Introduction to haematology Flashcards

1
Q

Blood components and products?

A

Plasma- Clotting or coagulation factors, albumin, antibodies

Buffy coat- platelets, white cells or leukocytes

Red blood cells

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2
Q

functions of blood?

A

Transport

  • Gases (O2 and CO3) in red cells
  • Nutrients
  • Waste
  • Messages in plasma

Maintenance of Vascular Integrity

  • Prevention of leaks (platlets and clotting factor)
  • Prevention of blockage (anticoagulants and fibrinolytics)

Protection from pathogens

  • Phagocytosis and killing (granulocytes/ monocytes)
  • Antigen recognition and antibody formation (lymphocytes)
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3
Q

where is bone marrow found?

A

children- in bones

Elderly- Axial

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4
Q

what does bone marrow look like?

A

stroma and sinusoids

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5
Q

Erythoid differentiation

A

erythroblast- reticulocyte- erythrocyte

Erythropoietin (made in kidney in response to hypoxia)
Reticulocyte count (measure of red cell production)
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6
Q

Function of platlets

A

haemostasis and immune

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7
Q

Describe platelet production

A

Production regulated by thrombopoietin

  • produced in liver
  • regulation by platelet mass feedback

Lifespan= 7days

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8
Q

function of neutrophils?

A

To ingest and destroy pathogens (especially bacteria and fungi)

Lifespan 1-2 days

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9
Q

Neutrophil differentiation?

A
1- Blast (Acute myeloid leukemia)
2- Promyelocyte 
3- Myelocyte
4- Metamyelocyte
5- Neutrophil
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10
Q

What is neutrophilia?

A

Increase in circulating neutrophils

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11
Q

What regulates neutrophil production?

A

Granulocyte-colony stimulating factor

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12
Q

what is neutropenia

A

decreases in circulating neutrophils

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13
Q

Causes of neutropenia

A

Decreased production:

  • drugs
  • marrow failure

Increased consumption:

  • sepsis
  • autoimmune

Altered function:
-eg chronic granulomatous disease

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14
Q

Function of Monocytes “the reticuloendothelial system”

A

to ingest and destroy pathogens, especially bacteria and fungi

Some become macrophages or dendritic cells in tissue

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15
Q

What is lymphocytosis and causes?

A

Increased lymphocytes

Cause- infectious mononucleosis, pertussis

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16
Q

What is lymphopenia and cause

A

Decreased lymphocytes

Cause- post viral infection, lymphoma

17
Q

Repertoire diversity of antibodies

A
Combinatorial diversity (VJD in chain and alpha + beta chain and light + heavy chain between chains)
Junctional diversity (additional nucleotides can be added)
18
Q

What does HLA stand for?

A

Human Leucocyte Antigen aka MHC

19
Q

Normal haemoglobin levels

A

male 135-170

female 120-160 g/L

20
Q

Normal platelets levels

A

150-400 x10(9)/L

21
Q

normal wbc

A

4-10 x10(9)/L

22
Q

Diagnostic tools on haematology

A
FBC
Clotting times
Chemical assays- iron, B12, folate,
bone marrow aspirate and trephine biopsy,
lymph node biopsy,
imaging