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Hemoglobin Review

AB
OxyhemoglobinIron attached to the Hgb molecule is in the ferrous state with Oxygen attached
DeoxyhemoglobinIron attached to the hemoglobin molecule is in the ferrous state but is not carrying oxygen
CarboxyhemoglobinHemoglobin molecule that carries carbon monoxide
SulfhemoglobinHemoglobin that has irreversibly reacted with sulfur compounds. This pigment is not mesured by conventioanl Hgb techniques.
PorphyriasThe resultant disorders if one of the normal enzymatic steps in heme synthesis is blocked or deficient.
2,3-DPG (also known as BPG):Controls hemoglobin affinity for oxygen
CyanmethemoglobinThe recommended method for hemoglobin measurement
MethemoglobinIron attached to the Hgb molecule is in the ferric state
HaptoglobinCarries free Hgb
Hemoglobin SCA combined inheritance of 1 mutatant Hgb S gene and 1 mutant Hgb C gene. Hgb value is slightly decreased.
Hemoglobin SAn autosomal mutation that causes valine to be substitued for glutamic acid a the sixth amion acid poisition of the beta globin chain
Hemoglobin CAn autosomal mutation that causes lysine to be substituted for glutamic acid at the sixth amino acid position of the beta globin chain
Beta thalassemia (That major or minor)Mutant genes cause decreased synthesis of beta chains in adult hemoglobin
Alpha thalasemiaA defect in one to four genes that control alpha chain production in adult hemoglobins
Sickle Cell DiseaseHomozygous inheritance of Hgb S. Severe anemia when patient is in crisis
Sickle Cell TraitHeterozygous inheritance of Hgb S and Hgb A. Patients usually have a normal Hgb level.



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