Blood pathologies Flashcards

1
Q

Anaemia - a deficiency of what

A

red blood cells/faulty or in the haemoglobin content

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2
Q

general signs/symptoms anaemia

A
tachycardia, thin pulse
palpitations
shortness of breath
fainting
fatigue
irritability
pallor
yellow eyes
muscular weakness
changed stool colour
hypotension
enlarged spleen
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3
Q

7 types anaemia

A
sickle cell
thalessanaemia
iron deficiency
B12/B9 deficiency
Megablastic
Haemolysis
Pernicious anaemia
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4
Q

Iron deficiency anaemia also known as

A

hypochromic anaemia

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5
Q

Less haemoglobin in the blood causes erythrocytes to appear

A

hypochromic - paler

microcytic - smaller

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6
Q

causes hypochromic anaemia

A
diet/malabsorption of iron 
chronic blood loss
peptic ulcers
prolonged menstruation
intestinal ulceration
hookworm infection
pregnancy childbirth
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7
Q

signs symptoms hypo chromic anaemia

A
general anaemia symptoms plus
brittle hair
spoon shaped nails
inflammation mouth/tongue
menstrual irregularities
delayed healing
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8
Q

complementary treatment hypo chromic anaemia

A

cause!
iron rich food - dark green veg, beetroot, meat
iron supplements

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9
Q

describe the erythrocytes in megaloblastic anaemia

A

large
immature
dysfunctional

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10
Q

what two nutrients are required for DNA synthesis

A

B12, folic acid

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11
Q

what happens to cells if there is a deficiency of B12 & folic acid

A

cells cannot mature & divide but they can grow

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12
Q

causes megaloblastic anaemia

A
diet deficient in folic acid or b12 or both
lack of intrinsic factor
gastrectomy
chronic gastritis
bariatric surgery
stomach tumours
coeliac disease
excessive alcohol
chemotherapy
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13
Q

most common form of vit B12 deficiency anaemia

A

pernicious anaemia

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14
Q

what type of disease is pernicious anaemia

A

auto immune

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15
Q

what happens in pernicious anaemia

A

antibodies destroy instrinsic factor (IF) and parietal cells in the stomach

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16
Q

why does B12 need intrinsic factor ?

A

It activates it in the body
IF made in stomach
why gastric bands a bad idea

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17
Q

In megaloblastic anaemia how is b12 deficiency anaemia different to B9 defic. anaemia

A

B9 identical to B12 but NO NEUROLOGICAL DAMAGE

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18
Q

when does your need for B9 increase

A

pregnancy

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19
Q

treatment magaloblastic B9 deficiency anaemia

A

folate supplementation - green plants

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20
Q

could pernicious be the cause of megaloblastic anamia

A

yes

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21
Q

to avoid anaemia always check the following 3 supplement are in your diet

A

B12 9

Iron

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22
Q

a lack of B12 can lead to what problems

A

nerve neurological

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23
Q

megaloblastic anaemia vit B12 def. symptoms

A
general anaemia symptoms
plus big red sore shiny tongue, 
cuts side of mouth
digestive discomfort
nausea
diarrhoea
loss of coordination
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24
Q

complications B12 def megaloblastic anaemia

A

Nerve degeneration - not B9

Ulceration of tongue

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25
Q

treatment B12 def megaloblastic anaemia

A

B12 injections

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26
Q

hypoplastic & aplastic anaemia mean

A

no or few erythrocytes in the bone marrow

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27
Q

causes hypoplastic/aplastic anaemia

A

bone marrow failure - drugs, chemicals, radiation, kidney disease, cancer, hepatitis

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28
Q

symptoms hypoplastic/aplastic anaemia

A

pancytopenia
general anaemia symptoms
multiple infections - low white blood cell count
easy bleeding - low thrombocyte count

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29
Q

complications hypoplastic/aplastic anaemia

A

congestive heart failure

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30
Q

treatment hypo plastic/aplastic anaemia -

A

cause
blood transfusion
bone marrow transplant

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31
Q

what are haemolytic anaemias

A

anaemia resulting from EXCESSIVE BREAKDOWN of RBCs

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32
Q

causes haemolytic anaemias

A
genetic (sickle cell, thalassaemia)
drugs, chemicals, radiation
malaria
autoimmune
incompatibility between mother/child
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33
Q

symptoms of haemolytic anaemias

A
general symptoms plus
jaundice
gallstones
enlarged spleen
delayed growth/development
frequent infections
vascular occlusions
34
Q

treatment haemolytic anaemias

A

traet cause, blood transfusion, bone marrow transplant

35
Q

what disease does sickle cell anaemia protect against

A

malaria

36
Q

what is sickle cell anaemia

A

haemolytic anaemia
inherited/genetic abnormality of haemoglobin
sickle shaped DEOXYGENATED erythrocytes

