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Patho Ch. 20
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39
Other
Undergraduate 4
04/11/2012

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Term
anemia
Definition
abnormally low total number of circulating rbc, abnormally low hemoglobin, or both
Term
How is anemia classified?
Definition
size, color, abnormalities
Term
polycythemia
Definition
abnormally high total red blood cell mass
Term
relative polycythemia
Definition
hematocrit rises due to loss of blood volume without a corresponding decrease in red cells
Term
primary polycythemia
Definition
proliferative disease of bone marrow characterized by an absolute increase in total red blood cell mass and volume
most common in men ages 40-60
Term
secondary polycythemia
Definition
results from an increase in level of erythropoietin
elevation is related to living at a high altitude and to chronic heart and lung disease
Term
polycythemia vera
Definition
related to increased blood viscosity and hypermetabolism---increase in red cell count, hemoglobim, and hematocrit
Term
relative treatment for polycythemia
Definition
corrected by increasing extracellular fluid volume
Term
secondary treatment for polycythemia
Definition
focuses on relieving hypoxia
Term
primary treatment for polycythemia
Definition
goal is reduction in blood viscosity
done by phlebotomy or chemotherapy or radiation to suppress bone marrow function
Term
phlebotomy
Definition
withdrawal of blood
Term
leukopenia
Definition
decrease in white blood cell number
Term
granulocytosis
Definition
decrease in granulocytes, mainly the neutrophils
Term
leukemia
Definition
sevent leading cuase of cancer death and most common cause of cancer death in children under 15
1/10,000
favors males over females
Term
major characteristics of leukemia
Definition
infiltration of immature cells into circulating blood
anemia
thrombocytopenia
Term
pathogenesis of leukemia
Definition
cause loss of control over normal leukocyte development, resulting in failure of cells to mature
cells are accumulating rather than continuing their maturation and dying after normal life span
Term
Acute leukemia
Definition
sudden, dramatic onset of disease and rapid downhill course without treatment
Term
chronic leukemia
Definition
insidious onset and much slower course without treatment
Term
chemotherapy for leukemia
Definition
acute--aim to destroy as many leukemic cells as possible
ideally to produce complete remission of the disease
chronic--aim to control the disease ut not necessarily destroy all leukemic cells
Term
radiotherapy for leukemia
Definition
irradiation of enlarged lymph nodes containing leukemic cells results in cell destruction and shrinkage of involved tissue
Term
adjunctive drugs
Definition
corticosteroids, such as prednisone, are used to depress lymphocyte production in both ALL and CLL
Term
other forms of treatment for leukemia
Definition
blood and platelet transfusions
bone marrow transplants for acute leukemias as well as aplastic anemia
Term
coagulation defects
Definition
deficiencies in one or more clotting factors
Term
impaired synthesis
Definition
some coagulation factors require vitamin K for synthesis
Term
What does vitamin K deficiency result from?
Definition
impaired fat absorption due to liver or gall bladder disease
Term
hereditary defects in coagulation factors
Definition
usually affect one factor and have been reported for each clotting factors
Term
Most common hereditary defects in coagulation factors
Definition
Factor VII, Factor IX, Factor IX, Hemophilia
Term
Factor VII
Definition
classic hemophilia (80% of total hemophilia)
Term
Factor IX
Definition
Christmas disease or hemophilia B (15%)
Term
Factor XI
Definition
hemophilia C (5%)
Term
Hemophilia
Definition
sex-linked recessive disorder primarily affecting males
Term
consumption of coagulation factors
Definition
acute disseminated intravascular clotting (DIC)
Term
disseminated intravascular clotting
Definition
blood coagulation, clot dissolution, and bleeding all take place at same time
Term
thrombosis
Definition
formation of blood clot within vascular system
Term
What's thrombi consist of?
Definition
varying combinations of aggregated platelets, precipitated fibrin, and enmeshed red blood cells and leukocytes
Term
What's the fate of thrombus?
Definition
undergoes resolution or large ones undergo organization
Term
What happens when thrombus undergoes resolution?
Definition
dissolution of clots
Term
What happens when thrombus undergoes organization?
Definition
granulation tissue grows in from adjacent vascular lining
may be permanently plugged by scar
Term
embolism
Definition
carriage of physical mass in bloodstream from one place to another with lodgement in new location
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