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Blood Pathology, Lab Tests & Clinical Procedures

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Question
Answer
Epstein-Barr virus   cause of mononucleosis  
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autologous bone marrow transplantation   patient serves as own donor for stem cells  
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four main blood types   A, B, AB & O  
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disseminated intravascular coagulation   bleeding disorder marked by reduction in blood clotting factors due to their use & depletion for intravascular coagulation  
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graft versus host disease   immune reaction of donor's cells to recipient's cells  
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hairy cell leukemia   abnormal lymphocytes accumulate in bone marrow, leading to anemia, thrombocytopenia, neutropenia & infection  
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mean corpuscular hemoglobin   average amount of hemoglobin per cell  
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mean corpuscular hemoglobin concentration   average concentration of hemoglobin in a single red cell  
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when MCHC is low the cell is   hypochromic  
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mean corpuscular volume   average volume or size of a single red blood cell  
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when MCV is high the cells are   macrocytic  
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when MCV is low the cells are   microcytic  
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cubic millimeter   one millionth of a liter  
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neutrophils are   polymorphonuclear leukocytes  
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segs are   mature white blood cells  
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Sequential Multiple Analyzer Computer   an automated chemistry system that determines substance in serum  
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microliter   one millionth of a liter  
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anemia   dificiency in erythrocytes/hemoglobin  
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most common type of anemia is   iron deficiency anemia  
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iron deficiency anemia is caused by   a lack of iron  
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iron is required for   hemoglobin production  
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aplastic anemia   failure of blood cell production due to aplasia (absence of development/formation) of bone marrow cells  
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most cases of aplastic anemia are   idiopathic  
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come cases of aplastic anemia have been linked to   benzene exposure and antibiotics  
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antibiotic linked to aplastic anemia   chloramphenicol  
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panctyopenia occurs when   stem cells fail to product leukocytes, platlets & erythrocytes  
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blood transfusions prolong life, allowing marrow time to resume normal function, and antibiotics control infection for   aplastic anemia  
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sponteneous recovery is unlinkely; therapy for aplastic anemia includes   bone marrow transplant & drugs that inhibit the immune system  
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hemolytic anemia   red blood cells are destroyed at a rate faster than the bone marrow can replace them  
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congential pherocytic anemia   red blood cells are spheriodal, making them fragile & easily destroyed  
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shortened cell cell survival causes an increase of reticulocytes in blood as bone marrow compensates for hemolysis of mature RBC   in congenital spherocytic anemia  
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another name for congenital spherocytic anemia   hereditary spherocytosis  
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congenital spherocytic anemia is an example of   hemolytic anemia  
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removing the spleen, which destroys RBC, can usually improve   congenital spherocytic anemia  
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pernicious anemia   incomplete maturation of RBCs causes the inability to absorb viatmin B12 into body  
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pernicious means   ruinous or hurtful  
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viatmin B12 is necessary for   proper development & maturation of erythrocytes  
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instrinsic factor   substance normally found in gastric juice that helps absorb vitamin B12 into bloodstream  
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common foods containing B12   liver, kidney, sardines, egg yolks & oysters  
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those with pernicious anemia lack   the intrinsic factor  
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excess of large, immature & poor functioning cells in bone marrow; often oval macrocytes in the circulation   pernicious anemia  
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treatment for pernicious anemia is   cobalamin (B12) instramuscular injections or via an intransal gel  
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sickle cell anemia   hereditary condition characterized by abnormal sickle shape of erythrocytes and hemolysis  
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in sickle cell anemia the cresent, sickle-shape of erythrocytes is caused by   abnormal type of HbS in the RBC  
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HbS   abnormal type of hemoglobin in the RBC of patients with sickle cell anemia  
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distorted, fragile erythrocytes not being able to pass through vessels normally   impeds blood flow to body's tissues  
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signs & symptoms of sickle cell anemia are   arthralgia, acute attacks of abdominal pain & ulcerations of extremities  
