Full Blood Count Flashcards

1
Q

What would an FBC show you?

A
  • Hb
  • MCV
  • Reticulocyte count
  • RCC
  • Haematocrit/PCV
  • MCH
  • MCHC
  • WCC + platelet count
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2
Q

What are examples of microcytic anaemia?

A
  • Siberoblastic
  • Iron deficiency
  • Thalassaemia
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3
Q

What are examples of normocytic anaemia?

A
  • Acute blood loss
  • Haemolytic anaemia
  • Sickle cell
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4
Q

What are examples of megaloblastic macrocytic anaemia?

A
  • Decreased B12

- Decreased folate

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5
Q

What are examples of non-megaloblastic macrocytic anaemia?

A
  • Alcohol
  • Reticulocytosis
  • Liver disease
  • Pregnancy
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6
Q

What do WBC’s tell you?

A
  • High neutrophils - bacterial infection, inflammation, corticosteroids, malignancy
  • High lymphocytes - viral infection, chronic infections, lymphoma
  • High monocytes - bacterial infection, autoimmune diseases
  • High eosinophils - allergy, parasite infections
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7
Q

What are blood tests for specific causes?

A
  • Haematinics: B12, folate and ferritin
  • Iron
  • TFTs
  • Bilirubin (unconjugated bilirubin is raised in haemolysis)
  • Blood film +/- bone marrow biopsy (if bone marrow cause/sideroblastic anaemia suspected)
  • Hb electrophoresis
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8
Q

What are the inherited causes for haemolytic anaemia?

A
  • Haemoglobinopathies: sickle cell, thalassaemia
  • Membrane defects: hereditary spherocytosis, elliptocytosis
  • Enzyme defects: G6PD deficiency, pyruvate kinase deficiency
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