Pancytopenia Flashcards
Name 2 drugs can cause bone marrow failure?
Chloramphenicol
Chemotherapy drugs
What vitamin deficiencies can cause pancytopenia?
B12/folate deficiency
What virus can cause bone marrow failure?
HIV
List 5 causes of hypersplenism?
Portal hypertension
Congestive cardiac failure
Rheumatoid arthritis
Myelofibrosis
Name an inherited cause of bone marrow failure syndrome?
Fanconi’s anaemia
What are the symptoms of anaemia?
Fatigue
SOB
Cardiovascular compromise
What are the symptoms of neutropenia?
Recurrent infections
What are the symptoms of thrombocytopenia?
Purpura
Petechiae
Will the marrow be hypocellular or hypercellular in aplastic anaemia?
Hypocellular
Will the marrow be hypocellular or hypercellular in myelodysplatic syndrome?
Hypercellual
Will the marrow be hypocellular or hypercellular in B12/folate deficiency?
Hypercellular. Problem with maturation
Will the marrow be hypocellular or hypercellular in hypersplenism?
Hypercellular
What are the options for supportive treatment in pancytopenia?
Red cell Transfusion
Platelet transfusion
Antibiotic prophylaxis (antibacterial) also antifungals and antivirals
How do you treat aplastic anaemia?
Immunosuppressive drugs
How do you treat congenital bone marrow failure?
Bone marrow transplant