Hem/Imm Flashcards
ORSAKER STÖRNING:
1) SEKUNDÄR HEMOSTAS
2) BLANDAD PRIM OCH SEK
Sekundär hemostas
Hemofili A, B, C (XI) ”och andra”, vit K antagonism eller brist (kolestas tex), leverfunktionsnedsättning
Båda
DIC, hepatit, (vWD)
LEUKOCYTE DISORDERS
PCCCB x HDSWL
Pelger Hüet, Chediak-H, CLAD, Cyclic neutropenia (gray collies), Birma (neutr granula), X-linked (severe combined immunodeficiency),Hyper-eos, Dob (defektaPMNs), SharPei&Weimaraner (Immunodeficiency), L(ysosomal)SDs
Metabolic Acidosis
ANION GAP: DULES
DKA, Uremic, Lactic, Etylenglykol, Salicylate
NON-ANION GAP: GRRIS
G-I loss av HCO3 (vanligast), Renal loss av HCO3, Renal H+ retention (RTA typ I o Addison), Iatrogen (Saline)
Exercise intolerance
Harc Melkesiii: Ods Noll, C, Noll Hypoxi: anemi, resp, cardiac Metabolic: e-lyter, liver, kidney, endocrine, syrabas, inf,infl,immune.. Orthopedic: Developmental, Skeletal pain Neuro: CNS dz, Neuromusk
HYPOXEMI - mekanismer
FaRVVaD låg FIO2 R-to L shunt V-Q mismatch hypoVentilation Diffusion barrier
MACROCYTOS
FARS (POOs &)PAM
FeLV, Aplastisk anemi, Regeneration, Stomatocytos(A malamutes, Dvschn)/Macrocytemi (Poodles), Physiologic (Greyhound), Artefakt, Myelodysplasi
GAMMOPATIER
- mono
- poly
POLY: Inf, Immunmed, Neoplasi
MONO: F I LLL E Max
FIP, Idiop, Lymfom, Leukemi, Leishmaniasis, Ehrlichiosis, MM
CK förhöjning
Gastrointestinal (intag, malabs, kolestas)
Renal (ATN, postobstr, Ca upp&ner)
Endocrine (DKA, hyperT, PHPTH)
Misc (insulin/glcgiva, sepsis, massiv blodtransf)
MIKROCYTOS
JAPPSSSS!
Järnbrist, Akita, Polycytemi, PSS, Shiba, Shar-Pei
HYPOMAGNESEMI
Nutritionell (hypokalemi, taurin)
Inflammation
Trauma/Iatrogen
Post-infarkt (HCM tex)
Low UREA
MUN: LODL! Malnutrition Urea cycle enz def Neonataler LOw protein diet Diures Leversvikt(inkl PSS!!!)
TROMBOPATI
Du, LPE? A! FeLEN UNS
DIC, Lever o njursjd, Paraproteinemi, Essential trombocytosis, Anemi, FeLV, E canis, Neoplasi, Uremi, NSAIDs(drugs), Snake bite
HEMOLYSIS
DiDiVaPiLepto H (emof histio) M (ethimazol)
CAIPOD:
Congenital (PK,PFK,Stomatocytos, Pudel/Beagle)
Aquired (IMHA, Neonat, mikroangiopati, hemaf histo)
Infection (Bab, mycopl, Cytaux, Ehrl, Diro)
hypoP
Oxidanter (paracetamol, lök, vit K)
Drugs (methimazol)
LYMFOPENI
(A)vschilld Virus (FIP) Stress Chylothorax/kemoterapi Immunodeficiencies (ex FIV FeLV) Lymfangiektasi (o LSA enl examgrp?) Drugs (glukocort, kemoterapi)
TROMBOCYTOPENI
Produktion: (infl, neopl, idiop) Destr: (IMT) Sequestr: (hypersplenism) Konsumption: (DIC, vasculitis) Breed idiosyncracy: (CKCS, Greyhound) Infections:(sepsis/DIC/endotox, virus, vector, Histopl, LEPTO)