Intro to Haem Flashcards

1
Q

What are the broad steps of Haemotopoiesis?

A

Pluripotent Haematopoietic stem cells

1) –> Uncommitted Stem Cells –> Myeloid Cells
2) –> Lymphocyte Stem Cells –> Lymphocytes

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2
Q

What are the myeloid cells?

A
  • Erythrocytes
  • Platelets
  • Neutrophils
  • Monocytes
  • Basophils
  • Eosinophils

Basically everything bar lymphocytes & NK cells

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3
Q

What are the lymphoid cells?

A

Lymphocytes (T & B Cells)

Nk cells

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4
Q

What hormone drives RBC production? where is it made?

A

Erythropoietin from kidneys

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5
Q

What hormone drives platelet production &where’s it made?

A

Thrombopoietin

In the liver

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6
Q

Lifespan of a platelet?

A

7 days

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7
Q

What drives neutrophil production?

A

Stimulated:

  • Interleukins
  • Colony Stimulating Factors (CSF)

Regulated by immune responses e.g. macrophages & IL-7

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8
Q

Lifespan of a neutrophil?

A

1-2days

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9
Q

What can we use to improve neutrophil number?

A

G-CSF

Good for neutropenia

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10
Q

What do eosinophils do?

A

Target parasites

They’re the main cells involved in allergy

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11
Q

How does the body identify different lymphocytes?

A

By surface antigen (aka CD markers)

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12
Q

What do the different lymphocytes do and where are they matured?

A

B cells make antibodies. Mature in marrow

T cells split into helper, cytotoxic & regulatory
Mature in Thymus

NK cells naturally kill

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13
Q

From what process in the development of T cells do lymphoma’s arise?

A

DNA recombination during production. This process ensures all lymphocytes are a little different
But it can go wrong leading to lymphoma

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14
Q

What is T cell +ve selection?

A

If gene rearrangement results in a functional receptor the cell is allowed to survive

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15
Q

What is T cell -ve selection?

A

Gene rearrangement leads to a self-recognising T cell which is then killed

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16
Q

How do our bodies identify self cells?

A

By HLA surface antigens

17
Q

What are the types of HLA?

A

Class 1 - Displays own antigens on all nucleated cells

Class 2 - displays the antigens eaten by antigen-presenting cells

18
Q

What’s the normal range for Haemoglobin, platelets &WBC & RBC ?

A

WBC 4-10 x10^9/L
Platelets 150-400 x10^9/L
RBC 4-5 x10^12/L
Haemoglobin 140-180 in men or 120-160g/L in women

19
Q

What are the consequences of hypersplenism?

A

Pancytopenia- deficiency in all three components of blood

20
Q

What are the consequences of hyposplenism?

A

Capsulated Bacteria Infection

Red Cell Changes

21
Q

Which cells are classed as WBCs?

A
Neutrophils
Basophils
Eosinophils
Lymphocytes
Monocytes
22
Q

What is the function of neutrophils and monocytes?

A

Ingest and destroy pathogens ( especially bacteria and fungi)

23
Q

what are the most important diagnostic factors for haematology?

A
  • FBC
  • Clotting times
  • Chemical assays: IRON, B12, FOLATE
  • Marrow aspirate and trephine biopsy
  • Lymph node biopsy
  • Imaging