hemoglobin?
What effect does a high level of 2,3-bisphosphoglycerate (2,3-BPG) have on the oxygen affinity of hemoglobin?
What is the impact of increased body temperature on hemoglobin's oxygen affinity?
What is the impact of increased body temperature on hemoglobin's oxygen affinity?
What is the consequence of decreased body pH on hemoglobin's oxygen affinity?
What is the consequence of decreased body pH on hemoglobin's oxygen affinity?
In which condition would the mean corpuscular volume (MCV) most likely be increased?
In which condition would the mean corpuscular volume (MCV) most likely be increased?
Which of the following conditions is NOT associated with an increased mean corpuscular volume (MCV)?
Which of the following conditions is NOT associated with an increased mean corpuscular volume (MCV)?
What condition is most likely to cause a decreased mean corpuscular volume (MCV)?
What condition is most likely to cause a decreased mean corpuscular volume (MCV)?
What is the expected impact on mean corpuscular volume (MCV) in a patient with lead poisoning?
What is the expected impact on mean corpuscular volume (MCV) in a patient with lead poisoning?
What would be the expected impact on mean corpuscular volume (MCV) if the hematocrit (Hct) increases significantly?
What would be the expected impact on mean corpuscular volume (MCV) if the hematocrit (Hct) increases significantly?
If the RBC count decreases, what effect would it have on the mean corpuscular volume (MCV)?
If the RBC count decreases, what effect would it have on the mean corpuscular volume (MCV)?
How would an increase in both hematocrit (Hct) and RBC count affect the mean corpuscular volume (MCV)?
How would an increase in both hematocrit (Hct) and RBC count affect the mean corpuscular volume (MCV)?
What is the formula for calculating Mean Corpuscular Hemoglobin (MCH)?
What is the formula for calculating Mean Corpuscular Hemoglobin (MCH)?
In which type of anemia is Mean Corpuscular Hemoglobin (MCH) commonly increased?
In which type of anemia is Mean Corpuscular Hemoglobin (MCH) commonly increased?
What change in the Mean Corpuscular Hemoglobin (MCH) is expected in microcytic, hypochromic anemia?
What change in the Mean Corpuscular Hemoglobin (MCH) is expected in microcytic, hypochromic anemia?
What does the MCHC (Mean Corpuscular Hemoglobin Concentration) measure?
What does the MCHC (Mean Corpuscular Hemoglobin Concentration) measure?
What is the significance of MCHC being lower than the reference range?
What is the significance of MCHC being lower than the reference range?
What does a Mean Corpuscular Hemoglobin Concentration (MCHC) of lesser than 32 g/dL indicate?
What does a Mean Corpuscular Hemoglobin Concentration (MCHC) of lesser than 32 g/dL indicate?
What is the significance of MCHC being within the range of 32-37 g/dL?
What is the significance of MCHC being within the range of 32-37 g/dL?
When MCHC is greater than 37 g/dL, what could it indicate?
When MCHC is greater than 37 g/dL, what could it indicate?
What is the main morphological classification used to classify anemia?
What is the main morphological classification used to classify anemia?
In anemia, the decreased oxygen delivery to the tissues is primarily caused by a decrease in:
In anemia, the decreased oxygen delivery to the tissues is primarily caused by a decrease in:
Anemia can also be classified based on its etiology/cause. Which of the following is a common cause of anemia?
Anemia can also be classified based on its etiology/cause. Which of the following is a common cause of anemia?
What is the likely cause of relative anemia as described in the text?
What is the likely cause of relative anemia as described in the text?
In the context of relative anemia, what would be the expected impact on the reticulocyte count?
In the context of relative anemia, what would be the expected impact on the reticulocyte count?
What type of anemia is described in the text based on the characteristics provided?
What type of anemia is described in the text based on the characteristics provided?
What is the mechanism involved in increased loss of red cells from the circulation?
What is the mechanism involved in increased loss of red cells from the circulation?
What is indicative of a true decrease in erythrocytes and hemoglobin?
What is indicative of a true decrease in erythrocytes and hemoglobin?
What does absolute anemia indicate?
What does absolute anemia indicate?
In which group of individuals is iron-deficiency anemia most prevalent?
In which group of individuals is iron-deficiency anemia most prevalent?
What is the primary cause of iron-deficiency anemia in individuals with chronic blood loss?
What is the primary cause of iron-deficiency anemia in individuals with chronic blood loss?
Which physiological event commonly contributes to iron-deficiency anemia in women?
Which physiological event commonly contributes to iron-deficiency anemia in women?
What is the characteristic appearance of the smear in iron-deficiency anemia?
What is the characteristic appearance of the smear in iron-deficiency anemia?
Which clinical symptom is commonly associated with iron-deficiency anemia?
Which clinical symptom is commonly associated with iron-deficiency anemia?
What is a common nail abnormality seen in individuals with iron-deficiency anemia?
