Blood Pathology, Lab Tests & Clinical Procedures
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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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