Introduction to Disorders of the Blood Flashcards

1
Q

name three functions of blood

A

transport nutrients
removal of waste
transport host defences to where they are required

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2
Q

what are the 4 components of blood

A

plasma
white blood cells
platelets
red blood cells

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3
Q

what is the buffy region

A

the intermediate region when separating blood where the white cells and platelets accumulate

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4
Q

what does plasma contain

A

plasma proteins that aid in transporting nutrients and medicines round the body

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5
Q

name two plasma proteins

A

albumin and globulin

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6
Q

what does FBC include

A

RBC
WCC
PLT
HCT
MCV

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7
Q

what is HCT

A

heamatocrit - the ratio of cells to liquid in the blood

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8
Q

what is anaemia

A

low haemoglobin can be produced with or without a change in RBC count

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9
Q

what is leukopenia

A

low WCC

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10
Q

what is thrombocytopenia

A

low platelets

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11
Q

what is pancytopenia

A

all cell types reduced

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12
Q

what is polycythaemia

A

Raised haemoglobin

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13
Q

what is leukocytosis

A

raised WCC

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14
Q

what is thrombocythaemia

A

raised platelets

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15
Q

what are the two main groups of blood cancers

A

leukaemia or lymphoma

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16
Q

what two categories are pluripotent stem cells split into

A

myeloid and lymphoid

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17
Q

what is porphyria

A

abnormality of haem metabolism

18
Q

what are the two groups of porphyria

A

hepatic porphyria
erythropoietic porphyria

19
Q

what type of porphyria is most relevant to dentistry

A

acute intermittent porphyria - can be triggered by medicines including LA

20
Q

what are clinical effects of porphyria

A

photo-sensitive rash
neuropsychiatric disturbance in acute attacks
hypertension
tachycardia

21
Q

what does macrocytosis mean for the MCV

22
Q

what does microcytosis mean for the MCV

23
Q

three causes of anaemia

A

low RBC count
Hb formation deficiency
chronic blood loss
formation of abnormal red cells

24
Q

what is a disease caused by microcytosis of red blood cells

A

Fe deficiency
thalassemia

25
what is a disease caused by macrocytosis of red blood cells
B12/ Folic acid deficiency
26
what is normocytic anaemia
red blood cells are normal size but reduced amount of haemoglobin in the blood
27
what is a hypochromic cell
cells appear pale du to there being less Hb in the red cells
28
what is ansiocytic
exaggerated range of RBC sizes
29
what does macrocytosis indicate
RBC immaturity
30
what are almost mature RBCs called
reticulocytes
31
what are reticulocytes
they have residual material within the cell and have not matured fully -therefore are bigger than normal RBC - therefore bigger MCV
32
what are signs of anaemia
pale tachycardia
33
what are symptoms of anaemia
tired and weak dizzy SOB palpitations
34
what are two clinical presentations relevant to dentistry that can be seen with anaemia
pale mucosa smooth tongue beefy tongue
35
two oral manifestations of iron deficiency
smooth tongue angular cheilitis
36
oral manifestation of Vit B12 deficiency
beefy tongue
37
what are red blood cells triggered by
erythropoietin from the kidney
38
what is the prescription for iron replacement tablets
Iron sulfate 200mg three times daily for 3 months
39
what is the prescription for vitamin B12 deficiency
1mg intramuscular vit B12 x 6 then 1mg every two months
40
what is the prescription for folic acid deficiency
5mg folic acid daily
41
give four presentations of anaemia that can present to the dentist
mucosal atrophy candidiasis recurrent oral ulceration sensory changes