14 Flashcards

1
Q

management pyrexia following transfusion

A

anti-pyretic drugs

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2
Q

ALL investigations

A
  • bone marrow biopsy
  • blood films
  • FBC
  • U+Es
  • LFTs
  • CXR
  • CT
  • LP
  • PCR
  • lymph node biopsy
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3
Q

management of reducing risk of sepsis in haematological malignancy

A
  • ciprofloxacin
  • fluconazole
  • aciclovir
  • co-trimoxazole
  • stem cell rescue/ transplant
  • protective environment (laminar flow room)
  • IV immunoglobulin replacement
  • vaccination
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4
Q

presentation neutropenic sepsis

A
  • fever with no localsising signs
  • rigors
  • chest infection/ pneumonia
  • cellultiis
  • UTI
  • septic shock
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5
Q

allopurinol

A

used for correcting hyperuricaemia

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6
Q

leukapheresis

A

lab procedure in which WBCs are separated from a sample of blood

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7
Q

what is involved in a group and save

A

blood group

atypical red cell antibody screen

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8
Q

composition arterial thrombus

A

platelets and fibrin

white clot

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9
Q

what triggers immune haemolysis warm antibody

A

autoimmune
drugs
CLL

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10
Q

sources of stem cells for transplantation

A

bone marrow

umbilical cord blood

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11
Q

what are used for treating acute graft rejection

A

monoclonal antibodies against Il2 receptors
basiliximab and daclizumab

cyclosporine
methotrexate

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12
Q

common associations with immune thrombocytopenia purpura

A
EBV
HIV
collagenosis
lymphoma
drug abuse
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13
Q

pattern of bleeding vWD

A
  • mucosal
  • epistaxis
  • bruises
  • purpura/ petichiae
  • bruises
  • menorrhagia
  • GI
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14
Q

presentation primary immunodeficiency

A
  • lots of infections URI
  • antibody deficiency
  • increase in fungal infections
  • reactivation of latent herpes
  • recurrent candida
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15
Q

describe acute transplant rejection

A

recipient has pre made antibodies against that HLA type

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16
Q

management of HbS painful crisis

A
  • opiates
  • hydration
  • O2
  • consider antibiotics
17
Q

management leukostasis

A

chemo
leukapheresis
allopurinol
hydroxurea

18
Q

what does partial thromboplastic time mean

A

intrinsic and common pathways for blood clotting

19
Q

treatment options CLL

A

watch and wait
chemo
monoclonal antibodies e.g. rituximab
tyrosine kinase inhibitors

20
Q

when is 2nd lymphoma peak

A

late in life

associated with EBV

21
Q

what do blood groups arise from

A

antigens on red cell surface

22
Q

blood group A have antibodies against

A

B