Haematology Flashcards
What are plasma protein for?
Clotting
Transport
Immunity
What else is in plasma?
Lipids Nutrients Hormones Electrolytes Water
What is the function of red blood cells?
Transport of o2 and co2 via haemoglobin
What is the function of white blood cells?
Immune system
What is the function of platelets?
Clotting
What blood tests can be carried out?
Full blood count
Blood film
Bone marrow
Coagulation
What is measured in full blood count?
Number and size of each cells
What does macrocyctic mean?
Cells too big
What does microcyctic mean?
Cells too small
What does leukocytosis mean?
Too many white cells
What does leukopenia mean?
Too little white cells
What is a differential count?
Numbers of particular types of white cells
What does thrombocytopenia mean?
Too little platelets
What does thrombocythaemia mean?
Too many platelets
What is a blood film?
Blood examined under miscroscope
Where is bone marrow sample taken from?
Iliac crest or sternum
What does APPT mean?
Activated partial thromboplastin time
What does PT mean?
Prothrombin time
What is anaemia?
Haemoglobin deficiency
What are causes of anaemia?
Lack of raw materials
Production problems
Longevity problems
How long is a normal red cell in circulation?
120 days
What raw materials are required for red cell production?
Iron
Vit b12
Folate
What hormone is required for red cell production?
Erythropoietin
Where are red cells produced?
Bone marrow
What is pernicious anaemia?
Autoimmune disease
Affects absorption of Vit b12
Where is erythropoietin produced?
Kidneys
When is anemia due to loss from circulation?
Bowel
Menstration
Trauma
What is haemolysis
Destruction of cells in circulation
What can cause haemolysis ?
Autoimmunity
Sickle cell
Thalassaemia
What does microcyctic suggest?
Iron deficiency
What does macrocytic suggest?
B12 def, folate def, autoimmune
What is neutropenia?
Auto immune
Bone marrow failure
White cell disorder
What are clinical feature of neutropenia?
Candida
Viral- herpes simplex
Commensalism bacteria
What are haematological malignancies?
Leukaemia
Lymphoma
What is leukaemia?
Proliferation of immature cells in blood and bone marrow
What is lymphoma?
Proliferation of cells within lymphoreticular system- nodes, liver, sleep, bone marrow
What types of lymphoma are there?
Hodgkins
Non hodgkins
What are treatments of haematological malignancies?
Transfusion
Chemo
Radiotherapy
Bone marrow transplant
What may present or dentist re. Haematological malignancies?
Atypical infections
Bleeding
Lymphadenopathy
Gum infiltration
What pathway deals with surface injuries?
Intrinsic pathway
What pathway deals with vascular injury?
Extrinsic pathway
What can cause platelet problems?
Deficiencies of Vit b12 and folate
Bone marrow failure to produce platelets
Immune mediated destruction
What meds can cause platelet aggregation problems?
Aspirin
Clopidogrel
Dipyridamole
What can cause coagulation cascade problems?
Protein deficiency
Liver disease
Malnutrition
What are congenital conditions causing coagulation cascade problems?
Haemophilia
Von willebrands
What drugs can cause coagulation cascade problems?
Warfarin
Heparin
New agents
What clotting factors are absent re. Haem a?
Vlll
What clotting factors are absent re. Haem b?
lx
What factor is poor in von willebrands?
Vlll
What are functions of the blood?
Transport
Immune system
Coagulation