Haem

Question 1

Hodgkin vs non Hodgkin lymphoma

Answer 1

Hodgkin Have reed sternberg cells - from b lymphocytes

Question 2

Sickle cell crisis: different types and meds

Answer 2

Vaso-occlusive : painful, distal ischaemia and errection

Splenic sequestration: severe anaemia and hypovolaemic shock

Aplastic : caused by parvovirus b19, anaemia

Acute chest syndrome: lung blood supply cut off, pulmonary infiltrates , fever, cough, sob, hypoxia morphine and amox.

Question 3

Causes of sickle cell crisises

Answer 3

Dehydration
Infection
Stress
Cold weather

Question 4

Left or right shift of neutrophils means what?

Answer 4

Timeline of neutrophil development:
Left shift means that more younger cells
Right shift means more older cells

Question 5

Joint and muscle bleeding think what?

Answer 5

Clotting factor problems

Question 6

Mucocutaneius bleeding think what?

Answer 6

Low platelets

Question 7

Key thing to ask about if low platelets

Answer 7

Any Bleeding ??

Question 8

What cells produce platelets

Answer 8

Megakaryocytes

Question 9

ITP can be a presentation of what disease?

Answer 9

HIV or other hepatitis

Question 10

Sudden drop in plateletcount and on heparin, what would it be?

Answer 10

Heparin induced thrombocytopenia