Hemolytic Diseases and Anemia

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Questions and Answers

What is the key factor that determines whether hemolysis results in anemia?

  • Severity of jaundice
  • Patient's age
  • Rate of red blood cell destruction
  • Bone marrow's ability to compensate for RBC loss (correct)

Which laboratory finding is the MOST indicative of hemolysis?

  • Elevated white blood cell count
  • Decreased hemoglobin levels
  • Decreased reticulocyte count
  • Elevated reticulocyte count (correct)

Which bodily change suggests hyperplastic marrow spaces due to hemolytic anemia?

  • Enlargement of the mandible and maxilla (correct)
  • Thinner cranial bones
  • Reduced bone marrow activity
  • Increased bone density in limbs

What is the normal life span of a red blood cell (RBC)?

<p>90 to 120 days (C)</p> Signup and view all the answers

What can cause accelerated destruction of RBCs related to environmental factors?

<p>Mechanical trauma (D)</p> Signup and view all the answers

What is a common clinical manifestation observed in the oral mucosa of patients with hemolytic anemia?

<p>Pallor or jaundice (B)</p> Signup and view all the answers

In addition to pallor or jaundice, what other oral manifestation might be seen in a patient with hemolytic anemia?

<p>Paresthesia of the mucosa (D)</p> Signup and view all the answers

What two general categories classify the causes of hemolytic diseases?

<p>Inherited and Acquired (D)</p> Signup and view all the answers

Which result is NOT related to the three mechanisms for accelerated destruction of RBCs?

<p>Hyperplastic Marrow Space (B)</p> Signup and view all the answers

Which of these characteristics is MOST indicative of a molecular defect inside the hemoglobin?

<p>Altered oxygen-carrying capacity (B)</p> Signup and view all the answers

Flashcards

Hemolytic Anemia

Anemia resulting from the premature destruction of red blood cells, where the bone marrow cannot compensate for the loss.

Causes of Hemolysis

Accelerated destruction of RBCs due to molecular defects, membrane abnormalities, or environmental factors.

Manifestations of Hemolysis

Pallor/jaundice of oral mucosa, paresthesia, and hyperplastic marrow spaces in facial bones.

Reticulocyte Count

Elevated reticulocyte count, indicating bone marrow's attempt to compensate for RBC loss.

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Study Notes

  • Anemia occurs in hemolytic diseases when the bone marrow cannot replace prematurely destroyed red blood cells (RBCs).
  • Normal RBC lifespan is 90 to 120 days.
  • Hemolytic diseases can be inherited or acquired.
  • Molecular defects inside hemoglobin or abnormalities in membrane structure and function can cause hemolytic diseases.
  • Accelerated RBC destruction can occur due to environmental factors, such as mechanical trauma.

Clinical Manifestations

  • Pallor or jaundice of the oral mucosa can be observed.
  • Paresthesia of the mucosa may occur.
  • Hyperplastic marrow spaces may be present in the mandible, maxilla, and facial bones.

Laboratory Findings

  • An elevated reticulocyte count is a key indicator of hemolysis.
  • Elevated reticulocyte count reflects erythroid hyperplasia of the bone marrow.

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