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Morphology > Anaemia > Flashcards

Anaemia Flashcards

1
Q

Iron deficiency anaemia blood film

A

Microcytic hypochromic anaemia
Pencil cells
Target cells
Poikilocytosis
Oval
Tear drops

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2
Q

Platelets and leukocytes in IDA

A

Normal
Platelets or increased

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3
Q

Differential diagnosis for IDA

A

Thalassaemia
HbE
Anaemia of chronic disease
Lead poisoning

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4
Q

Further tests for IDA

A

Iron studies
Ferritin should decrease
Transferrin saturation will be very low
Transferrin will be high

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5
Q

Anaemia of chronic disease type of anaemia

A

Normocytic normochromic anaemia with a tendency to be microcytic hypochromic

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6
Q

ACD blood film

A

Rouleax

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7
Q

ACD platelets and WBC

A

Platelets are normal
Leucocytosis

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8
Q

ACD differential diagnosis

A

Lead poisoning
IDA
Thalassaemia

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9
Q

Further tests for ACD

A

CRP/ESR
Iron studies
Ferritin is not good in inflammation but transferrin saturation

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10
Q

Megaloblastic anaemia blood film

A

Increased MCV
Oval cells/Elliptocytes

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11
Q

Platelets and WBC Megaloblastic anaemia

A

Both decreased
Could be a pancytopenia

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12
Q

Differential diagnosis for Megaloblastic anaemia

A

Non Megaloblastic anaemia

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13
Q

Further tests for Megaloblastic anaemia

A

Check B12/folate deficiency
RBC count to check for pancytopenia

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14
Q

Acanthocytes are associated with

A

Liver disease
Hyposplenism
Abetalipoproteinemia

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15
Q

Further tests for acanthocytes

A

Liver tests
Check spleen
History of the patient
Lipoprotein studies
Blood group studies for McLeod phenotype
Check cholesterol- should be up

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16
Q

When are echinocytes/bird cells seen

A

Renal disease

17
Q

What are cremated cells

A

Type of echinocytes
Has regulating spaced indentations on surface

18
Q

What are schistocytes

A

RBC fragments

19
Q

What are helmet cells also called

A

Keratocytes
Bite cell

20
Q

What causes bite cells to have that helmet appearance

A

Hb precipitates and a bite is taken out my the macrophage

21
Q

When do you see crenated cells

A

Delay in making a film = artefact
Renal disease
Dehydration

Morphology (4 decks)

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