Lecture 1: Normal haematopoiesis Flashcards

1
Q

What is haematopoiesis?

A

The formation of blood

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2
Q

Where does haematopoiesis occur in embryos, infants and adults?

A

Embryos- yolk sac, liver & spleen then bone marrow. Infants- Bone marrow of all bones. Adults- bone marrow of central bones e.g. sternum and pelvis and ends of femur bones

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3
Q

What are the two progenitor cells of lymphocytes and other blood cells?

A

Common myloid progenitor differentiates into all blood cell types except B and T cells which come from common lymphoid progenitors.

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4
Q

What do megakaryocytes produce?

A

Plasma cells for blood clotting

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5
Q

What controls haematopoiesis?

A

Extrinsic factors such as growth factors and intrinsic factors such as transcription factors

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6
Q

Give some examples of growth factors which control erythropoiesis.

A

Erythropoietin- controls RBC production (stimulated by low oxygen levels). G-CSF- a neutrophil growth factor. Thrombopoietin- platelet growth factor.

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7
Q

What is fluctuations are considered normal in a full blood count?

A

The mean + or - 2 standard deviations

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8
Q

what is a reticulocyte?

A

An immature red blood cell

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9
Q

What do the endings -cytosis and -cytopenia mean?

A

-cytosis= too much, -cytopenia= too little

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10
Q

What can be the cause of cytopenia?

A

Either not enough production or loss after production

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11
Q

What is leucopaenia?

A

Too few white blood cells, especially neutrophils.

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12
Q

What is thrombocytopenia?

A

Too few platelets resulting in bruising and gum an nose bleeding.

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13
Q

What is the reticuloendothelial system?

A

The removal and recycling of old red blood cells by the spleen

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14
Q

What are possible causes of anaemia?

A

Reduced RBC production, iron deficiency, B12 deficiency, autoimmunity, RBC destruction

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15
Q

What do iron deficient red cells look like?

A

Not as much colour in the middle

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16
Q

What is megaloblastic anameia?

A

Defect in DNA synthesis causes cels to not divide, giving very large RBCs, caused by B12 deficiency

17
Q

What is haemolytic anaemia?

A

The premature breakdown of RBCs, can be inherited or acquired or caused by autoimmunity.

18
Q

What test can test for autoimmune haemolysis?

A

Direct Coombs test

19
Q

What is thalassemia?

A

Reduced synthesis of normal globin chains