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22 Cards in this Set

  • Front
  • Back
Sickle cell trait - heterozygous
HbAs (more info)
- FBE parameters will be normal
- Blood film will see normal + target cells
- Positive sickling test
- Molecular studies
HbSS - homozygous (more info)
- anisocytosis
- poikilocytosis
- polychromasia
- sickle cells
- nucleated RBC
- Howell Jolie bodies, pappenheimer bodies
- leucocytosis
- HbS and HbF
HbC
mild haemolysis
mild anaemia
common in west africa
increase in rigidity of RBS
lower MCV
normal or high MCHC
HbC
target cells
microspherocytes possible
migrates with HbA2
What is the appearance of electrophoresis IFE on haemoglobinopathies
**
How is beta thalassaemia diagnosed>
high or normal red cell counts
Normal or borderline Hb and Hct/PCV
low MCV
low MCH
normal MCHC
high or normal red cell counts
Normal or borderline Hb and Hct/PCV
low MCV
low MCH
normal MCHC
What are the test results of beta thalassaemia
iron studies are normal
HbEPP and High Performance Liquid Chromotography will show high levels of HbA and HbF
HbH inclusion test is negative
Should see high number of reticulocytes
Family studies and molecular studies.
iron studies are normal
HbEPP and High Performance Liquid Chromotography will show high levels of HbA and HbF
HbH inclusion test is negative
Should see high number of reticulocytes
Family studies and molecular studies.
What is the Hb electrophoresis in Beta thalassaemia minor
High A2 instead of A1,
High A2 instead of A1,
What is the electrophoresis panel for beta thal major
What is the most common alpha thal?
a-/aa (one gene deletion)
low top borderline Hb
low to bordeline MCV, MCH, MCHC
Normal or high RCC
less severe than beta thal
hypochromic/microcytic blood film
a-/aa (one gene deletion)
low top borderline Hb
low to bordeline MCV, MCH, MCHC
Normal or high RCC
less severe than beta thal
hypochromic/microcytic blood film
Describe HBH disease
Moderate chronic haemolytic anaemia
Hb = 60 ‐ 100 g/L
low MCV, MCH, MCHC
?nRBC
reticulocytosis
basophilic stippling uncommon
Moderate chronic haemolytic anaemia
Hb = 60 ‐ 100 g/L
low MCV, MCH, MCHC
?nRBC
reticulocytosis
basophilic stippling uncommon
Describe film of HbH
Describe the EPP of H barts
Describe the diagnosis of alpha thalassaemia
Describe the treatment and management of thalassaemias
List 5 treatments of thalassaemia
splenectomy
transfusion
chelation therapy
bone marrow transplant
gene therapy
splenectomy
transfusion
chelation therapy
bone marrow transplant
gene therapy
What are the iron studies results for IDA
What are the iron studies results for thalassemia
What are the iron studies results for Sideroblastic anaemia
What are the iron studies results for ACD
What are the iron studies results for lead poisoning
Diagnose
HbH
HbH