Diseases of Human Systems Flashcards

1
Q

name three functions of the blood

A

transports nutrients
removes waste
transports host defences

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2
Q

what is leukopenia

A

low WCC

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3
Q

what is thrombocytopenia

A

low platelets

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4
Q

what is pancytopenia

A

all cell types reduced

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5
Q

what is polycythaemia

A

raised haemoglobin

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6
Q

what is leukocytosis

A

raised WCC

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7
Q

what is thrombocythaemia

A

raised platelets

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8
Q

from which type of stem cell do NK cells, T cells and B cells originate

A

lymphoid stem cells

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9
Q

from which type of stem cell do erythrocytes and platelets arise from

A

myeloid stem cells

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10
Q

what is porphyria

A

abnormality of haem metabolism

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11
Q

what is acute intermittent porphyria

A

porphyria triggered by medicines such as local anaesthetics

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12
Q

name two clinical effects of porphyria

A

photo-sensitive rash
neuropsychiatric attacks

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13
Q

why may anaemia be linked with an enlarged spleen

A

if lifespan of RBC is reduced due to autoimmune disease there is increased turnover - removed early by the spleen

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14
Q

which type of cell abnormality is linked with iron deficiency and what condition can it cause

A

microcytosis
thalassaemia

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15
Q

what type of cell abnormality is linked with B12/ Folic Acid deficiency

A

macrocytosis

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16
Q

what is hypochromic

A

RBCs appear paler due to there being less haemoglobin

17
Q

what is ansiocytic

A

RBCs are an exaggerated range of sizes in the same sample

18
Q

why is the MCV raised in a patient with reticulocytotic cells

A

reticulocytes have residual material before they mature so they are bigger than normal RBCs

19
Q

name two signs of anaemia

A

pale
tachycardia

20
Q

name three symptoms of anaemia

A

tiredness
dizzy
SOB

21
Q

name three clinical presentations of anaemia

A

pale mucosa (sclera of eyes)
smooth tongue
beefy tongue

22
Q

what triggers the release of RBCs

A

erythropoietin from the kidney

23
Q

what is the iron replacement regime for tablets

A

200mg tablets of iron sulphate
three times a day
for three months

24
Q

what is the folic acid replacement regime

A

5mg folic acid daily

25
what is the VitB12 replacement regime
1mg IM injection every 8 weeks
26
name three dental effects of anaemia
mucosal atrophy candidiasis recurrent oral ulceration
27
how is iron absorbed
haem iron is absorbed directly through the intestinal wall non-haem iron has to be converted to a different state first before transporting through ell wall
28
what is achlorhydria
lack of stomach acid no conversion of non-haem iron no iron uptake can be caused by proton pump inhibitors
29
how is Vit B12 absorbed
intrinsic factor secreted by gastric parietal cells intrinsic factor is combined with VitB12 to absorb
30
where is Vit B12 absorbed
terminal ileum
31