BM, Anemia, Leukemia

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    I. Anemias of Blood Loss

    Acute trauma

    Chronic

    lesions of GI tract, gynecologic

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    II. Hemolytic Anemias

    Intrinsic / Intracorpuscular

    Hereditary Membrane disorders - HS

    Enzyme deficiencies - G-6PD

    Disorders of Hb synthesis

    Deficient Hb synthesis - thalassemia

    Structurally abnormal globin synthesis sickle cells

    Acquired

    Membrane defect - PNH

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    II. Hemolytic Anemias

    Extrinsic / Extracorpuscular

    Antibody mediated Isohemagglutinis (HTR, EF), Autoabs (SLE,

    Mycoplasma), AIHA (warm, cold, PCH)

    Mechanical trauma to RBC - DIC

    Infections - malaria Chemical injury Pb poisoning

    Sequestration in mononuclear phagocytesystem (hypersplenism)

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    III. Anemias of Diminished

    Erythropoiesis/Impaired RC Production

    Disturbance of proliferation &differentiation of stem cells

    Aplastic Anemia

    Acquired, idiopathic, Fanconi (familial)

    Pure red cell aplasia

    Congenital erythroid hypoplasia -Diamond Blackfan

    Acquired acute / chronic

    Anemia of renal failure

    Anemia of endocrine disorder

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    III. Anemias of Diminished

    Erythropoiesis/Impaired RC Production

    Disturbance of proliferation & maturationof stem cells

    Defective DNA synthesis

    Megaloblastic anemia B12(pernicious), folate

    Defective Hb synthesis

    Deficient heme synthesis

    Fe deficiency

    Deficient globin synthesis - thalassemias

    Unknown or multiple mechanisms

    Sideroblastic, anemia of chronic infections

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    WBC Disorders

    Leukopenia

    Reactive (inflammatory) proliferations ofWBC & nodes

    Leukocytosis

    Non specific lymphadenitis (acute, chronic) Neoplastic proliferation

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    Neoplastic proliferation

    Lymphoid

    Precursor B and T cell neoplasms

    ALL

    Precursor B cell neoplasms

    CLL, Burkitt, plasma cell neoplasms, multiplemyleoma, hairy cell leukemia

    Peripheral T cell and NK neoplasms

    Mycosis fungoides

    Hodgkin Disease

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    Neoplastic proliferation

    Myeloid

    AML Myelodysplastic syndromes

    Chronic myeloproliferative disorders

    CML

    Polycythemia vera

    Essential thrombocytosis

    Myelofibrosis with myeloid metaplasia

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