Quiz 1
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Normal urine color? | show 🗑
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show | urobilinogen
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Milky urine color? | show 🗑
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Brownish yellow or green urine color? | show 🗑
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show | blood
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Yellow foam in urine? | show 🗑
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show | albumin
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show | AGN
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Normal odor of urine? | show 🗑
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show | bladdar retention
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show | Ketone bodies = DM
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Foul odor of urine? | show 🗑
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Measurment of the dissolve substances present in the urine or expression of the concentration of urine? | show 🗑
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Normal ranges for specific gravity? | show 🗑
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Low specific gravity indicates what? | show 🗑
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show | Diabetes Mellitus
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Fixed specific gravity at 1.010 indicates what? | show 🗑
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Normal pH levels? | show 🗑
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show | acidosis, fever, increased protein diet
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High pH levls of urine? | show 🗑
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Presence of protein in urine is mostly indicative of what? | show 🗑
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show | That it's not neccisarily renal disease
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show | albumin
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show | albumin because of its small molecular size
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show | functional because there are no tests or aha lesions; orthostatic proteinuria
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Type of proteinuria that is associated with demonstrable systemic disease or rernal pathology? | show 🗑
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3 types of organic proteinuria? | show 🗑
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show | 180mg/100ml serum glucose level
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Causes of increased glucose in urine? | show 🗑
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Causes of decreased glucose in urine? | show 🗑
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show | diabetes mellitus
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Ketonuria appears when? | show 🗑
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Conditions of ketonuria include what? | show 🗑
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Presence of intact RBC's in thet urine | show 🗑
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show | hemoglobinuria
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show | trauma or irritation
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Causes of hemoglobinuria | show 🗑
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Myoglobinuria indicates what and may appear in what? | show 🗑
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False negatives of hematuria include what? | show 🗑
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a leukocyte esterase false positive can be because of what? | show 🗑
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show | gram-negative bacteria (bacteriuria) caused by nitrate reducing bacteria
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show | 4 hours
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show | liver disease or extrahepatic or intrahepatic biliary obstruction
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show | conjugated water soluble bilirubin
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Reference range of RBC's, WBC's and casts under a microscopic exam of a urinary sediment? | show 🗑
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show | first-morning, mid-stream
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show | >3 RBC per hpf
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show | >5 WBC per hpf
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show | benign hematuria or a vaginal contaminant
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WBC's in urine? | show 🗑
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Pyuria of renal origin is usually accompanied by what? | show 🗑
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show | bacteriuria
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show | >10 squamous epi cells per lpf
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show | Casts seen in exercisers
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Waxy casts indicate what? | show 🗑
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RBC casts indicate what? | show 🗑
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show | Acute pyelonephritis and WBC's uriginate in the kidney
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Fatty casts inidcate what? | show 🗑
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Fatty, RBC and WBC casts are always what? | show 🗑
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show | no importance
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To make blood? | show 🗑
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RBC's in bone marrow called? | show 🗑
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show | Extramedullary hematopoiesis
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To make RBC's | show 🗑
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show | Erythropoietin; kidney
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Erthyrocyte stage where the RBC has a nucleus, nucleus has no function and the cytoplasm is orange/red in color | show 🗑
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show | polychromatic erythrocyte; reticulocyte
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Diameter of a mature erythrocyte? | show 🗑
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show | gower 1, gower 2, Hb F, Hb A, Hb A2
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show | Hb F
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show | Hb A
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Aged RBC's are phatocytized by the macrophages of the RE syste and broken down into iron, globin and protoporphyrin, majority of the Hb breakdown. | show 🗑
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RBC's lyse within the circulation and is the minority of the Hb breakdown | show 🗑
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show | Hb, total RBC count, Hct, RBC indices, WBC count, Platelet count
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Hb is great at detecting what? | show 🗑
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show | Decreased
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Improper what will give you a false increase in Hb? | show 🗑
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RR for Hb? | show 🗑
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Anemia exists when the Hb level is what? | show 🗑
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show | Heavy smokers, exercise, living at high altitudes, higher in the morning
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Fake anemia is called what and seen in who? | show 🗑
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RR for RBC count? | show 🗑
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Decrease in RBC's? | show 🗑
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show | myelopoliferative neoplasms
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Ratios of spun RBC's to plasma reflecting the volume of packed RBC's | show 🗑
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show | Hb x 3
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Falsely elevated Hct | show 🗑
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show | EDTA keeps blood from clotting
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show | 37-47% females, 40-54% males
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show | RBC indicies
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show | Mean Corpuscular(Cell) Volume (MCV)
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show | 80-100 femtoliters(fl)
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Causes of increased MCV? | show 🗑
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show | iron deficiency anemias, Thalassemias, Hereditary sideroblasic anemia, lead poisening, chronic disease anemia
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Etiology of macrocytosis | show 🗑
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Etiology of microcytosis | show 🗑
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show | Mean Cell Hemoglobin(MCH)
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show | 27-33 picograms(pg)
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Increased MCH | show 🗑
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Decreased MCH | show 🗑
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show | Mean Cell Hb Concentration(MCHC)
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show | Microcytic and normocytic anemias, pale