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thalassemia   inherited defect in synthesis of protein component that cause hemoglobin production  
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thalassemia usually affects those of   Mediterranean descent  
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thalassemia usually manifests in varying   forms & degrees of severity  
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leads to hypochromic anemia with diminished hemoglobin content in RBC   thalassemia  
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thalassa is a Greek word meaning   sea  
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hemochromatosis   excessive iron deposits throughout the body  
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hepatomegaly, skin pigmentation, diabetes & cardiac failure all may occur with   hemochromatosis  
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polycythemia vera   general increase in RBC; erythremia  
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in polycythemia vera the blood is viscous due to   greatly increased numbers of erythrocytes  
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in polycythemia vera the bone marrow is   hyperplastic  
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in polycythemia vera the overproduction of RBCs is linked to a   stem cell abnormality, causeing increases in number of WBCs & platlets  
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myelotxic drugs & phlebotomy are treatments for   polycythemia vera  
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hemophelia   excessive bleeding caused by hereditary lack of either factor VIII or IX  
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factor VIII & IX are necessary for   clotting of the blood  
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platlet counts are normal, but the missing factor results in prolonged coagulation time   hemophilliacs  
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hempophilia treatment includes   administration of deficient blood factor  
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purpura   multiple pinpoint hemorrhages & accumulation of blood under the skin  
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petechia   tiny purple/red flat spots appearing on the skin as result of hemorrhages  
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ecchymoses   larger blue/purplish patches on the skin  
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autoimmune thrombocytopenic purpura   patient makes an antibody destroying own platlets; bleeding time is prolonged  
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commons treatments purpura   splenectomy & corticosteroids  
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leukemia   increase in cancerous white blood cells; malignant leukocytes fill marrow & bloodstream  
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when using acute to describe luekemia   lukemias of primarily immature leukocytes  
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when using chronic to describe luekemia   lukemias of primarily mature leukocytes  
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common clinical characteristics of acute leukemias   abrupt, stormy onset of symptoms, fatigues, fever, bleeding, bone pain/tenderness, lymphadenopathy. splenomegaly, hepatomegaly  
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CNS abnormalities of acute luekemias   headache, vomitting & paralysis  
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acute myelogenous (myelocytic) leukemia (AML)   immature myeloblasts predominate & infiltrate/replace bone marrow causing diminished erythrocytes & platlets  
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acute lymphocytic leukemia (ALL)   immature lymphoblasts predominate; onset sudden & seen most often in children & adolescents  
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chronic myelogenous (myelocytic) leukemia (CML)   immature & mature granulocytes present in bone marrow & bloodstream  
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ilness slow in progression, patients may have long period before life-threatening problems   CML - chronic myelogenous (myelocytic) leukemia  
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therapies that target abnormal proteins responsible for malignancy   treatment for chronic myelogenous (myelocytic) leukemia  
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Gleevec   drug therapy that targets abnormal proteins responsible for malignancy in CML patients  
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chronic lymphocytic leukemia (CLL)   abnormal numbers of relatively mature lymphocytes predominate in marrow, lymph nodes & spleen  
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usually occurs in elderly & follows slow progressive course   chronic lymphocytic leukemia (CLL)  
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all forms of leukemia are treated with   chemotherapy  
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chemotherapy uses drugs that prevent   cell division & selectively injure rapidly dividing cells  
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occurs when leukemia cells reappear in blood & bone marrow, necessitating further treatment   relapse  
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dissappearance of signs of disease   remission  
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transplantation of normal bone marrow from donors is successful in restoring   bone marrow function in patients with acute leukemia  
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bone marrow donors must have   similar tissue type  
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granulocytosis   abnormal increase in granulocytes in blood  
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basophelia   increase in basophilic granulocytes seen in certain types of leukemia  
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eosinophilia   increase in eosinophilic granulocytes seen in asthma, or infections from tapeworm/pinworm  
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mononucleosis   infectious disease marked by increased number of leukocytes & enlarged cervical lymph nodes  
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in mononucleosis atypical lymphocytes are present in the   blood, liver & spleen  
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lymphadenitis, fever, fatigue, asthenia, & phayngitis are all symptoms of   mononucleosis  
