Anaemia Flashcards

1
Q

When does anaemia occur?

A

When a person has an insufficient number of red blood cells or when a persons red blood cells aren’t functioning properly

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2
Q

What levels of haemoglobin indicate anaemia (for men, women, and children)?

A

Less then 13gm/dl for men
Less then 12gm/dl for women
The normal values for children vary with age

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3
Q

What are the common symptoms of anaemia?

What causes these?

A
Weakness
Shortness of breath
Dizziness
Fast/irregular heartbeat
Headache
Cold peripheries 
Pallor
Jaundice (in haemolytic anaemias) 
Chest pain
Pica (craving for ice or dirt)

A lack of oxygen

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4
Q

What factors increase the risk of developing anaemia?

A

Menstruating

Pregnancy

Chronic medical conditions including autoimmune diseases, kidney disease, cancer, liver disease, thyroid disease, inflammatory bowel disease

Risk increases with increasing age

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5
Q

What is iron deficient anaemia?

A

Due to iron deficiency, either due to blood loss or poor absorption of iron

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6
Q

What is the most common type of anaemia?

A

Iron deficient anaemia

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7
Q

Why does pregnancy increase your risk of anaemia?

A

Pregnancy and childbirth consume a lot of iron and so can lead to pregnancy-related anaemia

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8
Q

What causes vitamin deficiency anaemia?

A

Low levels of vitamin B12 or folate - usually due to poor dietary intake

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9
Q

What is pernicious anaemia?

A

A condition in which vitamin B12 cannot be absorbed in the gastrointestinal tract

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10
Q

What is aplastic anaemia ?

A

A rare bone marrow failure disorder - the bone marrow stops making blood cells

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11
Q

What is haemolytic anaemia?

A

Haemolytic anaemia occurs when red blood cells are broken up in the bloodstream or the spleen

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12
Q

What things can cause haemolytic anaemia?

A

Mechanical causes e.g. leaky heart valves or aneurysms

Infections

Autoimmune disorders

Congenital abnormalities of the red blood cell either affecting the red blood cell structure, or function, or the haemoglobin

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13
Q

What is sickle cell anaemia?

A

Sickle cell anaemia is an inherited haemolytic anaemia in which the haemoglobin molecule is abnormal. This causes rigidity of the red blood cells and can lead to them blocking small blood vessels

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14
Q

How can cancer treatment cause anaemias?

A

Chemotherapy often unpairs the ability of the body to create red blood cells and so anaemia can result

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15
Q

How can kidney disease lead to anaemia?

A

Some kidney diseases mean that the kidneys are not producing enough erythropoietin which is a hormone that signals to the bone marrow to make new blood cells and so not enough cells are created

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16
Q

How are anaemias classified according to morphology?

A

Macrocyclic
Microcytic
Normocytic

17
Q

What is a microcytic anaemia?

A

Microcytic anaemias are when the mean corpuscle volume is less than 80 and result from insufficient haemoglobin production.

18
Q

What is a normocytic anaemia?

A

A normocytic anaemia is when the mean corpuscle volume is between 80-100 and occurs as a result of decreased blood volume and/or decreased erythropoesis

19
Q

What is a microcytic anaemia?

A

When the mean corpuscle volume is greater than 100 and occurs as a result of insufficient nucleus maturation relative to cytoplasm expansion due to defective DNA synthesis, or defective DNA repair

20
Q

In what ways can anaemias be classified?

A

Morphology

Time course: acute vs chronic

Inheritance: inherited vs acquired

Etiology : primary vs secondary

Red blood cell proliferation: hypoproliferative hdecrease RBC production) vs hyperproliferative (increased RBC destruction or blood loss)

21
Q

How does iron influence energy levels?

A

Iron is necessary for forming haemoglobin and myoglobin (necessary for oxygen delivery to cells)

Facilitates the use of oxygen by cells (in the production of ATP)

Has a role to play in other metabolic pathways (e.g. tricarboxcylic acid cycle, gluoconeogenesis, function of some neurotransmitter amines etc.)