Hemotological And Immunological Diseases Flashcards

1
Q

Blood is composed of

A

Liquid components: 55%
Cellular components: 45%

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2
Q

Origin of Erythrocytes

A

Bone marrow

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3
Q

Function of Erythrocytes

A

Carry oxygen to tissues, remove CO2 waste products from tissues
Removed from circulation via the spleen

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4
Q

Normal hematocrit for dogs

A

hematocritfor adogfalls between 35% and 55%.

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5
Q

an absolute decrease in the red cell mass as measured by RBC count, hemoglobin concentration, and PCV.

A

Anemia

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6
Q

There are two major Rule-Outs for Anemia

A

Loss VS lysis

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7
Q

In addition to loss VS Lysis what is the 3rd option

A

Decreased production

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8
Q

The bone marrow responds appropriately to the decreased red cell mass by increasing RBC production and releasing reticulocytes.

A

Regenerative anemia

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9
Q

Hemorrhage or Hemolysis

A

Regenerative Anemia

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10
Q

The bone marrow responds inadequately to the increased need for RBC

A

Noneegenerative anemia

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11
Q

How’d you determine the type of anemia

A

Reticulocyte count

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12
Q

What is a reticulocyte

A

A reticulocyte is an immature stage of a red blood cell that contains fragments of a nucleus.

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13
Q

Diagnosis of Anemia

A

CBC, Blood smear,History

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14
Q

Clinical Signs of Anemia

A

Pale mucous membranes
+/- Jaundice
Weakness
Tachycardia (unless chronic)
Depression
Dehydration
Hypovolemia

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15
Q

DDX of Anemia

A

Hemorrhage
Hemolysis
Blood parasites
Iron deficiency
Immune-mediated
Toxins
Bone marrow suppression

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16
Q

Associated with Hemorrhage

A

Trauma, thromocytopenia

17
Q

How do you treat a hemorrage

A

ID the cause and treat accordingly
Treat shock and volume replacement
Whole blood or plasma transfusions

18
Q

What disease Occurs after chronic blood loss

A

Iron Deficiency Anemia

19
Q

What causes Iron Deficiency Anemia

A

Flea infestations and parasite infestations

20
Q

How do you treat Iron Deficiency Anemia

A

Treat the underlying cause of blood loss
Supplementation with oral iron for 30-60 days, or iron dextran injections

21
Q

What is hemolysis

A

Destruction of RBCs

22
Q

Etiology of Hemolysis in dogs

A

Idiopathic IMHA
Infectious
Neoplastic

23
Q

Etiology of Hemolysis in cats

A

Idiopathic IMHA
Infectious: FeLV, Hemobartonellosis
Neoplastic

24
Q

Etiology of Hemolysis in horses

A

Neonatal Isoerythrolysis

25
Blood-borne parasites may cause hemolytic anemia
Mycoplasm hemofelis,Cytauxzoon felis, Babesia spp.
26
Toxin-induced Anemia is also known as
(Heinz Body Anemia)
27
What are Heinz bodies?
Denaturation of hemoglobin that occurs secondary to oxidative damage
28
Etiology of Immune-mediated hemolytic anemia
Idiopathic Breed predisposition: Poodles, Old English Sheep Dogs, Irish Setters, Cocker Spaniels
29
Diagnosis of Immune-mediated hemolytic anemia
Blood smear-spherocytes Agglutination test (in-house) Coombs test (outsourced to diagnostic lab)
30
Treatment of Immune-mediated hemolytic anemia
Immunosuppressants Glucocorticoids: Dexamethasone, Prednisone Anti-ulcer therapy: , Ranitidine, Famotidine, Sucralfate
31
Mortality rate of IMHA
30-40% relapse common
32
Etiology of Immune Mediated Thrombocytopenia
Idiopathic Drugs: sulfa-drugs
33
Clinical signs of IMT
–Signalment: females > males; middle age
34
Tx for IMT
Chemo,immune suppressants, blood transfusion, anti ulcer drugs
35
a blood disease caused by a deficiency of von Willebrand Factor (vWF), a protein in the blood required for normal platelet binding (i.e., clotting) at the sites of small blood vessel injuries This is the most common hereditary blood clotting disorder in dogs, occurring with more frequency in some breeds, including German shepherds, Doberman pinschers, standard poodles, Shetland sheepdogs, and golden retrievers.
Von Willebrand’s disease (vWD)
36
Clinical signs of Von Willebrand’s disease (vWD)
Prolonged bleeding after surgery or estrus, nose bleeds, petechiae
37
Tx of Von Willebrand’s disease (vWD)
Plasma transfusion, it is hereditary
38
Diagnosis Von Willebrand’s disease (vWD)
BMBT > 4 min plasma vWF concentration
39
70 % of cases associated of feline lymphoma are asked by
FeLV