Haematology Flashcards
what is pernicious anaemia?
autoimmune
plasma & lymphoid cell infiltration causes atrophic gastritis
loss of parietal cells: intrinsic factor production failure, vitamin B12 malabsorption, achlorhydria
what is achlorhydria?
absence of HCl in gastric secretions
causes of microcytic anaemia?
iron deficiency
chronic disease
thalassaemia
sideroblastic anaemia
causes of iron deficiency
blood loss
increased demand [growth, pregnancy]
decreased absorption [small bowel disease]
poor intake
management of iron deficiency anaemia
find and treat underlying cause
oral iron
[parenteral iron, rarely necessary]
anaemia of chronic disease occurs in patients with …?
inflammatory: Crohn’s disease, RA
infection: TB
malignancy
CKD