Non regenerative anaemia Flashcards
What is non regenerative anaemia
A decreased production of red blood bone marrow cells
Is this caused by a bone marrow disease?
Yes
What is more common secondary or primary non regenerative anaemia
Secondary
What is secondary non regenerative anaemia
Diseases outside the bone marrow affects the bone marrows ability to produce new red cells
What can be causes of secondary non regenerative anaemia
Nutritional deficiencies
Inflammation
Chronic renal disease
Others like liver disease etc.
What types of deficiencies can be associated with nutritional deficiency anaemia
Protein deficiency
Mineral deficiency
Vitamin deficiency
Why is iron important in the blood
Essiential component of haem which carries oxygen in rbcs
What happens in iron deficiency anaemia
Interferes with Haemoglobin production which causes decreased production of rbcs
What type of cells are produced in iron deficiency anaemia
Hypochromic microcytes
What happens to the red cell indices in relation to iron deficiency anaemia
Decreased MCV
Decreased MCHC
What is a hypochromic microcyte cell
Paler in colour and small cell
Causes of iron deficiency anaemia
Chronic external blood loss- haemorrhage
GI ulceration
Neoplasia
Parasites
Clotting disorder
Inflammatory GI disease
Decreased iron intake
What type of non regenerative anaemia can appear regenerative in early stages
Iron deficiency anaemia
What type of cells in anaemia of inflammation
Normocytic normochromic
What other type of anaemia does an iron deficiency go along with
Anaemia of inflammation
What do cytokines do in anaemia of inflammation
Inhibit epo production or BM progenitor cells so reduce rbc production
Anaemia secondary to chronic renal disease is caused by
Functional marrow failure due to reduced erythropoietin
What is erythropoietin
Hormone that tells BM to make rbcs
What type of cells are involved with anaemia secondary to chronic renal disease
Normocytic normochromix
What is azotemia
Increase in products in the blood
What is isothenuria
Change in concentration of the urine
What is primary non regenerative anaemia
Disease within the bone marrow that affects ability to produce new rbcs