Haematology 3 Flashcards

1
Q

Describe the different ways through which macrocytic anaemia can be caused, given the details of the relationship between causes and then two main possible mechanisms where relevant.(5)

A

pg 2

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2
Q

Explain what haemolytic anaemia is, describe what can cause it, categorising it, also(3)

A

pg 3

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3
Q

Recall the different sites of defects and the nature of damage- where relevant - for both inherited and acquired haemolytic anaemia. For each site of defect give examples.(3)

A

pg 5

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4
Q

· A microcytic anaemia is likely to be due to:

Vitamin B12 deficiency

Folic acid deficiency

iron deficiency

Haemolysis

acute blood bloss

A
  1. Iron Deficiency
    • With B12 and folate deficiency you would expect it to be macrocytic
    • Haemolysis and blood loss are normocytic
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5
Q

List, and give the details (where relevant), of the causes of polycythaemia(2)

A

pg 8

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6
Q

Describe the mechanisms and causes of normocytic, normochromic anaemia.(3)

A

pg 3

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7
Q

List the mechanisms of anaemia.(1)

A

pg1

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8
Q

Describe how G6PD deficiency leads to haemolysis and give the detail of other features of the blood that it is associated with(3)

A

pg 7

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9
Q

Polycythemia in a patient seeing his general practitioner in London because of he has noticed his urine is red is most likely to be due to :

Chronic renal failure

Living at high altitude

Hypoxia from chronic obstrctive pulmonary disease

Haemolysis

Renal carcinoma

A
  1. Renal Carcinoma
    • Haemolysis will give you dark urine because there is lots of bilirubin
    • Chronic renal failure and haemolysis do NOT cause polycythaemia (haemolysis causes anaemia)
    • The other three options can cause polycythaemia but the only one where you could get blood in the urine is renal carcinoma
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10
Q

Describe what polycythaemia is and give the features of the blood cell parameters that it is associated with. Differentiate between true polycythemia and pseudopolycythemia/ apparentbpolycythaemia.(1)

A

pg 8

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11
Q

Define what anaemia. Using this definition, describe the two main components of blood that could be affected to cause anaemia. Explain why one of the components is affected a lot more than the other in anaemia.(2)

A

pg1

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12
Q

Describe the circumstances where you would suspect haemolytic anaemia(5)

A

pg 4

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13
Q

Describe, and explain where relevant , the different causes of haemolytic anaemia(4)

A

pg 4

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14
Q

Explain how you could differentiate between mechanisms and causes of anaemia(1)

A

pg1

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15
Q

Describe what happens in autoimmune haemolytic anaemia, Describe how it can be diagnosed and how it can be treated.(3)

A

pg 7

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16
Q

Describe the consequences of polycythaemia and how it is treated under different circumstances(2)

17
Q

Give the details of the causes of microcytic anaemia for its possible mechanisms(1)

18
Q

Describe what heriditary spherocytosis is. Explain how it leads to the features of the blood and other consequences it is associated with.(4)

19
Q

Describe how anaemia can be classified on the basis of cell size(1)

20
Q

what is the life span of a sickle

A

Sickle cell anaemia - the life span of a sickle cell is about 10 days