What is a common nail abnormality seen in individuals with iron-deficiency anemia?
What is the main cause of anemia of chronic disease (ACD)?
What is the main cause of anemia of chronic disease (ACD)?
Which condition is often associated with Anemia of Chronic Disease (ACD)?
Which condition is often associated with Anemia of Chronic Disease (ACD)?
What is the primary role of hepcidin in the regulation of body iron?
What is the primary role of hepcidin in the regulation of body iron?
What type of anemia is commonly associated with normocytic/normochromic or slightly microcytic/hypochromic characteristics?
What type of anemia is commonly associated with normocytic/normochromic or slightly microcytic/hypochromic characteristics?
What is the typical level of serum iron and total iron-binding capacity (TIBC) in Anemia of Chronic Disease (ACD)?
What is the typical level of serum iron and total iron-binding capacity (TIBC) in Anemia of Chronic Disease (ACD)?
What is the characteristic feature of sideroblastic anemia?
What is the characteristic feature of sideroblastic anemia?
Which stain is best used to demonstrate siderocytes in sideroblastic anemia?
Which stain is best used to demonstrate siderocytes in sideroblastic anemia?
What laboratory result is typically observed in sideroblastic anemia?
What laboratory result is typically observed in sideroblastic anemia?
What distinguishes primary irreversible sideroblastic anemia from the secondary reversible form?
What distinguishes primary irreversible sideroblastic anemia from the secondary reversible form?
Which myelodysplastic syndrome is associated with refractory anemia and ringed sideroblasts?
Which myelodysplastic syndrome is associated with refractory anemia and ringed sideroblasts?
What factors are known to cause secondary reversible sideroblastic anemia?
What factors are known to cause secondary reversible sideroblastic anemia?
Which of the following is a clinical symptom commonly associated with lead poisoning?
Which of the following is a clinical symptom commonly associated with lead poisoning?
In lead poisoning, which of the following is a characteristic laboratory finding related to the red blood cells?
In lead poisoning, which of the following is a characteristic laboratory finding related to the red blood cells?
Which of the following is a symptom NOT commonly associated with lead poisoning in children?
Which of the following is a symptom NOT commonly associated with lead poisoning in children?
Which symptom is NOT commonly associated with PORPHYRIAS?
Which symptom is NOT commonly associated with PORPHYRIAS?
What is the main cause of the accumulation of heme precursors in the tissues in PORPHYRIAS?
What is the main cause of the accumulation of heme precursors in the tissues in PORPHYRIAS?
What is the primary method of excretion for the large amounts of accumulated heme precursors in PORPHYRIAS?
What is the primary method of excretion for the large amounts of accumulated heme precursors in PORPHYRIAS?
What is the main cause of megaloblastic anemias?
What is the main cause of megaloblastic anemias?
What is the primary cause of the macrocytic/normochromic anemia seen in megaloblastic anemias?
What is the primary cause of the macrocytic/normochromic anemia seen in megaloblastic anemias?
Which laboratory finding is characteristic of megaloblastic anemias?
Which laboratory finding is characteristic of megaloblastic anemias?
What is the primary reason for the presence of hypersegmented neutrophils in megaloblastic anemias?
What is the primary reason for the presence of hypersegmented neutrophils in megaloblastic anemias?
What is the primary cause of pernicious anemia?
What is the primary cause of pernicious anemia?
Which population is most prevalent in pernicious anemia?
Which population is most prevalent in pernicious anemia?
What is the characteristic symptom of vitamin B12 deficiency?
What is the characteristic symptom of vitamin B12 deficiency?
Which condition is associated with diphyllobothrium latum tapeworm infection as a cause of vitamin B12 deficiency?
Which condition is associated with diphyllobothrium latum tapeworm infection as a cause of vitamin B12 deficiency?
What is the main source of intrinsic factor in the body?
What is the main source of intrinsic factor in the body?
What is the primary cause of pernicious anemia?
What is the primary cause of pernicious anemia?
Which ethnic group is particularly prevalent in pernicious anemia?
Which ethnic group is particularly prevalent in pernicious anemia?
Which of the following is NOT a cause of vitamin B12 deficiency?
Which of the following is NOT a cause of vitamin B12 deficiency?
What are the clinical symptoms commonly associated with vitamin B12 deficiency?
What are the clinical symptoms commonly associated with vitamin B12 deficiency?
What is the primary role of intrinsic factor in vitamin B12 absorption?
What is the primary role of intrinsic factor in vitamin B12 absorption?
What is the distinguishing feature of folic acid deficiency anemia?
What is the distinguishing feature of folic acid deficiency anemia?
Which factor is commonly associated with causing folic acid deficiency?
Which factor is commonly associated with causing folic acid deficiency?
What is the consequence of folic acid deficiency on red blood cells?
What is the consequence of folic acid deficiency on red blood cells?
Which condition is most likely to cause non-megaloblastic macrocytic anemia?