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mononucleosis is usually transmitted by   direct oral contact  
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no treatment is necessary for   EBV infections  
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multiple myeloma   malignant neoplams of bone marrow; activated by B cells  
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Bence Jones protein   immunoglobin fragment found in urine  
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malignant lymphocytes destroy bone tissue & cause overproduction of immunoglobins, including Bence Jones protein   multuple myeloma  
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multuple myeloma leads to   osteolytic lesions, hypercalcemia, anemia, renal damage & increased susceptibility to infections  
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treatment for multuple myeloma includes   analgesics, radiotherapy, pallative doses of chemotherapy & special orthopedic supports  
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autologous bone marrow transplantation (ABMT) in treating multuple myeloma   may lead to prolonged remission and possible cure  
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bone marrow biopsy   needle aspiration of a small amount of bone marrow followed by exam under microscope  
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bleeding time   time required for blood to stop flowing from a tiny puncture wound  
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blood transfusion   whole blood or cells are taken from a donor & infused into a patient  
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apheresis   withdrawl & separation of blood elements  
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antiglobulin test   test for presence of antibodies that coat & damage erythrocytes  
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autologous transfusion   removal & reinfusion of a patient's own blood/blood components  
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coagulation time   time require for venous blood to clot in a test tube  
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normal coagulation time   less than 15 minutes  
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determined presence of antibodies in infants of Rh- women, or patients with autoimmune hemolytic anemia   autoglobulin test  
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normal bleeding time   8 minutes or less  
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Simplate or Ivy method is used   bleeding time  
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bleeding time is prolonged in   platlet disorders & patients using asprin  
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complete blood count (CBC)   determination of the number of RBC, WBC platlets, hemoglobin level, hematocrit & red cell indices-MCH, MCV, MCHC  
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erythrocyte sedimentation rate (ESR)   speed at which erythrocytes settle out of plasma  
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venous blood collected into anitcoagulant and blood placed in a tube in verticle position   ESR  
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sedimentation rate is   the distance that erythrocytes sink in a given period of time  
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sedimation rate increases with   infections, joint inflammation & tumors  
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tumors increase _________ in the blood   fibrinogen content  
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hematocrit   percentage of erythrocytes in a volume of blood  
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smaple of blood spun in centrifuge so that erythrocytes fall to the bottom of the sample   hematocrit  
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hemoglobin test   total amount of hemoglobin in a sample of peripheral blood  
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partial thromboplastin time (PTT)   measures presence of plasma factors that act in a portion of the coagulation pathway  
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test is used to follow patients taking anticoagulants, such a heparin   PTT  
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platlet count   number of platlets per cubic millimeter, or microliter, of blood  
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normal average amounts are 150,000 & 350,000 per mm3   platlet count  
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red blood cell count (RBC)   number of erythrocytes per cubic millimeter, or microliter, of blood  
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normal number is 4-6 million per mm3   RBC  
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red blood cell morphology   microscopic exam of stained blood smear to determine shape of individual red cells  
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test for anisocytosis, poikilocytosis & sickle cell anemia   red blood cell morphology  
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white blood cell count (WBC)   number of leukocytes per cubic millimeter, or microliter, of blood  
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automated counting devices record numbers within in seconds to give totals of   WBC  
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the normal WBC average between   5,000-10,000/mm3  
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white blood cell differential   percentage of the total WBC made up by different types of leukocytes  
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cells are stained & counted under microscope by a tech, unless instruments can produce automated differentials   white blood cell differential  
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term "shift to the left" describes   increase in immature neutrophils in blood  
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process can remove tosix substances or antibodies from blood & collect blood cells   apheresis  
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examples of apheresis are   leukopheresis, platletpheresis & plasmapheresis  
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plasma exchange   plasma removed & fresh plasma is replaced  
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blood type matched, tests to detect presence of hepatitis & HIV for blood to be used in a   blood transfusion  
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packed cells   preparation of RBC separated from liquid plasma  
