Haematology Flashcards

1
Q

How many litres of blood does the average adult have?

A

5

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2
Q

what percent of a human’s weight is blood?

A

7

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3
Q

What sort of tissue is blood?

A

a fluid connective tissue

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4
Q

What’s blood made up of?

A

45% cells

55% plasma

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5
Q

What’s plasma made up of?

A

92% water

7% plasma proteins

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6
Q

what’s plasma’s function?

A

transport :
organic and inorganic molecules
formed elements
heat

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7
Q

What’s Hemopoisesis?

A

the production of all cells in the blood

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8
Q

what’s erythropoiesis?

A

the formation of red blood cells

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9
Q

what’s an erythrocyte?

A

a red blood cell

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10
Q

How does a hemocytoplast become an erythrocyte?

A

Hemoctyoblast (stem cell)–> proerythroblast (committed cell) –> early erythroblast (ribosomes are sythesised)–> late erythroblast (hemoglobin accumulates)–> normoblast (nucleus is ejected)–> reticulocyte–> erythrocyte

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11
Q

what’s required for erythrocyte formation? (6)

A
  • Erythropoietin (EPO)
  • Iron
  • Vitamins B12
  • B9 (folic acid)
  • intrinsic factor
  • Amino acids
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12
Q

What shape are red blood cells?

A

biconcave discs

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13
Q

Where does erythropoiesis happen in the foetus?

A

early in the yolk sac then in the liver and spleen then bone marrow

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14
Q

where does erythropoiesis happen in an infant?

A

all bone marrow

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15
Q

where does erythropoiesis happen in an adult?

A

only red bone marrow e.g. ribs, vertebrae etc.

if there’s problems with this they can be produced in all bone marrow, liver and spleen

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16
Q

Give 3 properties of RBCs

A
  • biconcave disc shape
  • can bend/fold- highly flexible
  • can stack
  • strong and rigid cytoskeleton
  • no organelles- just haemoglobin
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17
Q

what’s an RBCs life span?

A

limited, average of 120 days

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18
Q

where are RBCs broken down?

A

in the spleen

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19
Q

what breaks down RBCs in the spleen?

A

macrophages

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20
Q

What’s Haemoglobin broken down into?

A

Haem and Globin

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21
Q

what is Haem?

A

iron containing compound

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22
Q

What can the iron from haemoglobin be used for?

A

making more RBCs or broken down into bilrubin which can be excreted

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23
Q

what can the globin element be broken down into?

A

amino acids which can be used for proteins or new RBCs

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24
Q

What’s Hypoxia?

A

low blood-oxygen level

25
what can cause hypoxia? (4)
exercise high altitude smoking bleeding
26
what detects hypoxia?
receptors in the kidneys
27
what happens when receptors in the kidneys detect hypoxia?
the kidneys produce more erythropoietin
28
What happens when the kidneys produce more erythropoietin?
stem cells increase RBC production and oxygen blood level returns to normal
29
What feedback system is the body's reaction to hypoxia an example of?
negative
30
how many Haemoglobin molecules per RBC?
28 million
31
When in the production of RBCs is haemoglobin produced?
before the RBCs become mature
32
what does Haemoglobin transport (4)
oxygen carbon dioxide carbon monoxide hydrogen ions
33
How much haemoglobin per 1dl of blood?
15g
34
is there more haemoglobin in males or females?
males (slightly)
35
how many subunits in a haemoglobin molecule?
4
36
what are the 4 subunits of a haemoglobin molecule?
2 alpha | 2 beta
37
what does each haemoglobin subunit contain?
a haem bond to a long polypeptide chain (globin)
38
What is Anaemia?
low haemoglobin level
39
What's the accepted minimum haemoglobin amount in males?
13.5g/dL
40
What's the accepted minimum haemoglobin amount in females?
12g/dL
41
How common is anaemia?
1 in 3 - common
42
what are the 3 causes of anaemia?
decreased RBC production (often diet caused) increased RBC destruction (disorder caused) blood loss
43
what are the 4 types of anaemia?
- iron deficiency - megaloblastic anaemia - sickle cell anaemia - thalassaemia
44
what's the most common type of anaemia?
iron deficiency
45
What happens in iron deficient anaemia?
low iron, therefore the individual can't produce fully functional RBCs
46
what do RBCs look like in someone with iron deficient anaemia?
have varied shape/size/colour | decreased mean cell volume (MCV)
47
what are the causes of iron deficient anaemia?
pregnancy malabsorbtion bleeding
48
What causes Megaloblastic anaemia?
Vitamin 12 deficiency
49
what does megoblastic anaemia do to RBCs?
produces abnormal RBCs
50
what are the causes of vitamin B12 deficiency causing megaloblastic anaemia?
lack of intrinsic factor (reduced B12 absorption) Crohns/Coeliac disease dietry deficiency (folic/folate deficiency) pregnancy old age
51
what's the treatment for megaloblastic anaemia?
B12 injection (to bypass the GI tract)
52
How does someone get sickle-cell anaemia?
it's inherited
53
what does sickle cell anaemia do to haemoglobin?
causes abnormal haemoglobin structure (sickle shaped)
54
what does the sickle-shaped haemoglobin do to affect RBCs?
they can get easily stuck in vessels
55
is there a cure for sickle cell anaemia?
no
56
how is sickle cell anaemia managed?
antibiotics, painkillers and a good diet
57
who does sickle cell anaemia most commonly affect?
Afro- Caribbeans | people in Areas of Cyprus and Italy
58
How does someone get thalassaemia?
it's hereditary
59
What does thalassaemia do?
causes abnormal haemoglobin function