Which condition is most likely to cause non-megaloblastic macrocytic anemia?
What is the characteristic shape of erythrocytes in non-megaloblastic macrocytic anemias?
What is the characteristic shape of erythrocytes in non-megaloblastic macrocytic anemias?
Which of the following conditions is most likely to cause accelerated erythropoiesis and contribute to non-megaloblastic macrocytic anemia?
Which of the following conditions is most likely to cause accelerated erythropoiesis and contribute to non-megaloblastic macrocytic anemia?
What is the typical prognosis for patients with aplastic anemia?
What is the typical prognosis for patients with aplastic anemia?
What is the primary treatment approach for aplastic anemia?
What is the primary treatment approach for aplastic anemia?
At what age group does aplastic anemia most commonly affect people?
At what age group does aplastic anemia most commonly affect people?
What are the characteristics of genetic aplastic anemia (Fanconi anemia)?
What are the characteristics of genetic aplastic anemia (Fanconi anemia)?
What is the main characteristic of acquired aplastic anemia?
What is the main characteristic of acquired aplastic anemia?
What distinguishes idiopathic aplastic anemia from genetic and acquired forms?
What distinguishes idiopathic aplastic anemia from genetic and acquired forms?
Which of the following is NOT a known cause of acquired aplastic anemia?
Which of the following is NOT a known cause of acquired aplastic anemia?
Which of the following is responsible for approximately 30% of acquired aplastic anemias?
Which of the following is responsible for approximately 30% of acquired aplastic anemias?
Which of the following is NOT commonly associated with secondary acquired aplastic anemia?
Which of the following is NOT commonly associated with secondary acquired aplastic anemia?
What is the likely cause of Diamond-Blackfan anemia?
What is the likely cause of Diamond-Blackfan anemia?
What is the primary cause of idiopathic (primary) aplastic anemia?
What is the primary cause of idiopathic (primary) aplastic anemia?
What is the characteristic feature of true red cell aplasia (Diamond-Blackfan anemia)?
What is the characteristic feature of true red cell aplasia (Diamond-Blackfan anemia)?
What is the expected change in reticulocyte count in the initial phase of acute blood loss anemia?
What is the expected change in reticulocyte count in the initial phase of acute blood loss anemia?
Which laboratory finding is likely to be observed in the initial few hours after acute blood loss?
Which laboratory finding is likely to be observed in the initial few hours after acute blood loss?
What is the characteristic feature of normocytic/normochromic anemia in acute blood loss anemia?
What is the characteristic feature of normocytic/normochromic anemia in acute blood loss anemia?
What type of anemia is characterized by a gradual, long-term loss of blood?
What type of anemia is characterized by a gradual, long-term loss of blood?
What type of anemia is initially normocytic/normochromic but over time causes a decrease in hemoglobin/hematocrit?
What type of anemia is initially normocytic/normochromic but over time causes a decrease in hemoglobin/hematocrit?
Which type of anemia results from a gradual loss of iron causing microcytic/hypochromic anemia?
Which type of anemia results from a gradual loss of iron causing microcytic/hypochromic anemia?
What is the underlying cause of hemolytic anemias due to intrinsic defects?
What is the underlying cause of hemolytic anemias due to intrinsic defects?
What is the characteristic type of anemia seen in hemolytic anemias due to intrinsic defects?
What is the characteristic type of anemia seen in hemolytic anemias due to intrinsic defects?
What is the primary distinguishing feature of hemolytic anemias due to intrinsic defects?
What is the primary distinguishing feature of hemolytic anemias due to intrinsic defects?
Which gene is most commonly affected in hereditary spherocytosis?
Which gene is most commonly affected in hereditary spherocytosis?
What is the primary reason for the need of splenectomy in patients with hereditary spherocytosis?
What is the primary reason for the need of splenectomy in patients with hereditary spherocytosis?
What is the characteristic finding on a peripheral blood film in hereditary spherocytosis?
What is the characteristic finding on a peripheral blood film in hereditary spherocytosis?
Which laboratory finding supports the diagnosis of hereditary spherocytosis?
Which laboratory finding supports the diagnosis of hereditary spherocytosis?
What does the Osmotic fragility test indicate?
What does the Osmotic fragility test indicate?
What is the result of the Direct Antiglobulin Test (DAT) in Hereditary Spherocytosis (HS)?
What is the result of the Direct Antiglobulin Test (DAT) in Hereditary Spherocytosis (HS)?
What is the primary limitation of the Osmotic fragility test in distinguishing Hereditary Spherocytosis (HS) from other causes of spherocytes?
What is the primary limitation of the Osmotic fragility test in distinguishing Hereditary Spherocytosis (HS) from other causes of spherocytes?
What is the defining characteristic of hereditary elliptocytosis/hereditary ovalocytosis?
What is the defining characteristic of hereditary elliptocytosis/hereditary ovalocytosis?
