Case 8b

Question 1

What is the word used to describe too many platelets?

Answer 1

Thrombocytosis

Question 2

How can dehydration sometimes be indicated in the FBC?

Answer 2

High Hb

Lower plasma volume so greater conc of RBC

Question 3

What is the word used to describe too few platelets?

Answer 3

Thrombocytopenia

Question 4

What is the Hb cutoff for a man?

Answer 4

13 g/dL

Question 5

What is the Hb cutoff for a woman?

Answer 5

12 g/dL

Question 6

What is the Hb cutoff for a pregnant woman?

Answer 6

11 g/dL

Question 7

How is excess Fe stored?

Answer 7

Ferritin in liver

Haemosiderin in bone marrow

Question 8

What’s the daily Fe requirement of a:

1. Man
2. Menstruating woman
3. Pregnant woman

Answer 8

1. 1mg
2. 2mg
3. 4-7mg

Question 9

What comes to mind if Hb

Answer 9

Fe deficiency

Haemoglobinopathy e.g. Sickle cell disease

Question 10

What comes to mind if Hb >100?

Answer 10

B12 deficiency
Folate deficiency
Haematological problem

Question 11

Patient thought their stools was a different colour than usual (more black), occult stool sample negative, what might be the cause?

Answer 11

Iron tablets - black stools

Question 12

What does parenterally mean?

Answer 12

Means of delivery other than GI tract

Question 13

How are platelets formed?

Answer 13

Fragmentation of megakaryocytes

Question 14

Why is VTE more likely during pregnancy?

Answer 14

Fetus compresses IVC and left iliac vein
Reduced venous flow
More procoagulants 
Less anticoagulants
Increased capacitance (distensibility)
Endothelial injury at delivery