Chapter 058. Anemia and Polycythemia (Part 7) pps
Urban Health and Society: Interdisciplinary Approaches to Research and Practice - Part 7 pps
... highlighting circum-
stances in Detroit. We then describe efforts of, and lessons learned by, community - based
participatory research (CBPR) partnerships working to understand the health implica-
tions ... of good - paying, blue - collar employment
c03.indd 47c03.indd 47 6/3/09 11:59:00 AM6/3/09 11:59:00 AM
PART
2
INTERDISCIPLINARY
APPROACHES TO
STUDYING CAUSE...
Chapter 022. Dizziness and Vertigo (Part 2) pps
... alcohol. The most common offending drugs are the aminoglycoside
Chapter 022. Dizziness and Vertigo
(Part 2)
Physiologic Vertigo
This occurs in normal individuals when (1) the brain is confronted ... vestibular end organs and may cause a
permanent disorder of equilibrium.
nuclei and the cerebellum, patients with brainstem or cerebellar disease have
diminished ada...
Chapter 023. Weakness and Paralysis (Part 1) pps
... reflexes, and cutaneous reflexes
(Table 23 -1).
Table 23-1 Signs that Distinguish Origin of Weakness
Sign Upper
Motor Neuron
Lower
Motor Neuron
Myopathic
Chapter 023. Weakness and Paralysis
(Part ...
Myopathic
Chapter 023. Weakness and Paralysis
(Part 1)
Harrison's Internal Medicine > Chapter 23. Weakness and Paralysis
Weakness a...
Chapter 030. Disorders of Smell, Taste, and Hearing (Part 7) pps
... homozygous and affected. The hearing loss can also vary
Chapter 030. Disorders of Smell,
Taste, and Hearing
(Part 7)
Ear anatomy. A. Drawing of modified coronal section through external ear
and ...
and temporal bone, with structures of the middle and inner ear demonstrated. B.
High-resolution view of inner ear.
Stereocilia of the hair cells of th...
Chapter 058. Anemia and Polycythemia (Part 1) ppt
... erythropoiesis , and its key elements are illustrated in Fig.
58-1.
Figure 58-1
Chapter 058. Anemia and
Polycythemia
(Part 1)
Harrison's Internal Medicine > Chapter 58. Anemia and Polycythemia ...
Harrison's Internal Medicine > Chapter 58. Anemia and Polycythemia
Anemia and Polycythemia: Introduction
Hematopoiesis and the Physi...
Chapter 058. Anemia and Polycythemia (Part 2) potx
...
Chapter 058. Anemia and
Polycythemia
(Part 2)
Figure 58-2
fatigue, loss of stamina, breathlessness, and tachycardia (particularly with physical
exertion). ... pain, free hemoglobin in
the plasma and urine, and renal failure. Symptoms associated with more chronic or
progressive anemia depend on the age of the patient and the adequacy of blood
supply ... of t...
Chapter 058. Anemia and Polycythemia (Part 3) doc
... Chapter 058. Anemia and
Polycythemia
(Part 3)
Approach to the Patient: Anemia
The evaluation of the patient with anemia requires a careful history and
physical examination. ... important, and clinical laboratories often provide a description of both the
red and white cells, a white cell differential count, and the platelet count. In
patients with severe ane...
Chapter 058. Anemia and Polycythemia (Part 5) pptx
... bull's-eye appearance and are seen in
thalassemia and in liver disease. (From Hillman et al.)
Figure 58-9
Severe iron-deficiency anemia. Microcytic and hypochromic red cells
smaller than the ... lymphocyte and well
hemoglobinized. Often macrocytes are oval-shaped (macroovalocytes).
Figure 58-6
Figure 58-7
Target cells. Target cells have a bull's-eye appearan...
Chapter 058. Anemia and Polycythemia (Part 6) pptx
... classification of anemia, the patient's reticulocyte count is
compared with the expected reticulocyte response. In general, if the EPO and
erythroid marrow responses to moderate anemia [hemoglobin ... increases to two to three times
normal within 10 days following the onset of anemia. In the face of established
anemia, a reticulocyte response less than two to three times normal...
Chapter 058. Anemia and Polycythemia (Part 7) pps
... levels of anemia, erythroid cells are released from the
marrow prematurely. Most patients come to clinical attention with hematocrits in
Chapter 058. Anemia and
Polycythemia
(Part 7)
Table ... applied to a patient
with anemia and a very high reticulocyte count to provide a true index of effective
red cell production. Patients with severe chronic hemolytic anemia m...
Chapter 058. Anemia and Polycythemia (Part 8) docx
... details of these tests and how they are applied in individual
disorders, see Chaps. 98, 99, 100, 101, and 102.
Definition and Classification of Anemia
Initial Classification of Anemia
The functional ... hypoproliferative
anemia is typically seen with a low reticulocyte production index together with
little or no change in red cell morphology (a normocytic, normochromic anemi...
Chapter 058. Anemia and Polycythemia (Part 9) pot
...
deficiency, or inadequate EPO stimulation. The last may reflect impaired renal
Chapter 058. Anemia and
Polycythemia
(Part 9)
Figure 58-17
function, suppression of EPO production by inflammatory ... hypoproliferative anemia include the serum iron and
iron-binding capacity, evaluation of renal and thyroid function, a marrow biopsy
or aspirate to detect marrow dama...
Chapter 058. Anemia and Polycythemia (Part 1) pps
... of response depends on the severity of the anemia and the
nature of the underlying disease process.
Chapter 058. Anemia and
Polycythemia
(Part 1)
Cytoplasmic maturation defects result ... of anemia. If the iron-deficiency anemia is mild to
moderate, erythroid marrow proliferation is decreased and the anemia is classified
as hypoproliferative. However, if the...
Chapter 058. Anemia and Polycythemia (Part 11) pptx
... Budd-Chiari syndrome with hepatic
Chapter 058. Anemia and
Polycythemia
(Part 11)
Anemia: Treatment
An overriding principle is to initiate treatment of mild to moderate anemia
only when a specific ... respective chapters
(sickle cell anemia, Chap. 99; hemolytic anemias, Chap. 101; aplastic anemia and
myelodysplasia, Chap. 102).
Therapeutic options for the treatme...
Chapter 058. Anemia and Polycythemia (Part 12) ppt
... signs and symptoms rather than polycythemia- related
symptoms.
Acknowledgment
Dr. Robert S. Hillman wrote this chapter in the 14th edition, and elements
of his chapter were retained here.
Further ...
the diagnosis is smoker's polycythemia. Such patients should be urged to stop
smoking.
Those who cannot stop smoking require phlebotomy to control their
polycythemia. Pa...
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