In which condition are elliptocytes defined as cells that are twice as long as they are wide?
In which condition are elliptocytes defined as cells that are twice as long as they are wide?
What is the diagnostic threshold for the percentage of circulating red cells that are elliptocytes in hereditary elliptocytosis/hereditary ovalocytosis?
What is the diagnostic threshold for the percentage of circulating red cells that are elliptocytes in hereditary elliptocytosis/hereditary ovalocytosis?
What is the defining characteristic used to diagnose hereditary elliptocytosis/hereditary ovalocytosis?
What is the defining characteristic used to diagnose hereditary elliptocytosis/hereditary ovalocytosis?
Which condition commonly shows low proportions of elliptocytes and can be mistaken for hereditary elliptocytosis/hereditary ovalocytosis?
Which condition commonly shows low proportions of elliptocytes and can be mistaken for hereditary elliptocytosis/hereditary ovalocytosis?
What is the primary cause of the characteristic cell shape seen in hereditary elliptocytosis/hereditary ovalocytosis?
What is the primary cause of the characteristic cell shape seen in hereditary elliptocytosis/hereditary ovalocytosis?
What is the primary distinguishing characteristic of hereditary pyropoikilocytosis (HPP)?
What is the primary distinguishing characteristic of hereditary pyropoikilocytosis (HPP)?
What type of anemia is associated with moderate to severe anemia in homozygotes?
What type of anemia is associated with moderate to severe anemia in homozygotes?
Which double heterozygosity leads to the spherocytic type of anemia?
Which double heterozygosity leads to the spherocytic type of anemia?
What is the primary cause of the variable degree of anemia in hereditary stomatocytosis?
What is the primary cause of the variable degree of anemia in hereditary stomatocytosis?
What is the main effect of the membrane defect in hereditary stomatocytosis on erythrocytes?
What is the main effect of the membrane defect in hereditary stomatocytosis on erythrocytes?
What is the quantitative range of stomatocytes typically observed on the blood smear in hereditary stomatocytosis?
What is the quantitative range of stomatocytes typically observed on the blood smear in hereditary stomatocytosis?
What are the defining characteristics of hereditary stomatocytosis severe hydrocytotic (overhydrated) type?
What are the defining characteristics of hereditary stomatocytosis severe hydrocytotic (overhydrated) type?
What are the characteristic features of xerocytotic type hereditary stomatocytosis?
What are the characteristic features of xerocytotic type hereditary stomatocytosis?
What is the most likely blood smear observation in hereditary stomatocytosis severe hydrocytotic (overhydrated) type?
What is the most likely blood smear observation in hereditary stomatocytosis severe hydrocytotic (overhydrated) type?
What is the primary cause of the neurological and retinal abnormalities associated with hereditary acanthocytosis?
What is the primary cause of the neurological and retinal abnormalities associated with hereditary acanthocytosis?
What is the main factor responsible for the increased cholesterol:lecithin ratio in the erythrocyte membrane in hereditary acanthocytosis?
What is the main factor responsible for the increased cholesterol:lecithin ratio in the erythrocyte membrane in hereditary acanthocytosis?
What is the characteristic feature of the erythrocyte membrane in hereditary acanthocytosis?
What is the characteristic feature of the erythrocyte membrane in hereditary acanthocytosis?
What is the primary cause of hemolytic anemia in G6PD deficiency?
What is the primary cause of hemolytic anemia in G6PD deficiency?
What is the characteristic denaturation form seen in G6PD deficiency-induced hemolytic anemia?
What is the characteristic denaturation form seen in G6PD deficiency-induced hemolytic anemia?
In G6PD deficiency, when does severe hemolytic anemia with reticulocytosis usually occur?
In G6PD deficiency, when does severe hemolytic anemia with reticulocytosis usually occur?
What is the primary mechanism behind the severe hemolytic anemia seen in pyruvate kinase (PK) deficiency?
What is the primary mechanism behind the severe hemolytic anemia seen in pyruvate kinase (PK) deficiency?
How does the lack of ATP in pyruvate kinase (PK) deficiency affect the erythrocyte life span?
How does the lack of ATP in pyruvate kinase (PK) deficiency affect the erythrocyte life span?
How does the impairment of the cation pump affect the intracellular environment of erythrocytes in pyruvate kinase (PK) deficiency?
How does the impairment of the cation pump affect the intracellular environment of erythrocytes in pyruvate kinase (PK) deficiency?
What is the most common membrane defect in hereditary spherocytosis?
What is the most common membrane defect in hereditary spherocytosis?
What is the effect of increased permeability of the membrane to sodium in hereditary spherocytosis?
What is the effect of increased permeability of the membrane to sodium in hereditary spherocytosis?
What is the primary reason for affected patients requiring splenectomy in hereditary spherocytosis?
What is the primary reason for affected patients requiring splenectomy in hereditary spherocytosis?
What is the most common affected gene in hereditary spherocytosis, after ANK1 (ankyrin)?
