Hematology: Anemia Types and Iron Metabolism
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Questions and Answers

What is a clinical feature of a fetus with anemia?

  • Normocytic RBCs
  • Microcytic and hypochromic RBCs (correct)
  • Polychromasia
  • Macrocytic RBCs
  • What is a potential complication of fetal anemia?

  • Hyperbilirubinemia
  • Cardiomegaly
  • Hepatosplenomegaly
  • All of the above (correct)
  • What is a characteristic of RBCs in a fetus with anemia?

  • Microcytic and hypochromic (correct)
  • Polycythemic
  • Normocytic and normochromic
  • Macrocytic and hyperchromic
  • What is a sign of fetal anemia?

    <p>All of the above</p> Signup and view all the answers

    What is a feature of the bone marrow in a fetus with anemia?

    <p>Marked erythroid hyperplasia</p> Signup and view all the answers

    Study Notes

    Iron Deficiency Anemia

    • Iron storage, metabolism, and incorporation can lead to iron deficiency anemia
    • Chronic inflammation can cause anemia
    • Sideroblastic anemia is a type of anemia that can be hereditary or acquired
    • Hereditary hemochromatosis can be homozygous or heterozygous

    Laboratory Diagnosis

    • Evaluation of heme synthesis is important for diagnosis
    • Tests include:
    • Free protoporphyrin
    • Serum transferrin receptors
    • Bone marrow evaluation

    Anemia of Chronic Inflammation

    • Causes include:
      • Chronic inflammation
      • Sideroblastic anemia
      • Hereditary hemochromatosis
    • Laboratory diagnosis involves:
      • Indirect fluorescent antibody techniques
      • Enzyme-linked immunosorbent assays

    Hereditary Hemochromatosis

    • Can cause damage to organs
    • Laboratory diagnosis is crucial
    • Homozygous and heterozygous forms exist

    Thalassemia

    • β-Thalassemia is a genetic disorder
    • Silent carriers have nearly normal hemoglobin production
    • Heterozygous individuals have moderate microcytic and hypochromic anemia
    • homozygous β-thalassemia has severe symptoms
    • Clinical features include:
      • Microcytic and hypochromic anemia
      • Hepatosplenomegaly
      • Bone deformities

    HbH Disease

    • Caused by tetramers of β-globin chains
    • Accumulation of β-globin chains leads to HbH formation
    • Clinical features include:
      • Microcytic and hypochromic anemia
      • Reticulocytosis
      • Hyperplasia of bone marrow
      • Inclusion bodies and poikilocytosis in RBCs

    Hb Bart Syndrome

    • Caused by absence of β-globin production
    • Hb Bart has high oxygen affinity and low delivery
    • Clinical features include:
      • Severe anemia
      • Edema
      • Ascites
      • Hepatosplenomegaly
      • Cardiomegaly

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    Description

    This quiz covers the different types of anemia, including iron deficiency anemia, chronic inflammation, and sideroblastic anemia. It also touches on iron metabolism and storage.

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