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Increased MCHC | show 🗑
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show | MCHC
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RR of MCHC | show 🗑
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Index of RBC size differences and useful in drawing attention to anisocytosis, a marker for various anemias | show 🗑
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show | True
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show | RDW
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RR of RDW | show 🗑
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show | 4,500-11,000/microliter
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Decreased WBC count? | show 🗑
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show | Leukocytosis
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Causes of leukopenia? | show 🗑
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Causes of leukocytosis? | show 🗑
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show | Small discoid blood corpuscles, the primary link in achieving hemostasis
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show | 150,000-400,000/cu mm
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Too many platelets called what? What causes this? | show 🗑
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Decreased platelet count? | show 🗑
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<70,000 platelets is clinically evident for what? | show 🗑
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show | PBS and Hb value
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show | To obtain differential counts of WBC and to study blood cell morphology
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show | anemias, leukemias and platelet abnormalities
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show | anisocytosis; by RDW
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show | poikilocytosis
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show | polychromasia
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show | microcytes and macrocytes; MCV
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show | Schistocytes
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show | Acanthocytes; severe liver disease, anorexia nervosa
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show | artifact, liver disease, renal disease, hyperlipidemia
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show | hemolytic anemia due to an oxidizing agent(Heinz body anemia)
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show | Target cells
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show | myeloid metaplasia, CML
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Stacked up coins and what causes them? | show 🗑
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RBC type caused by lead poisoning? | show 🗑
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show | Howell-Jolly bodies
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RBC type caused by an increased iron load? | show 🗑
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show | hypochromic; iron deficiency anemia, thalassemia
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show | Hyperchromic
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Reticulocytes are what color? | show 🗑
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show | infection
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show | hypersegmentation; pernicious anemia, b12 or folic acid deficiency
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show | viral infections like mono; too much blue cytoplasm
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show | leukoerythroblastosis; leukemia
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show | 50-70%; bacterial infections
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Increased neutrophils is called what? | show 🗑
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Decreased neutrophils is called what? | show 🗑
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Normal range for eosinophils? | show 🗑
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show | eosinophilia; parasites and acute allergic reactions
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Normal range for basophils? | show 🗑
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Increased basophils is called what? When is it increase? | show 🗑
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Normal range of lymphocytes? | show 🗑
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Increased lymphocytes is called what and what causes them to increase? | show 🗑
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show | lymphocytopenia; immunodeficiency syndromes (AIDS)
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Normal range of monocytes? | show 🗑
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Increased monocytes is called what and what does it mean to be increased? | show 🗑
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show | erythrocyte sedimentation rate (ESR)
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ESR Test | show 🗑
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show | children: 3-13mm/hr
post-adolescent man: 1-15mm/hr
post-adolescent woman: 1-20mm/hr
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show | males = age/2
females = age + 10/2
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show | hard, non-movable, non-tender, hard to get finger around them
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show | malignant reticulum cell; Reed-Sternberg Cells
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Male:female ratio? | show 🗑
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Bimodal age distributions? | show 🗑
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Clinical findings of Hodgkins? | show 🗑
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show | Lymphocytopenia, anemia(33-50%)(hypochromic and microcytic), Eosinophilia (20%), elevated serum alkaline phosphatase (Bone Marrow or liver involvement)
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Hodgkins Triad? | show 🗑
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Diagnosis of hodgkins from what? | show 🗑
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Disease which means many cells in the blood, also called what? | show 🗑
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show | Polycythemia vera
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Hx of PV? | show 🗑
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show | Organomegaly(liver and spleen), facial plethora(Redness of face)
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show | Inc. RBC, Inc. Hct, Dec. EPO, Thrombocytosis, Leukocytosis, hyperuricemia, hypercholesterolemia
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show | phlebotomy
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show | Hypoxia, high altitude, chronic lung disease, hormonal
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show | Falsely increased RBC's due to decrease in plasma volume. Etiology dehydration(cloudy urine)
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show | Diminished production of normal RBC's, WBC's and platelets
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show | Acute Leukemia
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Leukemia that the predominant cell is the more mature WBC's | show 🗑
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show | Subleukemic Leukemia
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show | Aleukemic Leukemia
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Etiology of Leukemia? | show 🗑
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show | splenomegaly, lymphadenopathy, fever, anemia, hemorrhage, infection
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Pediatric Leukemia | show 🗑
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History of ALL? | show 🗑
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show | WBC elevated, Anemia, leukemic lymphoblasts in the peripheral blood smear(PBS)
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Adult Leukemia | show 🗑
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show | AML
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M:F Ratio of AML | show 🗑
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show | Fatigue, bleeding, difficulty clearing infections
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Lab findings of AML? | show 🗑
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Most common form of leukemia in adults in the US? | show 🗑
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Predominant age for CLL | show 🗑
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show | Insidious onset normally discovered incidentally. Asymptomatic at the time of diagnosis. Enlarged nodes, early satiety, enlarged spleen, mucocutaneous bleeding and/or petechiae due to thrombocytopenia, fevers and night sweats.
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Lab findings of CLL | show 🗑
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Leukemia with the proliferation of myeloid precursors? | show 🗑
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Hallmark of CML is what? | show 🗑
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History of CML? | show 🗑
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show | WBC markedly increased, granulocytes in all stages of development, basophilia, eosinophila, platelets can be normal, elevated or low on occasion
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