What is the most common affected gene in hereditary spherocytosis, after ANK1 (ankyrin)?
What is the defining characteristic of hereditary elliptocytosis/hereditary ovalocytosis?
What is the defining characteristic of hereditary elliptocytosis/hereditary ovalocytosis?
What is a possible cause for low proportions of elliptocytes seen in the blood?
What is a possible cause for low proportions of elliptocytes seen in the blood?
What laboratory test is less sensitive and specific for distinguishing hereditary spherocytosis from other causes of spherocytes?
What laboratory test is less sensitive and specific for distinguishing hereditary spherocytosis from other causes of spherocytes?
What result would be expected from a direct antiglobulin test (DAT) in hereditary spherocytosis?
What result would be expected from a direct antiglobulin test (DAT) in hereditary spherocytosis?
What is the primary effect of the membrane defect in hereditary stomatocytosis on erythrocytes?
What is the primary effect of the membrane defect in hereditary stomatocytosis on erythrocytes?
What does a diagnosis of Hereditary Elliptocytosis/Hereditary Ovalocytosis entail?
What does a diagnosis of Hereditary Elliptocytosis/Hereditary Ovalocytosis entail?
What is indicative if gel electrophoresis of red cell membrane proteins is used to support diagnosis?
What is indicative if gel electrophoresis of red cell membrane proteins is used to support diagnosis?
What is the most common enzyme deficiency in the hexose monophosphate shunt?
What is the most common enzyme deficiency in the hexose monophosphate shunt?
Which condition results in oxidation of hemoglobin to methemoglobin (Fe3+)?
Which condition results in oxidation of hemoglobin to methemoglobin (Fe3+)?
Which deficiency causes impairment of the cation pump that controls intracellular sodium and potassium levels?
Which deficiency causes impairment of the cation pump that controls intracellular sodium and potassium levels?
Which condition is characterized by chronic intravascular hemolysis causing hemoglobinuria and hemosiderinuria at an acid pH at night?
Which condition is characterized by chronic intravascular hemolysis causing hemoglobinuria and hemosiderinuria at an acid pH at night?
Which deficiency results in decreased NADPH generation, leading to reduced glutathione levels?
Which deficiency results in decreased NADPH generation, leading to reduced glutathione levels?
What is the primary cause of severe hemolytic anemia with reticulocytosis in PYRUVATE KINASE (PK) DEFICIENCY?
What is the primary cause of severe hemolytic anemia with reticulocytosis in PYRUVATE KINASE (PK) DEFICIENCY?
In which condition are all cells abnormally sensitive to lysis by complement?
In which condition are all cells abnormally sensitive to lysis by complement?
What characteristic is used in the diagnosis of PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH)?
What characteristic is used in the diagnosis of PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH)?
What effect does PYRUVATE KINASE (PK) DEFICIENCY have on erythrocyte deformability?
What effect does PYRUVATE KINASE (PK) DEFICIENCY have on erythrocyte deformability?
Which mechanism is responsible for intravascular hemolysis in ABO incompatibility?
Which mechanism is responsible for intravascular hemolysis in ABO incompatibility?
What is the primary cause of hemolytic disease of the newborn (HDN) due to Rh incompatibility?
What is the primary cause of hemolytic disease of the newborn (HDN) due to Rh incompatibility?
What is the characteristic laboratory finding in hemolytic disease of the newborn (HDN) due to ABO incompatibility?
What is the characteristic laboratory finding in hemolytic disease of the newborn (HDN) due to ABO incompatibility?
What is the primary cause of severe anemia and high bilirubin levels in hemolytic disease of the newborn (HDN) due to Rh incompatibility?
What is the primary cause of severe anemia and high bilirubin levels in hemolytic disease of the newborn (HDN) due to Rh incompatibility?
Which condition has become less common due to the use of Rh immunoglobulin (RhoGam)?
Which condition has become less common due to the use of Rh immunoglobulin (RhoGam)?
What is the underlying cause of hemolytic transfusion reaction?
What is the underlying cause of hemolytic transfusion reaction?
Which test is typically positive in hemolytic transfusion reaction?
Which test is typically positive in hemolytic transfusion reaction?
What is the likely laboratory finding in hemolytic transfusion reaction?
What is the likely laboratory finding in hemolytic transfusion reaction?
Which condition can trigger disseminated intravascular coagulation (DIC) due to release of tissue factor from lysed RBCs?
Which condition can trigger disseminated intravascular coagulation (DIC) due to release of tissue factor from lysed RBCs?
In warm autoimmune hemolytic anemia (WAIHA), what is the primary antibody coating the RBCs?
In warm autoimmune hemolytic anemia (WAIHA), what is the primary antibody coating the RBCs?
Which condition can lead to cold autoimmune hemolytic anemia (CAIHA)?
Which condition can lead to cold autoimmune hemolytic anemia (CAIHA)?
