Beat Goes On
Shmear
Reticulocyte Reckoning
It's not Iron Deficiency
Chief Q&A
100
List the specific voltage criteria for STEMI by all factors.
In V2 and V3 ST elevation :
men under 40 Greater than or equal to 2.5 mm
men over 40 greater than or equal 2 mm
Women greater than or equal to 1.5 mm
All other ST elevation greater than 1 mm in >2 contiguous lead
100
What is this?
Lymphocyte
100
Name that anemia:
Normal MCV, low platelet, high reticulocyte count, high LDH, low haptoglobin, high indirect blil, in a patient who is bleeding out of IV sites.
MAHA.
If they say DIC prompt more general till they get Microangiopathic hemolytic anemia.
100
Likely diagnosis? Hgb 9, MCV 68, elevated RBC count, elevated LDH/low haptoglobin, elevated T. bili, no iron deficiency, splenomegaly
Thalassemia
100
how many siblings does Amberly have?
7
4 Brothers and 3 Sisters
200
Name that STEMI
Wellens
200
What gets bitten out of this?
Heinz bodies
200
What is the enzyme responsible for this hemolytic emergency?
ADAMTS 13
200
Approx how many oxygen molecules can one RBC transport at once :)
>1 billion
One single red blood cell contains approximately 270 million hemoglobin molecules. Because each hemoglobin molecule can carry four oxygen molecules, one red blood cell can transport over one billion oxygen molecules at a time
200
How many sisters does Brennan have?
Zero
300
What is the best next step in this situation?
Obtain a posterior EKG
300
Most likely diagnosis?
What are those?
And where is this found?
Multiple Myeloma
Plasma cells
Bone Marrow
300
Normocytic anemia with low retic count with copper deficiency. What lab should you order that can affect copper levels?
Zinc
300
Major cause of death in patients with thalassemia
Iron overload-related heart failure and arrhythmias
300
What Undergrad did Amberly Go to?
University of Arkansas
Woo Pig Sooie!
400
Name this STEMI
400
Splenomegaly, arthritis, leukopenia with this smear what is the feared complication?
Large Granular Lymphocytic Leukemia
400
What type of anemia does MDS present with? Be specific
Macrocytic megaloblastic anemia
400
A 22-year-old asymptomatic college student has persistent microcytosis (MCV 68) with normal iron studies. What is the next best diagnostic step
Genetic testing
for alpha thalassemia
(silent vs two-gene deletion trait)
400
What country did Brennan live in for 2 years and what language does he speak?
Brazil
Portuguese
500
Name the eponymous pattern:
Aslanger pattern: possible occlusion MI (pts w/ concomitant multi-vessel disease; doesn't meet full STEMI criteria; but warrants urgent revascularization)
500
What is the nickname for this cell?
Dutch Skirt cell
500
Vitamin B-12 deficiency can lead to this pseudo heme emergency?
Pseudo-TTP
500
Treatment options for patients with transfusion-dependent beta-thal
Luspatercept
Allogeneic hematopoietic stem cell transplant
500
What cars do Amberly and Brennan Drive?
Subaru Forrester
Toyota Tacoma