these are the RDW and RPI levels in iron deficiency anemia
high RDW, low RPI (can't make reticulocytes)
this anemia can be associated with spinal demyelination in its most severe form
What is B12 deficiency anemia?
these are the microcytic anemias
What are
1. thalassemia
2. anemia of chronic disease
3. Iron deficiency anemia (late)
4. lead poisoning. ?
What are
1.Aplastic anemia
2. CKD
3. Iron deficiency (early)
4. anemia of chronic disease (early)
these are the extrinsic hemolytic anemias
What are
1. hereditary spherocytosis
2. G6PD deficiency
3. PK deficiency
4. PNH
5. SCD
6. HbC disease
these are the most common causes of ID anemia
GI bleeding, menstural bleeding, pregnancy, gastric surgeries, celiac disease
What is aplastic anemia?
BONUS: What is the most common lab finding seen with aplastic anemia?
loss of biconcave disc => loss of ability to deform through splenic cord sinusoids => early clearance from circulation
What is hereditary spherocytosis?
severe macrocytic anemia mostly seen in pts < 1 y/o
What is Diamond-Blackfan anemia?
What are
1. autoimmune
2. MAHA
3. MIHA
4. infection ?
this is how you differentiate between ID anemia and anemia of chronic disease
ID anemia: low ferritin, high tranferrin
**opposite in ACD
increased homocysteine, normal MMA, no neurologic sx
What is folate deficiency?
macrocytic anemia + pancytopenia
BONUS: What is the inheritance pattern?
these are the non-megaloblastic macrocytic aanemias
What are
1. Diamond-Blackfan anemia
2. liver disease
3. chronic alcohol overuse ?
DAT shows: IgG-, C3+
What is cold agglutinin disease?
these are common clinical presentations of iron deficiency anemia
What are fatigue and decreased cognitive function?
these are the megaloblatic macrocytic anemias
What are
1. folate deficiency
2. B12 deficiency
3. Orotic aciduria
4. Fanconi anemia. ?
CD55/59 absence of RBCs by flow cytometry
What is PNH?
What are dapsone, nitrofuratonin, and quinolones?
BONUS: What are the 3 other drugs?
B12 deficiency due to autoantibodies against IF and/or gastric parietal cells
What is pernicious anemia?
best measure of iron stores in the body
What is ferritin?
X-linked recessive, glutathione deficiency
What is G6PD deficiency?
clinical presentation: degree of anemia may not correlate with sx
diagnosis: smear = Burr cells (echinocytes)
What is PK deficiency?
pathophysiology: disruption in production of heme for hemoglobin
What is sideroblastic anemia?
BONUS: What is the most common mutation in hereditary sideroblastic anemia?
this peripheral blood smear is indicative of what kind of anemia?
B12 deficiency induced anemia