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Notes in
b. RBC Structure and Function
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Decreased {{c3::oxygen}} delivery causes peritubular cells in the {{c1::kidney}} to release {{c2::erythropoietin}} to stimulate erythropoies…
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Patients with renal disease do not make sufficienct {{c1::erythropoietin}} in response to anemia, thus exacerbating the problem
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Abnormal and damaged RBCs are removed from circulation via the {{c1::monocular phagocytic system (MPS)}} in the {{c2::spleen}}
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Hereditary Spherocytosis can be caused by RBC membrane protein defects in the following 5 proteins and causes it to look like?:
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The predominant hemoglobin observed in the embryo is {{c1::zeta2-epsilon2}}
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The predominant hemoglobin observed during fetal development is {{c1::alpha2-gamma2}}
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The predominant hemoglobin observed during the adult life span is {{c1::alpha2-beta2}} with a small portion of {{c2::alpha2-delta2}}
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Heme consists of an iron atom surrounded by a {{c1::porphyrin ring}}. Heme is synthesized in a series of steps in {{c1::immature}} RBCs: Mit…
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{{c1::P50}} is the partial pressure where 50% of hemoglobin is saturated
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Shifting the oxyhemoglobin dissociation curve to the {{c1::right}} causes a {{c2::decrease}} in hemoglobin affinity for O2
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Shifting the oxyhemoglobin dissociation curve to the {{c1::left}} causes a {{c2::increase}} in hemoglobin affinity for O2. At rest, PO2 in t…
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{{c1::Decrease}} in temperature causes a {{c2::increase}} in hemoglobin affinity for O2
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{{c1::Decrease}} in pH causes a {{c2::decrease}} in hemoglobin affinity for O2
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{{c1::Increase}} in pH causes a {{c2::increase}} in hemoglobin affinity for O2
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{{c1::Increase}} in 2-3-biphosphoglycerate causes a {{c2::decrease}} in hemoglobin affinity for O2
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{{c1::Decrease}} in 2-3-biphosphoglycerate (same thing as 2,3 DPG) causes a {{c2::increase}} in hemoglobin affinity for O2
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{{c1::Decrease}} in P(CO2) causes a {{c2::increase}} in hemoglobin affinity for O2. {{c1::70}}% of exhaled CO2 is in plasma as HCO3
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{{c1::Increase}} in P(CO2) causes a {{c2::decrease}} in hemoglobin affinity for O2
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fetal Gamma globin binds 2,3-DPG (same as 2,3, BPG) with {{c1::lower}} affinity than adult beta globin, so fetal Hb has {{c1::higher}} oxygen aff…
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{{c2::Acute intermittent porphyria}} is a defect in heme biosynthesis that occurs at {{c1::PBG deaminase}} and causes {{c1::neurovisceral symptoms, ab…
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Porphyria cutanea tarda is a defect in heme biosynthesis that occurs at {{c1::uroporphyrinogen decarboxylase}}, causes {{c1::blisters on sun-exposed a…
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{{c2::Erythropoietic protoporphyria}} is a {{c1::non}} blistering disease caused by a defect in heme biosynthesis that occurs at {{c1::ferrochelatase}…
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{{c1::Acute}} porphyria displays neurovisceral symptoms including abdominal pain and psychiatric/neurologic symptoms
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Acute intermittent porphyria is an example of an {{c1::acute}} porphyria
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{{c1::Cutaneous}} porphyria is characterized by photosensitivity
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Porphyria cutanea tarda is an example of a {{c1::cutaneous}} porphyria
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Erythropoietic protoporphyria is an example of a {{c1::cutaneous}} porphyria
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In Porphyria cutanea tarda, sun exposure causes {{c1::blistering/scarring}}
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Erythropoietic protoporphyria is characterized by {{c1::acute non-blistering photosensitvity}}
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The {{c2::Embden Myerhoff}} glycolytic pathway in RBCs is aka {{c1::anaerobic glycolysis}}
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{{c1::Pyruvate kinase deficiency}} results in congenital {{c1::non}}-spherocytic {{c2::hemolytic anemia}}. Hemolysis is {{c1::chronic}} and {{c2:…
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{{c1::G6PD deficiency}} results from a defect in the hexose monophosphate shunt which prevents NADPH from being synthesized to reduce glutathione. {{c…
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{{c1::G6PD deficiency}} is characterized by {{c1::Heinz}} bodies and {{c1::bite}} cell formations. It is an {{c1::X-linked::inheritance pattern}} diso…
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{{c1::Methemoglobinemia}} is a disorder characterized by higher than normal levels of metHb
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Methemoglobinemia is characterized by a {{c1::reduced}} ability for RBCs to bind O2, but {{c1::increased}} affinity for bound O2, thus causing a …
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The major pathway for methemoglobin reduction is via {{c1::cytochrome b5 reductase}}, deficiency in this enzyme is one of the {{c1::hereditary}} …
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The alternative method for methemoglobin reduction (Fe3+ to Fe2+) is via {{c1::NADPH methemoglobin reductase}}
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A {{c1::low}} %O2 sat on a pulse oximeter with a {{c1::normal}} PO2 on arterial blood gas is a key symptom of {{c1::methemaglobinemia}}. Other sy…
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