Sickle Cell Disease Flashcards

1
Q

What is SCD

A

A hereditary blood disorder affecting Hemoglobin cause it to sickle or form a crescent shape

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2
Q

What’s the prevalence of SCD in Nigeria

A

1-3%

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3
Q

How many subunits does Hemoglobin have?

A

4 subunits
2 alpha 2 beta

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4
Q

What are the protein components of Hb

A

Globin

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5
Q

What are the Non-protein components

A

Heme
Ferrous
Protoporphyrin

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6
Q

What type of mutation happens in SCD

A

Single Point Mutation

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7
Q

At what point does the mutation occur

A

Chromosome 11 point 6

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8
Q

Sickle Cell RBC Half Life

A

17days

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9
Q

Normal RBC half life

A

120 days

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10
Q

What are the Acute complications SCD

A

VOC
Infections
Severe Anaemia

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11
Q

What are the types of VOC

A

Acute VOC
Acute Chest Syndrome
Priapism
Myocardial Infarction
Renal Infarction
VTE
Stroke

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12
Q

What are the stressful conditions which exacerbate sickling

A

Hypoxia
Infection
Acidosis
Dehydration
Fever
Trauma
Illness

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13
Q

What are Chronic Complications of SCD

A

Chronic Compensated Hemolytic Anaemia
Pain
Neurological deficit
Pulmonary Conditions
Renal Hypertension
Osteoporosis
Delayed puberty
Hepatotoxicity
Chronic Leg ulcer
Cardiomyopathy
Delayed Growth

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14
Q

The Hemoglobinopathy seen in SCD is of a Systolic dysfunction T/F

A

False. Diastolic

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15
Q

What Investigations used for Diagnosis

A

Prenatal Screening
Neonatal Screening
HPLC
HB Electrophoresis

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16
Q

What mediums are used for Hb electrophoresis

A

Citrate Agar
Cellulose acetate

17
Q

Prenatal Screening for SCD is done at what GA

A

10weeks

18
Q

Modalities of Treatment for SCD

A

-Hydroxyurea
-Hematopoietic Cell Transplantation
-Pain Management
-Blood Transfusion

19
Q

What are the features of Chronic Compensated Hemolytic Anaemia

A

Polychromasia
Hemoglobin 60-90g/dl
Hematocrit 20-30%
Reticulocytosis 7-15%
Howell Jolly Bodies