Haematology Flashcards
What is Waterhouse-Friedrichsen syndrome?
Form of DIC
Massive adrenal haemorrhages in meningococcaemia
Sheehan syndrome?
Post-partum pituitary necrosis
What causes HUS in children?
Verocytotoxin-producing E.Coli: endothelial effects
3 major types of haematological malignancies?
Lymphoid: lymphoma, leukaemia, plasma cell neoplasm
Myeloid: ALL, myeloproliferative disorders (PRV, ET, CML), myelofibrosis
Histiocytoses: LCH, Erdeim-Chester
What is Bart’s hydrops?
Severe form of alpha-thalassaemia
Deletion of all 4 alpha-globin genes
Excess gamma-globin forming HbBarts tetramers with very high oxygen affinity
Severe tissue anoxia and lethal in utero
Most common NHL in kids and adults?
Kids: ALL and Burkitt
Adults: DLBCL, follicular lymphoma
SLL vs CLL
Both have small B-lymphocytes
Differ by degree of peripheral lymphocytosis
23-40% transform into more aggressive DLBCL
What is extranodal MZL also called?
MALT lymphoma (lymphoepithelial lesion)
Associated with inflammatory and autoimmune conditions:
Stomach (H.Pylori)
Thyroid (Hashimoto)
Salivary gland (Sjögren)
Peak age for HL?
Bimodal: 25 and 75
Best and worst Px HD subtypes?
Best: lymphocyte predominant (80% 10 YS)
Worst: lymphocyte depleted (5% 10 YS)
Which leukaemia has granular cytoplasm and Auer rods?
AML
Most common pathology behind myeloproliferative disorders?
Mutated, hyperactive tyrosine kinase (JAK-2 mutation)
MGUS vs Waldenstrom’s macroglobulinaemia
MGUS: benign tumour of B-cells with paraproteinaemia
WM: lymphomplasmacytoid malignancy- IgM paraproteinaemia and hyperviscosity
What is POEMS syndrome?
Atypical form of myeloma
Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy and skin changes
Langerhans cells on EM?
Birbeck granules