Polycythemia
Definition:it is increase in RBC count
Type: 
1.Primary polycythemia : (polycythemia vera)
   -tumor in bone marrow that cause uncontrolled synthesis of erythropoietin
   -RBCs count may reach 11 million cells\mm3
2.Secondary polycythrmia : (physiological polycythemia)
   -it is mechanism to improve blood supply for the:-
    a)person living in high altitude
    b)person with chronic lung disease
    c) person with cardiac failure
    (RBCs count about 6-8 million\mm3)
cronology effect of polycythemia
1.increase RBCs number
2.increase blood viscosity
3.sluggish blood flow
4.increase work load on the heart
5.increase peripheral resistance
6.increase blood pressure
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