MAHAS and DIC Detailed Overview
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Questions and Answers

Which condition is characterized by generalized activation of the coagulation and fibrinolytic systems?

  • Thrombotic Thrombocytopenic Purpura (TTP)
  • Disseminated Intravascular Coagulation (DIC) (correct)
  • Hemolytic Uremic Syndrome (HUS)
  • Hellp Syndrome
  • Which type of red blood cell is characterized by a crescent shape and long projections?

  • Helmet cell
  • Target cell
  • Drepanoctye (Irreversible Sickle Cell) (correct)
  • Oat-shaped cell
  • What is a common association for target cells?

  • Acute promyelocytic leukemia
  • Thrombotic Thrombocytopenic Purpura
  • Liver disease (correct)
  • Acute infections
  • Which of the following statements is true regarding MAHA disorders?

    <p>They involve RBC fragmentation due to small vessel obstruction.</p> Signup and view all the answers

    Which test is NOT typically associated with diagnosing DIC?

    <p>Complete blood count (CBC)</p> Signup and view all the answers

    Study Notes

    MAHAS

    • Group of disorders characterized by RBC fragmentation and thrombocytopenia
    • Major types include TTP, HELLP, HUS, and DIC
    • Characterized by narrowing/obstruction of small blood vessels by fibrin/platelet aggregates
    • Helmet cell is a helmet-shaped schistocyte that can appear in MAHA

    Additional information about DIC

    • Also known as defibrination syndrome or consumption coagulopathy
    • Generalized over-activation of coagulation and fibrinolytic systems
    • Not a disease, but a consequence
    • Some tests include D-dimer and PF 1+2
    • Related conditions: tissue trauma, obstetric complications, mucus-secreting tumors, acute infections (e.g., malaria, Gram-negative septicemia), and acute promyelocytic leukemia

    DREPANOCYTE

    • Also known as a sickle cell or meniscocyte
    • Drepan = sickle
    • RBCs
    • Two forms of drepanocytes:
      • Irreversible Sickle Cell:
        • Crescent-shaped
        • Long projections
        • Fragment upon reoxygenation
      • Oat-shaped cell:
        • Less pronounced projections
        • Return to biconcave disk shape upon reoxygenation

    TARGET CELL

    • Also known as leptocyte/codocyte
    • Platycyte, or Bull's eye cell
    • Mexican hat cell or Greek helmet cell
    • RBCs with centrally stained area and thin outer rim of hemoglobin
    • Related conditions include liver disease, certain hemoglobinopathies (like thalassemia), hereditary leptocytosis, Mediterranean anemia, and LCAT (lecithin cholesterol acyltransferase) deficiency
    • Codocytes are RBCs with an increased cell membrane-to-volume ratio
    • Appear bell-shaped on electron microscopy

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    Description

    Explore the group of disorders known as MAHAS, characterized by RBC fragmentation and thrombocytopenia. This quiz also delves into DIC, a critical condition linked with coagulation dysfunction, highlighting its causes, related tests, and implications. Test your knowledge on these important hematological topics.

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