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45 Cards in this Set

  • Front
  • Back

Microcytic anaemia causes

Fe

chronic disease

thalassaemia

Sideroblastic

FeTCheS

Normocytic anaemia causes

↓Blood


Chronic disease


↓BM


↓Renal


↓ thyroid


Haemolysis


Pregnancy

Macrocytic anaemia causes

↓B12/folate


ETOH/liver disease


reticullocytosis


myelodysplasia


↓thyroid


antifolate drugs - phenytoin

Heinz bodies

G6PD def


chronic liver disease

Howell Jolly

Nuclear remnants

SCA, IBD, megaloblastic anaemia

How jolly this DNA is playing SIMs

Pelger Huet

HypOsegmented neutrophils


myelodysplastic

Right shift

mature > immature


HypERsegmented neutrophils


megaloblastic anameia

Rouleux formation

myeloma

Schistocytes

Fragmented RBCs


HUS, TTP

Stomatocytes

Central pallor


Hereditary, ETOH, liver disease

Target cells

Liver, ↓Fe anameia, thalassaemia, hyposplenism

Spherocytosis has mutations in what proteins

Spectrin + ankarin - RBC membrane prots

G6PD

Heinz bodies, bite cells


X linked rec


RF: sulfonamides, aspirin, broad beans




Beans - heinz

SCA

glu-val


HbS



COOMBs

DAT, autoimmune haemolytic anaemia

WAIHA

Warm autimmune HA


IgG


+ve COOMBs

Cold agglutanin

IgM


Rx chlorambucil


+ve COOMBs

PNH


paroxysmal nocturnal haematuria

aquired


coombs -ve

Thrombotic thrombocytopenic purpura

microangiopathic HA (MAHA),


fever, ↓ renal, ↓neuro, thrombocytopenia

Haemolytic uraemic syndrome

E.coli, ↓renal, MAHA, NO neuro

Clotting cascade

INTRINSIC EXTRINSIC


12→1→9→8→10→ ← 7


5 →thrombin(II)→fibrin(I)→clot




clot + plasmin→clot degredation

Haemophilia A + B

↑ APTT, normal PT




A - ↓VIII


B - ↓IX

APTT + PTT measure what

APTT - intrinsic


PTT - extrinsic

von Willebrand's

↓plt fxn, ↓VIII, ↓vWF, ↑APTT, ↑bleeding time


Normal INR + plt count

Vit K required for synthesis of

II, VII, IX, X, prot C+S

↑clotting causes

↓prot C +/or S, factor v leiden, malignancy, antiphospholipid

Heparin

↑antithrombin II


antidote - protamine sulphate

Warfarin

↓vit K


antidote - vit K

AML

Middle aged


Auer rods



CML

Middle aged


Philadelphia chrom t(9;22)


BCR ABL fusion gene

CLL

Old


Smear cells

ALL

Little kids

Hodgkins lymphoma

EBV assoc


pain post ETOH


REED STERNBERG cells - owl eye

Multiple myeloma

paraprot IgG


CRAB - ↑Ca, ↓renal, anaemia, bones


BENCE JONES

Bence Jones

multiple myeloma

Reed sternberg

Hodgkins lymphoma

Auer rods

AML

Smear cells

CLL

Philadelphia chrom


(what is it and what is it assoc w/)

t(9;22) BCR-ABL fusion gene


CML

Fanconi anaemia

aut rec, pancytopenia

Dyskaratosis congenita

↓telmoeres, nails, leukoplakia, BM failure

Scwachman Diamond anamia

aut rec


NEUTROPHILIA

Diamond Blackfan

↓RBC only

Myelofibrosis

Tear drop poikilocytes (dacrocytes)

Essential thrombocytosis

++megacaryocytes in BM


plt >600, lg plts


Rx: anagrelide (↓plt formation)