Haem Flashcards
mnemonic for remembering the causes of microcytic anaemia
T – Thalassaemia
A – Anaemia of chronic disease
I – Iron deficiency anaemia
L – Lead poisoning
S – Sideroblastic anaemia
causes of normocytic anaemia
3 As and 2 Hs for normocytic anaemia:
A – Acute blood loss
A – Anaemia of chronic disease
A – Aplastic anaemia
H – Haemolytic anaemia
H – Hypothyroidism
caused of macrocytic anaemia
Megaloblastic anaemia is caused by:
- B12 deficiency
- Folate deficiency
Normoblastic macrocytic anaemia is caused by:
- Alcohol
- Reticulocytosis (usually from haemolytic anaemia or blood loss)
- Hypothyroidism
- Liver disease
- Drugs, such as azathioprine
Mx of pernicious anaemia
IM hydroxocobalamin is initially given to all patients with B12 deficiency
Inherited haemolytic anaemic conditions
- Hereditary spherocytosis
- Hereditary elliptocytosis
- Thalassaemia
- Sickle cell anaemia
- G6PD deficiency
acquired haemolytic anaemic conditions
- Autoimmune haemolytic anaemia
- Alloimmune haemolytic anaemia (e.g., transfusions reactions and haemolytic disease of newborn)
- Paroxysmal nocturnal haemoglobinuria
- Microangiopathic haemolytic anaemia
- Prosthetic valve-related haemolysis
different thalassemias
alpha: defect in alpha globin chain
beta: defect in beta globin chains
alpha thalassaemia featuer
- chr16
Mx - Monitoring
- Blood transfusions
- Splenectomy may be performed
- Bone marrow transplant can be curative
beta thalassaemia features
- chr11
- minor, intermedia, major
Mx - intermedia and major: blood transfusion, iron chelation
what is a sickle cell crisis
- an occur spontaneously or triggered by dehydration, infection, stress or cold weather
- Mx supportively, keep warm, good hydration, analgesia
what is an aplastic crisis
- caused by parvovirus b19
- supportive mx
general mx of sickle cell
- avoid triggers
- up to date vaccines
- abx prophylaxis with pen V
- hydroxycarbamide
- crizanlizumab
- blood transfusion
- bone marrow transplant
types of leukaemia
- Acute myeloid leukaemia (can transform from myeloproliferative disorder)
- Acute lymphoblastic leukaemia (children)
- Chronic myeloid leukaemia
- Chronic lymphocytic leukaemia (assoc with warm haemolytic anaemia)
what condition is ALL associated with
Downs syndrome
what can CLL transform into
high-grade B-cell lymphoma (Richter’s transofrmation) (smear cells)