What is the defining characteristic of paroxysmal cold hemoglobinuria (PCH)?
What is the defining characteristic of paroxysmal cold hemoglobinuria (PCH)?
What is a common secondary cause of warm autoimmune hemolytic anemia (WAIHA)?
What is a common secondary cause of warm autoimmune hemolytic anemia (WAIHA)?
What laboratory finding is commonly associated with cold autoimmune hemolytic anemia (CAIHA)?
What laboratory finding is commonly associated with cold autoimmune hemolytic anemia (CAIHA)?
How does the complement-coated RBC in cold autoimmune hemolytic anemia (CAIHA) typically react when warmed to 37°C?
How does the complement-coated RBC in cold autoimmune hemolytic anemia (CAIHA) typically react when warmed to 37°C?
What is the primary temperature range at which red blood cell clumping is observed in cold autoimmune hemolytic anemia (CAIHA)?
What is the primary temperature range at which red blood cell clumping is observed in cold autoimmune hemolytic anemia (CAIHA)?
What is the primary effect of the IgG biphasic Donath-Landsteiner antibody in paroxysmal cold hemoglobinuria (PCH)?
What is the primary effect of the IgG biphasic Donath-Landsteiner antibody in paroxysmal cold hemoglobinuria (PCH)?
In warm autoimmune hemolytic anemia (WAIHA), how are red blood cells (RBCs) coated?
In warm autoimmune hemolytic anemia (WAIHA), how are red blood cells (RBCs) coated?
What is the characteristic antibody involved in cold autoimmune hemolytic anemia (CAIHA)?
What is the characteristic antibody involved in cold autoimmune hemolytic anemia (CAIHA)?
Which condition is associated with the presence of IgG biphasic Donath-Landsteiner antibody with P specificity?
Which condition is associated with the presence of IgG biphasic Donath-Landsteiner antibody with P specificity?
What is the characteristic finding in the laboratory related to RBC clumping in cold autoimmune hemolytic anemia (CAIHA)?
What is the characteristic finding in the laboratory related to RBC clumping in cold autoimmune hemolytic anemia (CAIHA)?
Which disease can secondary cold autoimmune hemolytic anemia (CAIHA) be associated with?
Which disease can secondary cold autoimmune hemolytic anemia (CAIHA) be associated with?
In warm autoimmune hemolytic anemia (WAIHA), what can macrophages do to red blood cells (RBCs) coated with IgG and/or complement?
In warm autoimmune hemolytic anemia (WAIHA), what can macrophages do to red blood cells (RBCs) coated with IgG and/or complement?
What causes the lysis of red blood cells (RBCs) in paroxysmal cold hemoglobinuria (PCH)?
What causes the lysis of red blood cells (RBCs) in paroxysmal cold hemoglobinuria (PCH)?
What is the primary cause of cold autoimmune hemolytic anemia (CAIHA)?
What is the primary cause of cold autoimmune hemolytic anemia (CAIHA)?
In warm autoimmune hemolytic anemia (WAIHA), what can be seen in 60% of cases?
In warm autoimmune hemolytic anemia (WAIHA), what can be seen in 60% of cases?
Which condition is characterized by systemic clotting initiated by activation of the coagulation cascade due to toxins or conditions that trigger release of procoagulants?
Which condition is characterized by systemic clotting initiated by activation of the coagulation cascade due to toxins or conditions that trigger release of procoagulants?
Which condition most often occurs in children following a gastrointestinal infection and causes clots to form, leading to renal damage?
Which condition most often occurs in children following a gastrointestinal infection and causes clots to form, leading to renal damage?
What type of anemia does March hemoglobinuria cause following forceful contact of the body with hard surfaces, such as in marathon runners or tennis players?
What type of anemia does March hemoglobinuria cause following forceful contact of the body with hard surfaces, such as in marathon runners or tennis players?
In which type of anemia are schistocytes and spherocytes seen on the blood smear?
In which type of anemia are schistocytes and spherocytes seen on the blood smear?
What causes acute hemolysis and severe anemia with many schistocytes and micro-spherocytes?
What causes acute hemolysis and severe anemia with many schistocytes and micro-spherocytes?
What causes fibrin to be deposited in small vessels, leading to RBC fragmentation?
What causes fibrin to be deposited in small vessels, leading to RBC fragmentation?
What is the primary cause of MARCH HEMOGLOBINURIA?
What is the primary cause of MARCH HEMOGLOBINURIA?
Which factor triggers the initiation of systemic clotting in Disseminated Intravascular Coagulation (DIC)?
Which factor triggers the initiation of systemic clotting in Disseminated Intravascular Coagulation (DIC)?
Which condition is characterized by intracellular rodlike C crystals?
Which condition is characterized by intracellular rodlike C crystals?
What is the cause of Hgb E?
What is the cause of Hgb E?
In which populations is Hemoglobin E found more commonly?
