Small Animal Anaemia Flashcards
What are the clinical signs of anaemia?
None if mild Lethargy Anorexia Collapse Pale mm Increased HR Increased RR Heart murmur Hyperdynamic pulse
What are the causes of pale mms?
Anaemia
Poor peripheral perfusion
How can you differentiate anaemia from poor peripheral perfusion being the cause of pale mms?
CRT <2s => anaemia
>2s => poor perfusion
Strong pulses => anaemia
Weak pulses => hypovolaemia
What needs to be asked in a anaemic patient history?
Lifestyle Stable or deteriorating signs Site of bleed identified Drugs/toxins Travel history
What should be examined on PE of an anaemic patient?
Stable HR, RR, demeanour Icterus Concurrent disease Pleural and peritoneal spaces Masses/pain Rectal (melena)
What does a concurrent decrease in total protein and RBC indicate?
Haemorrhage
What does a concurrent increase in total protein/nitrates indicate?
Haemolysis
Non-regenerative anaemia
How is regenerative and non-regenerative anaemia diagnosed?
Reticulocyte count
Blood smear evaluation
What are causes of regenerative anaemia?
Haemorrhage
Haemolysis
Give 4 examples of internal haemorrhages that cause regenerative anaemia…
Spleen haemorrhage
Thoracic haemorrhage
Trauma
Amyloidosis
Give 4 examples of external haemorrhages that cause regenerative anaemia…
Epistaxis
GIT bleeding
Severe parasitic infection
Urinary tract bleeding
What further diagnostics should be considered after diagnosing haemorrhage?
Coagulation profile Platelet count Faecal lungworm ACTH stim test Search of body cavities
How is haemolysis differentiated from haemorrhage?
Normal TP
Evidence of underlying cause on blood smear
Which Ig are mainly responsible for intra and extravascular haemolysis?
Intravascular - IgM
Extravascular - IgG
How is haemolysis diagnosed?
Autoagglutination test
Coomb’s test
Haemoglobinuria
Bilirubinuria