myeloproliferative disorders Flashcards

1
Q

these conditions occur due to

A

single type of stem cell

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2
Q

proliferating cell line: primary myelofibrosis

A

haematopoeitic stem cell

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3
Q

proliferating cell line: polycythaemia vera

A

erythroid cells

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4
Q

proliferating cell line: essential thrombocythaemia

A

megakaryocyte

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5
Q

what do myeloproliferative disorders have potential to progress to

A

acute myeloid leukaemia

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6
Q

assoc w what mutation

A

JAK2

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7
Q

myelofibrosis can be result of

A

primary myelofibrosis

polycythaemia vera or essential thrombocytopenia

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8
Q

what is myelofibrosis

A

where proliferation of cell line leads to fibrosis of bone marrow, and scar tissue formation

fibrosis affects production of blood cells and can lead to anaemia and leukopenia

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9
Q

myelofibrosis is in response to

A

cytokines released from proliferating cells

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10
Q

myelofibrosis: affect on liver and spleen

A

extramedullary haematopoiesis leads to hepatosplenomegaly

lead to portal htn

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11
Q

presentation

A
fatigue 
weight loss
night sweats
fever
splenomegaly 
ascites
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12
Q

signs of polycythemia vera

A

conjunctival plethora
ruddy complexion
splenomegaly

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13
Q

FBC findings: polycythaemia vera

A

raised Hb

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14
Q

FBC findings: primary thrombocytopenia

A

raised platelet count

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15
Q

FBC findings: myelofibrosis

A

anaemia
leukocytosis or leukopenia
thrombocytosis or thrombocytopenia

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16
Q

myelofibrosis: blood film

A

tear drop shaped RBCs
varying sizes RBC (pokilocytosis)
blasts

17
Q

Ix

A

bone marrow biopsy

JAK2

18
Q

primary myelofibrosis: Mx

A

mild disease + minimal Sx = monitoring only

allogenic SCT
chemotherapy
supportive Mx anaemia, splenomegaly, htn

19
Q

polycthemia vera Mx

A

venesection

aspirin - reduce risk blood clots
chemotherapy

20
Q

essential thrombocytopenia Mx

A

aspirin

chemo