In which populations is Hemoglobin E found more commonly?
What is the life expectancy with proper treatment for individuals diagnosed with sickle cell anemia?
What is the life expectancy with proper treatment for individuals diagnosed with sickle cell anemia?
What is the most common hemoglobinopathy in the United States?
What is the most common hemoglobinopathy in the United States?
What is the characteristic laboratory finding in individuals with Hgb SC disease?
What is the characteristic laboratory finding in individuals with Hgb SC disease?
What migrates with hemoglobins A2, E, and O on alkaline hemoglobin electrophoresis in individuals with Hemoglobin C disease?
What migrates with hemoglobins A2, E, and O on alkaline hemoglobin electrophoresis in individuals with Hemoglobin C disease?
What is the approximate proportion of Hgb S and Hgb C produced in individuals with Hgb SC disease?
What is the approximate proportion of Hgb S and Hgb C produced in individuals with Hgb SC disease?
In individuals with sickle cell trait (Hgb AS), what is the approximate percentage of Hgb A and Hgb S produced?
In individuals with sickle cell trait (Hgb AS), what is the approximate percentage of Hgb A and Hgb S produced?
What migrates with hemoglobin D on alkaline hemoglobin electrophoresis?
What migrates with hemoglobin D on alkaline hemoglobin electrophoresis?
What is the characteristic laboratory finding in individuals with sickle cell anemia (Hgb SS)?
What is the characteristic laboratory finding in individuals with sickle cell anemia (Hgb SS)?
What is the primary cause of death in individuals diagnosed with sickle cell anemia?
What is the primary cause of death in individuals diagnosed with sickle cell anemia?
What is the primary cause of sickle cell disease?
What is the primary cause of sickle cell disease?
Which population is sickle cell disease most commonly found in?
Which population is sickle cell disease most commonly found in?
What is the composition of hemoglobin in sickle cell disease?
What is the composition of hemoglobin in sickle cell disease?
What is the characteristic shape of erythrocytes in sickle cell disease?
What is the characteristic shape of erythrocytes in sickle cell disease?
What is the consequence of erythrocytes becoming rigid and trapped in capillaries in sickle cell disease?
What is the consequence of erythrocytes becoming rigid and trapped in capillaries in sickle cell disease?
Which laboratory test may be used to confirm the diagnosis of sickle cell disease?
Which laboratory test may be used to confirm the diagnosis of sickle cell disease?
What is the effect of sickle cell disease on hemoglobin solubility and function?
What is the effect of sickle cell disease on hemoglobin solubility and function?
What is the primary difference between homozygous/disease conditions and heterozygous/trait conditions in hemoglobinopathies?
What is the primary difference between homozygous/disease conditions and heterozygous/trait conditions in hemoglobinopathies?
What are target cells associated with in the context of hemoglobinopathies?
What are target cells associated with in the context of hemoglobinopathies?
What is the most common amino acid substitution causing formation of Hgb S?
What is the most common amino acid substitution causing formation of Hgb S?
What occurs when deoxyhemoglobin forms in sickle cell disease?
What occurs when deoxyhemoglobin forms in sickle cell disease?
What is the consequence of sickled erythrocytes being trapped in capillaries?
What is the consequence of sickled erythrocytes being trapped in capillaries?
What is the primary characteristic of thalassemia minor/trait?
What is the primary characteristic of thalassemia minor/trait?
What is the hallmark laboratory finding in beta-thalassemia major (Cooley anemia)?
What is the hallmark laboratory finding in beta-thalassemia major (Cooley anemia)?
What characterizes the red blood cell (RBC) membrane in beta-thalassemia major?
What characterizes the red blood cell (RBC) membrane in beta-thalassemia major?
What is the primary reason for stunted growth in individuals with beta-thalassemia major?
What is the primary reason for stunted growth in individuals with beta-thalassemia major?
What is the characteristic appearance of RBCs in the laboratory findings of beta-thalassemia major?
What is the characteristic appearance of RBCs in the laboratory findings of beta-thalassemia major?
What is the primary effect of the excess alpha chains in beta-thalassemia major?
What is the primary effect of the excess alpha chains in beta-thalassemia major?
What is the primary cause of organ failure in individuals with beta-thalassemia major?
What is the primary cause of organ failure in individuals with beta-thalassemia major?
What symptoms are likely to be present by 6 months of age in individuals with beta-thalassemia major?
What symptoms are likely to be present by 6 months of age in individuals with beta-thalassemia major?
Which condition does NOT cause a decreased rate of synthesis of a structurally normal globin chain?
Which condition does NOT cause a decreased rate of synthesis of a structurally normal globin chain?
In which population is thalassemia primarily found?
In which population is thalassemia primarily found?
In alpha-thalassemia major (hydrops fetalis), what is the primary reason for the incompatibility with life?
In alpha-thalassemia major (hydrops fetalis), what is the primary reason for the incompatibility with life?
