Haematology Flashcards
Anaemia, Leucopenia
Leucoerythroblastic film
Tear drop poikilocytes
Dx?
Myelofibrosis
Burkitt’s lymphoma - translocation?
T8;14
CML - Translocation?
Chronic myeloid leukaemia
T9:22
BCL-ABL
Acute pro-myelocytic leukaemia - translocation?
Acute pro-myelocytic leukaemia
T15:17
Reed-Sternbeg cells
Which cell marker?
Reed-Sternbeg cells
CD15
Prevention of further sickle cell crises
Hydroxycarbamide (increases HbF production)
Oxygen dissociation curve
Target cells
Thalassaemia
Iron defiency
Liver disease / Alcohol
Post-splenectomy
Aplastic anaemia
Features
Cause
Pancytopenia
Bone marrow biopsy: Hypocellular bone marrow
Caused by Parvovirus B19
Types of haemolytic anaemia
HUS + TTP features
HUS + TTP features
- MAHA (low Hb, schistocytes)
- Thrombocytopenia
- AKI (raised Cr)
- +/- Fever
- +/- CNS sign
Iron studies
IDA
AoCD
Thal trait
Pencil cells
Iron deficiency anaemia
Raised HbA2
Diagnostic for Beta thalassaemia
Anaemia + Hepatosplenomegaly
3-6 months old
Diagnosis?
Beta thalassaemia major
Transfusion dependent
MCH < 25
alpha thalssaemia
DNA analysis to confirm
Tear drop poikilocyte
Myelofibrosis
Causes of Vitamin B12 deficiency
Causes of Vitamin B12 deficiency
- Reduced intake - Vegan
- IF - Pernicious anaemia
- Terminal ileum - Crohn’s disease
G6PD features
Aetiology
Triggers
Features
Ix
G6PD
X linked recessive
- Triggered by Fava beans / Moth balls / Nitrofurantoin
- Fever
- Haematuria
Ix: G6PD levels, Heinz bodies, reduced Haptoglobin
Causes of Warm autoimmune haemolytic anaemia
Causes of Cold autoimmune haemolytic anaemia
Warm autoimmune haemolytic anaemia
- Idiopathic
- CLL
- RhA
- SLE
Cold autoimmune haemolytic anaemia
- Mycoplasma
Herediatry spherocytosis inheritence
Autosomal dominant
Low Platelets
High FDP
High D dimer
Prolonged PT / APTT
Low Antithrombin / Protein C
Diagnosis?
DIC