Paeds Anaemia Flashcards

1
Q

High plateltes why

A

Upregulation of bone marrow means platelte production also increased

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2
Q

If iron deficiency caused by malabsorpion , what are two other common presentations?

A

Failure to thrive,

Fatty stools

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3
Q

Physuiological anaemia

A

Due to the high demands for iron in the growing child demand outstrips intake that would be considered normally, breast milk iron content now too low for needs

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4
Q

How do you treat paediatric iron deficiency anaemia?

A

Change diet and give iron (sodium feredetate)

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5
Q

Changing breast milk to cow’s milk lessens iron intake as cow’s milk has less iron than breast milk. T/F?

A

True

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6
Q

How do you assess response of iron treatment in iron defiency anaemia?

A

Repeat bloods in 3 months usually, sometimes 6 weeks

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7
Q

Common paeds anaemia age?

A

Age 2 who’ve been changed from breast milk

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8
Q

Globin chain synthesis

A
Low Hb,
Low mcv, 
High ferritin, 
High platelets, 
Inherited as brother with same
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9
Q

What investigation should you do if suspicious of a globin synthesis production problem?

A

Haemoglobinopathy screen - Separates colour of red cells to screen for haemoglobin a2

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10
Q

Treatment for globin synthesis problem

A

Blood transufsion to maintain a minimum Hb, usually once a month

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11
Q

To help excrete iron, what is treatment

A

Under 2 subcut injections,

Over 2 oral tablets

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12
Q

Which organs does iron overload affect?

A

Heart, liver, brain, spleen, deposits in pituitary gland so failure to thrive in younger people

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13
Q

Complication of regular transfusions?

A

Iron overload

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14
Q

Annual what to assess for complicatiosn of long term transfusion?

A

Annual MRI of brain and heart

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15
Q

Why are spherocytes visible on film of peripheral red cell destruction problem

A

Congenital problem -

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16
Q

Spherocytosis investigation

A

Blood film or rbc osmotic grafilitiy