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administered to severe anemics to restore levels of hemoglobin & RBC without overdiluting the blood with excess fluid   packed cells  
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used to diagnose blood disorders, cells deficiencies & leukemia   bone marrow biopsy  
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bone marrow aspirate   bone marrow removed by breif suction produced by a syringe  
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hematopoietic stem cells transplantation   peripheral stem cells from compatible donor administered into receipient's vein  
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patient's with malignant hematologic disease & multiple myeloma are candidates for   hematopoietic stem cells transplantation  
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process for hematopoietic stem cells transplantation   donor given drug to mobilize stem cells into blood, then removed from donor; recipient undergoes radiation & chemotherapy to kill malignant marrow cells & inactivate immune system; stem cells given to recipient through a vein  
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it is important to inactivate the recipient's immune system, for a hematopoietic stem cells transplantation, so that   the donor's stem cells will not be rejected  
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in graft vs. host disease the immunocompetent cells in the donor's tissue   recgonize the recipient's tissue as foreign & attack them  
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coagulopathy   disease of blood clotting  
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duscrasia   blood disease  
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electrophoresis   technique used to separate serum proteins by electrical charge  
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erythrocytopenia   deficiency of RBC  
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granulocytopenia   deficiency of granulocytes  
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hemoglobinopathy   disease/defect of hemoglobin production  
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hypochromic   pertaining to deficiency in color; decrease in hemoglobin in RBCs  
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leukapheresis   mechanical separation of WBCs from rest of the blood  
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leukocytopenia   deficiency of white blood cells  
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macrocytosis   presence of large red blood cells in blood  
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microcytosis   increased numbers of smaller than normal blood cells  
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morphology   study of the shape & form of cells, particularly RBCs  
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neutropenia   deficiency of neutrophils  
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neutrophelia   increased numbers of neutrophils  
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pancytopenia   deficiency of all blood cells  
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plasmapheresis   removal of plasma by centrifuge, from withdrawn blood  
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platletpheresis   separation of platlets from rest of the blood  
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poikilocytosis   variation in shape of RBCs  
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prothombin time   test of ability of blood to blot  
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sideropenia   deficiency of iron in blood  
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spherocytosis   increase in numbers of sphere-shaped RBCs, as in a type of anemia (hemolytic anemia)  
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thrombocytopenia   deficiency of clotting cells; decreased platelet counts prevents a platelet plug from forming  
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thrombolytic therapy   treatment with drugs to breakdown clots that may abnormally form in blood vessels  
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thrombosis   condition of clot formation  
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anemia cane be caused by   low RBC production, increased breakdown of RBCs, or blood loss  
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anemia cane be caused by   low RBC production, increased breakdown of RBCs, or blood loss  
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red blood cells of a person who is anemic, compared to a healthy person, often differ in their   size, shape, and appearance  
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Cooley's anemia   most severe form of thelesemia, both physical & mental growth can be retarded; requires blood transfusion  
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in aplastic anemia, the failure of the cell-generating ability of bone marrow affects all of the cellular elements of the blood; a condition known as   pancytopenia  
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aplastic anemia can be diagnosed via   bone marrow biopsy  
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hemolytic anemia can be   congenital or aquired  
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Coombs test can be used to detect   hemolytic anemia  
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acquired hemolytic anemia is sometimes caused by   an autoimmune disorder in which antibodies develop and attack antigens on the red blood cell membrane  
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due to the rapid destruction of RBCs in hemolytic anemia the bilirubin is elevated causing   jaundice  
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the spleen is the site of RBC destruction so a spleenectomy is often a treatment for   hemolytic anemia  
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sickle cell crisis   symptoms include joint pain, abdominal pain, & swelling of hands & feet  
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sickle cell anemia is incurable so treatment is aimed at   alleviating the symptoms  
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hemochromatosis may develop as a complication of   sickle cell anemia  
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diagnosis of multiple myeloma requires   lab, radiologic & bone marrow exams  
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