Haem Flashcards
Normocytic anaemia 6 weeks after flucloxacillin therapy
Autoimmune haemolytic anaemia
Osteopenia/lytic lesions + hypercalcaemia + rouleaux
Multiple myeloma
Target cells
Thalassaemia
Stomatocytes
Thalassaemia
Hypersegmented neutrophils
Megaloblastic anaemia
Heinz bodies and bite cells
G6PDH deficiency or pyruvate kinase deficiency
Jaundice after eating fava beans/ciprofloxacin/sulphonamide
G6PDH deficiency
Spherocytes
Hereditary or autoimmune haemolytic anaemia
Schistocytes
Microangiopathy (e.g. DIC) or intravascular prostheses
Haemolytic anaemia and aplastic anaemia after parvovirus infection
Sickle cell anaemia
Acanthocytes
Severe liver disease (hyperlipidaemia)
Cold-reacting antibodies (4)
- HIV
- Mycoplasma
- EBV
- Lymphoma
Reticulocytes
Haemolysis
Anaemia and peripheral neuropathy
B12 deficiency
Young boy with swollen knee
Haemophilia
Tissue death and bleeding in a septic patient
DIC
Jaundice and kidney failure after diarrhoea in child
HUS
FTL3 mutation
AML
Marrow >20% blasts
AML, ALL
TEL-AML1 mutation
ALL
Philadelphia chromosome/BCR-ABl/9 to 22
CML
Reed-Sternberg cells
Hodgkin lymphoma
Facial lymphoma caused by EBV
Burkitt’s lymphoma
Starry sky appearance
Burkitt’s lymphoma
Mesenteric lymphadenopathy
Non-Hodgkin lymphoma
CD 19, 20, 21, 23, 32, 25, 40
B cell neoplasm
CD 2, 3, 5, 7
T cell neoplasm
5q mutation
Myelodysplaia
Replacement of stem cells with fat in bone marrow
Aplastic anaemia
Pancytopenia in Ashkenazi Jew
Fanconi anaemia
JAK2 mutation
Myeloproflierative disorder (PV, ET, PMF)
Teardrop cells, blasts, gout and pancytopenia
Myelofibrosis
Pruritis, red skin and headache
PRV
Treat with Glivec (imatinib)
CML
SLE, livedo reticularis and recurrent miscarriage
Antiphospholipid syndrome
Lupus anticoagulant, anti-cariolipin, anti-B2-glycoprotein-I, anti-ApOH
Antiphospholipid sydrome
Pancytopenia, thrombosis, haemolytic anaemia and positive Ham test What’s the treatment?
Paroxysmal nocturnal haematuria Ecluzimab
Hair-on-end skull, frontal and parietal bossing
Beta thalassaemia
Most common complication in multiple myeloma
Fractures
Iron-related complications of myelodysplastic diseases
Iron overload and refractory anaemia
Thrombosis 4 days after heparin
Heparin-induced thrombocytopenia
Afro-Caribbean
Sickle cell
Abdo pain + headaches after a respiratory infection
Sickle cell crisis
DRUG SE: folate deficiency (6)
- Sulfasalazine
- Trimethoprim
- Anticonvulsants
- Methotrexate
- Metformin
- OCP
Burr cells
Uraemia
Howell-Jolly bodies
Hyposplenism
Lymphoplasmacytoid cells
Waldenstrom’s macroglobulinaemia
Osmotic fragility test
Hereditary spherocytosis
Cancer associated with pernicious anaemia
Gastric
Renal failure + light chains
Multiple myeloma
RA + splenomegaly + pancytopenia
Felty’s syndrome
Hepatosplenomegaly + pigmentation + anaemia + pathological fractures
Gaucher’s syndrome
Non-existent coagulation factor
VI
Monoclonal spikes
Multiple myeloma, MGUS
Bence-Jones proteins
Multiple myeloma
Pepperport skull (lytic lesions)
MM, hyperparathyroidism
Schilling test
B12