The red blood parameters in healthy person

The red blood parameters in healthy person

 

Erythrocytes (mL)

 

 

Hb (gm/L)

MCH

pg/cell

 

Reticulocytes (%)

 

Platelets (mL)

3,7-4,7 х 10¹² women

4,5-5,5 x 10¹² men

120-140 women

 130-160 men

27 - 34

0,5-1,5

150-400 x 10⁹

Tasks for self work

2.Complete the table

 Example:

          Describe the blood picture in acute posthemorrhagic anemia

Erythrocytes

Hb

MCH

Reticulo-

cytes

Platelets

Leuko-

cytes

Special features

 

↓↓

 

 

↓

 

N

↑

↑

↑

Neutrophilic leukocytosis with a shift to the left, normal osmotic fragility test (oft)

Describe the blood picture in iron deficiency anemia

Erythrocytes

Hb

MCH

Reticulo-

cytes

Platelets

Leuko-

cytes

Special features

 

 

 

 

 

 

microcytosis, hypochromia, hyporegeneration

Describe the blood picture in chronic posthemorrhagic anemia

Erythrocytes

Hb

MCH

Reticulo-

cytes

Platelets

Leuko-

cytes

Special features

 

 

 

 

 

 

microcytosis, hypochromia, hyporegeneration

 

Describe the blood picture in megaloblastic (B12-folate deficient) anemia

Erythrocytes

Hb

MCH

Reticulo-

cytes

Platelets

Leuko-

cytes

Special features

 

 

 

 

 

 

megaloblasts, megalocytes, hyperchromia, hyporegeneration, Jolly’s bodies, Kabo’s rings

 

3.Tests for self-control

Answer questions and test yourself. Correct answers at the end of the assignment.

1. Impaired iron absorption in the body occurs with:

1. Small bowel resection

2. Splenomegaly

3. Castle synthesis disorder

4. Enterite

5. Erythropoietin deficiency

2.  Iron deficiency anemia occurs when:

1. Diphyllobothriasis

2. Heavy menstruation

3. Pregnancy

4. Vitamin B-12

5. Small bowel resection

3. Pernicious (B-12 deficiency) anemia occurs when:

1. Diphyllobothriasis

2. Heavy menstruation

3. Pregnancy

4. Atrophy of the mucosa of the fundus of the stomach

5. Gastrectomy

4. Hyperchromic anemia is associated with:

1. B-12 deficiency

2. Folic acid deficiency

3. Wakez disease

4. Gastromucoprotein deficiency after gastrectomy

5. Chronic blood loss

5. A mandatory sign of any chronic anemia is:

1. Decreased hemoglobin concentration in the blood

2. Reducing the concentration of red blood cells in the blood

3. Color reduction

4. Hemogram reticulocyte reduction

5. Inhibition of erythroid germ in myelogram

6. Anemia due to a decrease in red blood cell synthesis includes:

1. Addison-Birmer Anemia (pernicious)

2. Iron refractory

3. Hereditary microspherocytic anemia

4. Erythremia (Wakez disease)

5. Favism

7. Anemia due to increased hemolysis includes:

1. Thalasemia

2. Hereditary microspherocytic anemia

3. Iron refractory

4. Sickle cell

5. Rhesus anemia

8. Addison-Birmer anemia is characterized by:

 

1. Red blood cell hypochromia

2. Erythrocyte macrocytosis

3. Erythrocyte hyperchromia

4. Erythrocyte microcytosis

5. Normoblastic type of hematopoiesis

9. Secondary (symptomatic) absolute erythrocytosis can occur with:

1. Erythremia

2. Kidney tumors

3. Diffuse pneumosclerosis

4. Chronic bleeding

5. Diarrhea

10. The causes of anemia can be:

1. Bleeding

2. Profuse vomiting

3. Renal artery stenosis

4. Heart failure

5. Autoimmune reaction

11. The reason for the development of iron deficiency anemia is:

1. Malabsorption syndrome

2. Folic acid deficiency

3. Uterine bleeding

4. Cyancobalamin deficiency

5. Hypersecretion of hydrochloric acid