Haematology Flashcards
Causes of a microcytic anaemia
Iron deficiency, thalassaemia, sideroblastic anaemia, chronic disease
Causes of a macrocytic anaemia
B12 deficiency, folate deficiency, alcohol, reticulocytosis, hypothyroidism, multiple myeloma, myelodysplasia, aplastic anaemia
Causes of a normocytic anaemia
Chronic disease, haemolytic anaemia, acute blood loss, marrow infiltration
Where are the following absorbed:
1) iron
2) b12
3) folate
iron - duodenum and jejunum
b12 - terminal ileum
folate - small bowel
How is iron absorbed and stored?
Absorbed in the ferrous state (Fe2+) from the upper small bowel, transported across intestinal cells and into plasma, carried to marrow by transferrin.
Stored as ferritin and haemosiderin.
How do the components of an iron profile look in iron deficiency?
Serum iron - low Total iron binding capacity - increased Serum ferritin - reduced Transferin saturation - reduced Serum soluble transferrin receptors - increased
4 tests of coagulation
Prothrombin time (PT)
Activated partial thromboplastin time (APTT)
International normalised ratio (INR)
Bleeding time
PT/APTT/Fibrinogen findings in a pt on warfarin
up/normal/normal
PT/APTT/Fibrinogen findings in a pt on heparin
normal/up/normal
PT/APTT/Fibrinogen findings in a pt with haemophilia
normal/up/normal
PT/APTT/Fibrinogen findings in a pt with liver disease
up/up/normal
PT/APTT/Fibrinogen findings in a pt with DIC
up/up/down
Causes of eosinophilia
Churg Strauss, parasitic infections
5 causes of hypokalaemia
Drugs (diuretics) Intestinal losses (vomiting, high stoma output) Renal tubular disease Endocrine causes Metabolic alkalosis
6 causes of hyperkalaemia
Renal failure
Drugs (K sparing diuretics,