Normocytic-Normochromic-Aplastic & Haemolytic Anaemia Flashcards
Aplastic anaemia Defination ??
It is defined as pancytopenia resulting from aplasia of the BM
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Inherited cause of AA ??
- fanconi anamemia
- telomerase defect
acquired cause of AA ??
- Idiopathic
- acquired defect in stem cell
- cytotoxic drugs
- benzene
- inorganic arsenals
- EBV
- CMV
- HIV4
- herpes zooster
- chloramphenicol + body irridation
cardinal signs of AA ??
- No lymphadenopathy
- no hepatosplenomegaly
- no bony tenderness
cause of death in AA ??
- Pneumonia
- septicaemia
- cerebral hemorrhage
BM condition in AA ??
BM hypoplasia
Pathogenesis of AA ??
- direct damage to HSC & Progenitor cells
- primary stem cells abnormality
- immune mediated destructiom
Normocytic means ??
normal size of RBC
Normochromic means ??
normal Hb content
CBC of AA ?
- Hb% -
- PCV -
- RBC -
- WBC -
- P -
- ESR +
- Reticulocyte count -
AA + MM + Myelofibrosis same CBC
PBF of AA ?/
- RBC = N-N-A-P
- WBC Neutropenia + lymphocytosis
- P = -
Confirmatory test for AA >??
BM
BM of AA ?/
- C=Hypocellular / hypoplasia
- M/E = N
- E=-
- G-
- M-
Why ESR is high in AA ??
- HSC
- inability to produce normal no of mature cells
- RBC count very low
- ESR high
Criteria for severe AA ?/
- granulocytes =<0.5109l
- p = same
- reticulocytes = >1%
- marrow cellularity = <25%
define pancytopenia ??
- anaemia
- neutropenia
- thrombocytopenia
BM failure cause of Pancytopenia ??
- AA
- Viral D
- DRUGS
BM infiltration cause of AA ?/
- AL
- Myeloma
- lymphoma
- carcinoma
- myelodysplastic s
- myelofibrosis
Infective hematopoiesis cause of p ?/
- AIDS
- megaloblastic anaemia
Peripheral destruction/pooling cause of Pancytopenia ??
- SLE
- malaria
- hypersplenism
which antibiotics cause Pancytopenia /
chloramphenicol
what is Haemolytic a /
excess RBC destrcution
shortened life span of RBC
acquired cause of HA ??
paroxysmal nocturnal haemoglobinuria
congenital cause of HA ?/
- MEMbrane defects
- hereditory spherocytosis
- hereditory elliptocytosis
- hb defect
- sickle cell a
- th
- T
- Enzyme defect
- G-6PD deficeincy
- pyruvate kinase deficiency