Haematology Flashcards
Philadelphia +ve
CML
Tear drop poikilocyte
Nucleated RBC
Myelocyte
Leucoerythroblastic Anaemia
immature WBC and RBC in anaemia
Stain for reticulocytes
Methylene Blue
Hereditary Spherocytosis caused by defect in…
Spectrin
Increased LDH and haptoglobins
Haemolysis
Which cancer causes MAHA?
Adenocarcinoma (prostate)
Haemolytic Uraemic Syndrome caused by which bug?
E. coli
Auer Rods
AML
Which virus causes Adult T Cell Lymphoma
Human T-Lymphotrophic Virus 1 (HTLV1)
Adult T Cell Lymphoma in which ethnicities?
Caribbean and Japan carriers
Alcohol-induced pain
Hodgkin Lymphoma
L&H Cells (“popcorn cells”)
Nodular Lymphocyte Predominant Hodgkin = “non-classical Hodgkin)
L = lymphocytic and histiocytic cells
t(14;18) –> overexpression of bcl2 by cancerous B cells
Follicular Non-Hodgkin
H. pylori causes which NHL?
Gastric MALToma
Coeliac Disease associated with which NHL?
Enteropathy Associated T Cell Lymphoma (EATL)
Reed-Sternberg Cells
Hodgkin Lymphoma
t(11;14) –> over-express cyclin D1
Mantle Cell Lymphoma
Starry-sky appearance on lymph node biopsy
Burkitt’s Lymphoma
Burkitt’s Lymphoma caused by which virus?
EBV
Large “epitheloid” lymphocytes on lymph node biopsy
Anaplastic Large Cell Lymphoma
t(2;5) –> Alk-1 protein expression
Anaplastic Large Cell Lymphoma
Smear/Smudge Cells (fragile cells which open up = purple splodges)
Autoimmune Haemolytic Anaemia (including CLL!)
Pelger-Huet: bilobed neutrophils
Myelodysplasia
Infection causing bone marrow failure
Parvovirus
Ringed Sideroblasts: iron accumulation in ring around nucleus
Myelodysplasia (and AML)
Anaemia with abnormal thumbs and Cafe au lait spots
Fanconi Anaemia
DKC1 and TERC mutations
Dyskeratosis Congenita = reduced tolemere length
Itchy after warm water on skin
Polycythaemia Vera
Massive splenomegaly, causing Budd-Chiari Syndrome (hepatic veins draining liver are blocked)
Myelofibrosis
Skin pigmentation, nail dystrophy and leukoplakia
Dyskeratosis Congenita
JAK2 V617F mutation
Polycythaemia Vera
Myelocytes
CML
Leukaemia which is emergency as die from rapid haemorrhage/DIC
Acute Promyelocytic Leukaemia
t(9;22) in Philadelphia chromosome
Chronic Myeloid Leukaemia
Philadelphia-positive cases treated with…
Imatinib
Tear drop cell and macrocytes
Pernicious Anaemia (vit B12 and folate deficiency)
Antibodies in Pernicious Anaemia
Parietal Cell and Intrinsic Factor antibodies
Leading cause of mortality in pregnancy
VTE
Antiphospholipid Syndrome antibodies
Lupus Anticoagulant (LA) and Anti-Cardiolipin (ACL) antibodies
Test to differentiate IDA from Thalassaemia Trait
Hb Electrophoresis
- IDA: normal
- Thalassaemia: increased HbA2 in beta-thalssaemia, normal in alpha
Megakaryocytes in neonate
Neonatal Leukaemia (develops in utero and remits spontaneously)
Howell-Jolly Body
Sickle Cell Anaemia
infarction of spleen –> hyposplenism
What animal causes hyposplenism in sickle cell?
Dog bites = capnocytophaga canimorsus
Hyperplasia of facial bones
Beta-Thalassaemia
increased EPO –> bone expansion
Irregularly contracted cells
G6PD deficiency
Schistocytes
MAHA (fragmented red cells)
Coagulation disorder with NORMAL bleeding time
Haemophilia A
Universal donor
Group O, RhD –ve
Universal recipient
Group AB, RhD+ve
Maculopapular rash/desquamation after blood transfusion
Transfusion-Associated Graft Vs Host Disease
Patients affected by Post-Transfusion Purpura
HPA-1a negative patients
Polychromatic macrocytes
G6PD deficiency
100 days after bone marrow transplant, develop widespread illness that looks autoimmune.
Chronic Graft vs Host Disease
Drug which reverses heparin
Protamine
“Toxic granulation and vacuolation”
Sepsis
Koilonychia and Angular Cheilitis
Iron Deficiency Anaemia
Glossitis (“beefy tongue”)
B12 Deficiency
Target and pencil cells
Iron Deficiency Anaemia
Thrombotic Thrombocytopaenia Purpura (TTP) caused by what deficiency?
von Willebrand Factor Cleaving Protease (ADAMTS13)
Common infections in splenectomy patients
Encapsulated (pneumococcus, meningococcus)
Low platelets in post-surgical/septic patient
DIC
Osmotic Fragility Test
Hereditary Spherocytosis
Glucose-6-Phosphate Dehydrogenase Deficiency have deficiency in what?
Glutathione
G6PD helps make NADPH, which makes glutathione, which protects RBCs against oxidative stress…
Echinocytes
Pyruvate Kinase Deficiency
red cells have projections
Di-Binding Test
Hereditary Spherocytosis
Middle Eastern baby with sudden pallor and jaundice
G6PD deficient who ate fava beans
Heinz-Bodies
G6PD Deficiency
Stain for Heinz-Bodies
Methyl violet stain
Pectus excavatum, lax joints and a high-arched palate.
Ehlers-Danlos syndrome
The commonest adult leukaemia
Chronic lymphocytic leukaemia