Ziekteleer (Zsuzzanne) Flashcards
Polycythemia
= disorder of bone marrow
Ø Overproduction of red blood cells
Ø Increases blood volume & blood viscosity
Ø Headaches, blurred vision, high blood pressure
hemophilia
Ø Condition caused by deficiency of one or more clotting factors
Ø Mostly: lack certain protein (clotting factor VIII)
Ø Can’t form blood clots - could lead to death
Ø Now: controlled by administering another clotting factor
hemolytic disease of the new-born (HDN)
Rh-negative woman can become pregnant with Rh-positive baby (Rh-antigen comes from father)
- mother starts producing anti-Rh antibodies that cross placenta & attacks fetus
HDN = reduced number of red blood cells & toxic levels of hemoglobin breakdown products àcan lead to mental retardation or death
Prevention? mother gets injection with anti-Rh antibodies at 28 weeks & (if baby = positive) again after birth
- injected antibodies destroy new-born’s red blood cells that may have entered the woman’s circulation
Mononucleosis
= contagious infection of lymphocytes in blood & lymph tissue
- caused by the Epstein-Barr virus (= relative to herpes virus)
- spread throughout physical contact (nickname: = “kissing disease”)
- Lymphocytes enlarge->begin to resemble monocytes
-> blood test reveals increased numbers of monocytes and lymphocytes
septicemia
Blood poisoning = septicemia = bacterial infection of blood
Anemia
reduction in the oxygen carrrying capacity of blood
Iron-deficiency anemia
Every hemoglobin: contains 4 molecules of iron
Iron-deficiency: body cannot synthesize hemoglobin
Result: fewer hemoglobin molecules per RBC - decreased ability to transport o2 Most common form of anemia
Caused by too little iron in diet / inability of digestive tract to absorb iron Treatment: taking pills
Hemorrhagic anemia
Due to blood loss caused by injuries, bleeding ulcers, menstrual flow or parasites Treatments: finding & treating underlying cause of blood loss
pernicious anemia
Cause: deficiency of vitamin B12 absorption by digestive tract
Vitamin B12 = important for production of RBC
Treatment: injections of vitamin B12
hemolytic anemia
Cause: rupture or early destruction of RBCs
Sickle-cell disease: RBCs take on sickle shape when oxygen concentration is too low - become damaged due to abnormal shape when travelling through blood vessels Parasite that causes malaria = another cause
anemia due to renal failure
When kidneys fail: don’t produce enough erythropoietin to maintain RBC production
Treatment: exogenous erythropoietin (EPO)
Leukemia
= blood cancer
1. acute leukemia: develops rapidly
2. chronic leukemia: develops slowly
Cause: mutation of a WBC (change in genetic structure)- uncontrolled cell division - caused by viral infections, exposure to radiation or harmful chemicals or genetic factors.
Multiple myeloma
= cancer
Plasma cells = type of lymphocytes responsible for making a specific antibody
- multiple myeloma: abnormal plasma cells in bone marrow undergo uncontrolled division
thrombocytopenia
= reduction in number of platelets in blood
Cause: viral infection, anemia, leukemia, other blood disorders, exposure to X-rays or radiation, drugs …
Symptoms: easy bruising or bleeding, nosebleeds, bleeding in mouth, blood in urine, heavy menstrual periods
Treatment: treating underlying cause, surgical removal of spleen
aneurism
- Ballooning of artery wall
- Damaged endothelium: lets blood seep through - flows between two layers, splitting them apart
- Can cause smooth muscle & endothelial layers to bulge inward - narrows lumen - reduces blood flow
- When ruptured: massive internal bleeding & often death
- Take years to develop
- Can be detected with stethoscope or CT-scan
- Can be repaired surgically
varicose veins
permanently swollen veins that look twisted and bumpy from pooled blood
Angina
= temporary sensation of pain and tightness in chest (due to insufficient circulation to the heart)
Angina = in itself not a problem, but = indication of a bigger problem - sign of insufficient circulation to the heart
myocardial infarction
Heart attack = sudden death of an area of heart tissue due to oxygen starvation àoccurs when blood flow to area of heart = impaired too long
Heart failure
Normally: body remains constant arterial pressure because of the tight control mechanisms
If heart muscle = damaged: heart may become weaker & less efficient at pumping blood = Heart failure
If Heart pumps less blood:
- Blood back up in veins
- BP in veins and capillaries rises
- More fluid than usual filers out of the capillaries & into interstitial space - fluid congestion (ophoping)
-> congestive heart failure