What distinguishes alpha-thalassemia HgbH disease from other types of alpha-thalassemia?
What distinguishes alpha-thalassemia HgbH disease from other types of alpha-thalassemia?
What is a distinguishing characteristic of alpha-thalassemia minor/trait?
What is a distinguishing characteristic of alpha-thalassemia minor/trait?
What distinguishes alpha-thalassemia silent carrier from other types of alpha-thalassemia?
What distinguishes alpha-thalassemia silent carrier from other types of alpha-thalassemia?
What happens in alpha-thalassemia HgbH disease that leads to the formation of Heinz bodies and the destruction of rigid RBCs in the spleen?
What happens in alpha-thalassemia HgbH disease that leads to the formation of Heinz bodies and the destruction of rigid RBCs in the spleen?
What is the primary reason for asymptomatic patients in alpha-thalassemia silent carrier?
What is the primary reason for asymptomatic patients in alpha-thalassemia silent carrier?
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Study Notes
Erythrocyte Lifespan and Dimensions
- Normal lifespan of erythrocytes is about 120 days.
- Erythrocytes’ approximate diameter ranges from 6 to 8 micrometers.
- Central pallor size of erythrocytes is about one-third of the cell’s diameter.
- Average diameter of erythrocytes is larger than the nucleus of a small lymphocyte.
Erythropoiesis and Regulation
- Erythropoietin stimulates myeloid progenitor cells to produce erythrocytes and influences CFU-Es to differentiate into erythroblasts.
- Erythropoietin is mainly produced in the kidneys.
- Growth factors besides erythropoietin regulating erythropoiesis include androgens.
- Reference range of red blood cell count for males is approximately 4.7 to 6.1 million cells per microliter.
Normoblasts and Reticulocytes
- Hemoglobin production in reticulocytes continues for approximately 24 to 48 hours after exiting the bone marrow.
- Polychromatophilic normoblast (rubricyte) size ranges from 10 to 15 micrometers.
- Pronormoblast (rubriblast) has a N:C ratio of about 8:1.
- Eccentric nucleus with small, fully condensed (pyknotic) nucleus describes the orthochromic normoblast (metarubricyte).
- Normoblast producing hemoglobin has a gray-blue cytoplasm.
Red Blood Cell Characteristics
- Microcytes are red blood cells less than 6 micrometers in diameter; macrocytes are greater than 8 micrometers in diameter.
- Normocytes (discocytes) have a biconcave shape and a central pallor.
- Anisocytosis indicates variation in size among red blood cells.
- Increased RDW (red blood cell distribution width) is observed in various anemias, indicating size variability among RBCs.
Poikilocytosis and Cell Shapes
- Poikilocytosis reflects variations in cell shape among red blood cells.
- Conditions with acanthocytes show irregular projections on the cell's surface.
- Echinocytes (burr cells) result from membrane changes and increased surface-to-volume ratio.
- Target cells (codocytes) are associated with certain types of anemia, such as thalassemia.
Abnormal Cell Forms and Anemias
- Sickle cells are commonly seen in sickle cell anemia and result from altered hemoglobin structure.
- Schistocytes (RBC fragments) arise in microangiopathic hemolytic anemias due to mechanical fragmentation.
- Pear-shaped cells are characteristic of porphyrias.
- Stomatocytes (mouth cells) have a slit-like central area and are associated with liver disease.
Nucleated Red Blood Cells
- Nucleated RBCs are seen in bone marrow stress and can indicate various pathological conditions.
- Presence of Howell-Jolly bodies often suggests splenic dysfunction or postsplenectomy.
- Cabot rings indicate disturbed erythropoiesis and may appear in certain anemias.
Hemoglobin and Crystals
- Hemoglobin is essential for oxygen transport and consists of four heme groups per molecule.
- Hemoglobin SC crystals (Washington monument) are found in sickle cell disease with hemoglobin C.
- Heinz bodies indicate oxidative damage to RBCs and can be seen in G6PD deficiency and other conditions.
Staining and Microscopic Features
- Basophilic stippling reflects lead poisoning or thalassemia, resulting from ribosomal RNA aggregation.
- The characteristic appearance of Pappenheimer bodies reflects iron accumulation in red blood cells.
- Variation in staining intensity indicates hypochromasia or normochromasia, often associated with microcytic anemias.
Agglutination and Rouleaux Formation
- Agglutination in cold autoimmune hemolytic anemia leads to form clusters of RBCs known as agglutinates.
- Rouleaux formation suggests increased plasma protein concentration, often seen in inflammatory conditions.
- Careful interpretation of RBC counts is necessary in cold agglutinin disease to avoid misclassification.
General Knowledge
- Oxygen transport is vital to cell metabolism and is facilitated by hemoglobin’s iron-containing heme groups.
- Erythrocytes derive their red color primarily from hemoglobin.
- The amino acid sequence in hemoglobin's globin chain determines its type and functionality.
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