37
Q

how long do sickle cell anaemia erythrocytes live

A

only 20 days - not long enough for malaria

leads to low numbers

38
Q

what is there a higher risk of forming with sickle cell anaemia

A

thrombus

39
Q

sickle cell anaemia more common in

A

africans

40
Q

what is splenomegaly

A

enlarged spleen

41
Q

which type of gene passes on thalassaemia (haemolytic anaemia)

A

RECESSIVE

42
Q

thalassaemia results in faulty

A

haemoglobin

43
Q

thalassaemia more common in

A

african, south asian, mediterraneans

44
Q

thalassaemia leads to

A

HAEMOLYSIS
low RBCs
low HAEMOGLOBINS

45
Q

what does the mother make in haemolytic disease of the newborn

A

antibodies to the baby’s erythrocytes - usually with rhesus factor incompatibility

46
Q

what happens with the babies in haemolytic disease of the newborn

A

sensitisation with first baby,

attacks baby 2 and subsequent

47
Q

which parasite causes malaria

A

plasmodium

48
Q

where does the plasmodium parasite mature

A

inside RBC which enlarge and eventually rupture

releasing next gen of parasites

49
Q

polycythaemia also known as

A

erythrocytosis

50
Q

what is polycythaemia/erythrocytosis

A

too many erythrocytes

51
Q

what does polycythaemia/erythrocytosis result in

A

increased bloof viscosity
reduced blood flow
increased risk of thrombosis

52
Q

physiological cause of polycythaemia

A

high altitude

53
Q

symptoms polycythaemia

A
asymptomatic if mild
hypertension
red skin
headaches
dizziness
bleeding problems
54
Q

difference ischaemia/hypoxia

A

hypoxia deficient oxygen to tissue

ischaemia deficient blood

55
Q

complications polycthaemia

A

blood clots/heart attacks

56
Q

treatment polycythaemia

A

cause

prevent clots

57
Q

what is granulocytopenia

A

DECREASE in no of granulocyte WBCs

58
Q

causes granulocytopenia

A
drugs
radiation
bone marrow diseases
severe infections
HIV/AIDS
59
Q

symptoms granulocytopenia

A

severe illness

necrosis of mucous tissues

60
Q

treatment granulocytopenia

A

cause

support immunity - echinacea, vit C, A, D zinc

61
Q

what is the marked INCREASE in the number of granulocyte WBCs known as

A

Leukocytosis

62
Q

what is leukaemia

A

a form of bone marrow cancer - increases WBCs suppresses production of erythrocytes & thrombocytes

63
Q

4 types leukaemia

A

lymphoblastic/lymphocytic - acute/chronic

myeloid/myelogenous - acute/chronic

64
Q

symptoms leukaemia

A
illness
anaemia, pallor, shortness breath
easy bruising
fever 
fatigue
weight loss
slow growth
slow healing
65
Q

allopathic treatment leukaemia

A

3 phases of chemotherapy -
remission induction
consolidation
maintenance therapy

66
Q

most serious form of leukaemia

A

chronic myeloid - usually death in 5 years

chronics usually worse than acute

67
Q

what is the condition known as where you have low numbers of thrombocytes caused by bone marrow suppression

A

thrombocytopenia

68
Q

symptoms thrombocytopenia

A

prolonged bleeding
excessive bruising
purpura/petechiae

69
Q

casuses thrombocytopenia

A

leukaemia
radiation/drugs/chemo
measles/hepatitis
autoimmune destruction

70
Q

name for genetic condition - low numbers thrombocytes

A

haemophilia

71
Q

difference haemophilia/thrombocytopenia

A

thrombo - bone marrow suppression by drugs/illness

haemo - genetic

72
Q

symptoms haemophilia

A

prolonged/severe bleeding
blood in urine/faeces
haemarthrosis - bleeding in joints

73
Q

causes haemophilia

A

genetic - deficiency clotting factors

74
Q

what genetic pattern does haemophilia follow

A

X LINKED RECESSIVE -

75
Q

haemophilia more common in which gender

A

boys

76
Q

treatment haemophilia

A

replace clotting factors - no cure

77
Q

Which is most common of all inherited bleeding disorders

A

Von Willebrand Disease vWD

78
Q

What is Von Willebrand Disease

A

vWF factor - a coagulation protein is deficient or abnormal

79
Q

symptoms von willebrand disease

A

usually asymptomatic
detected more in women with heavy periods/blood loss childbirth
varying degrees of bleeding tendency - easy bruising, nose bleeds, gum bleeds

80
Q

causes

A

genetic

81
Q

genetic pattern of Von Willebrand Disease

A

autosomal dominant - affects M/F equally