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Hematology

Pain, could mimic stroke or heart attack
Sickle Cell Anemia
Pallor, glossitis, burning of tongue, chelitis, headache, parethesia
Iron Deficiency Anemia
Causes: poor diet, malabsorption, oral contraception, antiseizure drugs, alcohol abuse/anorexia, hemodialysis pts
Folic Acid Deficiency
Similar to other anemia symptoms, but more neuro symptoms
Cobalamin Deficiency
Pallor, thickening of cranium & maxillary cavity, hyperplasia of bone marrow, growth retardation, & death
Thalassemia
Increased risk of infection, fatigue & dyspnea, cardiovascular & cerebral vascular response, thrombocytopenia
Aplastic Anemia
Clotting factor IX, Christmas Disease
Type B Hemophilia
Clotting factor VIII
Type A Hemophilia
INR
2-3, coumadin
PTT
25-35, Heparin
PT
11-16, coumadin
Decreased TIBC + Decreased Transferrin =
Increased Serum Fe + Increased Ferritin
Increased Serum Fe + Increased Ferritin =
Decreased TIBC + Decreased Transferrin
Transferrin
190-380
Ferritin
10-250
TIBC
250-425
Serum Fe (iron+proteins)
50-175
Normal ESR
<30
Male ESR
<15
Female ESR
<20
Platelets
150,000 - 400,000
Platelets Critical Values
< 50,000 OR > 1 million
Neutropenia
Count less than 1,000
Leukopenia
Counts less than 4,000
WBC
5,000 - 10,000
MCHC
32-36
MCV
80-100
Hematocrit Male
39-50
Hematocrit Female
35-47
Hemoglobin Male
13-17
Hemoglobin Female
12-16
CBC Male
4-6
CBC Female
4-5
Locations of Bone Marrow
Sternum, Ribs, Scapulae, Clavical, Pelvis (iliac crest), flat cranial bone, End of long bones
The best place to get bone marrow
Iliac crest
MCH
27-34
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