Blood cell abnormalities Flashcards
What is anaemia?
Reduction in the amount of haemoglobin in a given volume of blood below normal values for health subject of same age and gender
What are the 4 mechanisms of anaemia?
Reduced production of red cells
Blood loss
Reduces serval of red cells
Pooling of red cells in very large spells
What is caused by reduced production of globing chains?
Thalassemia
How can anaemia be classified?
On the basis of cell size
What are causes of microcytic anaemia?
Defect in haem synthesis -Iron deficiency -Anaemia of chronic disease Defect in globing synthesis -alpha thalassaemia -beta thalassaemia
What causes iron deficiency?
Increased blood loss Insufficient intake Increased requirements (pregnancy and infancy)
What are the causes of macrocytic anaemia?
Megaloblastic anaemia Abnormal haemopoiesis Liver disease Excess alcohol intake Increased no. of reticulocytes
What is megaloblastic anaemia?
Delay in maturation of the nucleus while the cytoplasm continues to mature and cell grows
What is a megaloblast?
Abnormal bone marrow erythroblast
What causes megaloblastic anaemia?
Deficiency of B12 or folic acid
Use of drugs interfering with DNA synthesis
Liver diseases increased ethanol toxicity
Recent major blood loss
Haemolytic anaemia
What is polycythaemia?
Too many red cells in the circulation
What are the two types of polycythaemia?
Pseudo- reduced plasma volume
True- increase in total volume of red cells in circulation
What causes polycythaemia?
Excessive transfusion
Response to hypoxia
Changes in levels of erythropoietin
Abnormal function of the bone marrow
What can cause increased synthesis of erythropoietin?
High altitude
When is an increase in erythropoietin inappropriate?
In sports
In cancer e.g renal tumours secrete it