Haematology Flashcards

1
Q

WhWhat causes acute chest syndrome in sickle cell?

A

vaso-occlusion in pulmonary microvasculature

infarction of lung parenchyma

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2
Q

How does acute chest syndrome in sickle cell present?

A

chest pain
dyspnoea
cough
hypoxia
lung infiltrates

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3
Q

What are the different crisis that can occur in sickle cell patients?

A

acute chest syndrome
aplastic
sequestration
thrombotic

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4
Q

What translocation is seen in CML?

A

Philadelphia chromosome
t(9;22)

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5
Q

How does nasopharyngeal carcinoma typically present?

A

otalgia
epistaxis
cervical lymphadenopathy
associated with EBV and members of the east asian community

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6
Q

How do thyroglossal cysts present?

A

under 20 years old
movement with protrusion of tongue
usually midline

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7
Q

What is the difference between Hodgkins and non-hodgkins lymphoma in terms of blood cells?

A

Reed-sternberg cells are present in Hodgkins

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8
Q

What is treatment for neutropenic sepsis?

A

IV piperacillin with tazobactam

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9
Q

What must all patients with Hodgkins lymphoma be given if they require a blood transfusion?

A

irradiated

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10
Q

If a patient with previous malignancy has a VTE episode?

A

6 months DOAC

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11
Q

What is 1st line treatment for patients with acute warm haemolytic anaemia?

A

steroids and rituximab

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12
Q

What is seen in blood film in G6PD?

A

heinz bodies

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13
Q

What is richters transformation?

A

CLL to Non hodgkin’s lymphoma

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14
Q

What are the blood test results for DIC?

A

lower platelets
lower fibrinogen
increased PT and APTT

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15
Q

What to give if a patient is having a non-haemolytic febrile transfusion reaction?

A

IV/IO paracetamol

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16
Q

What are electrolyte imbalances seen in tumour lysis syndrome?

A

hypoCa
HyperK
HyperUriceamia
HyperPhosphatemia

17
Q

What do irradiated blood products not contain?

A

T lymphocytes
reducing risk of transfusion associated graft vs host