Haematology Flashcards
Haemophilia A
Causes hemarthrosis without trauma
VTE
Anticoagulate with warfarin for 3 months is provoked and 6 months if unprovoked
Burkitt lymphoma
Starry sky appearance on lymph node biopsy
Sequestration crisis
Occurs in sickle cell anaemia and causes splenomegaly with abdominal pain
Beta-thalassaemia trait
- microcytic anaemia
- raised HbA2
- lethargy
C-myc translocation
Genetic change in Burkitt’s lymphoma
Antiphospholipid syndrome
- prolonged APTT
- history of VTE, PE and miscarriage
- elevated anticardiolipin antibody
Antiphospholipid syndrome (pregnancy)
Anticoagulate with aspirin and enoxaparin
Irradiated blood products
Used to avoid transfusion-associated graft vs host disease
Tranaxamic acid
When given in major haemorrhage give IV bolus and then slow infusion
Blood transfusion
Give if haemodynamically unstable or Hb is less than 70g/L
Neutropenic sepsis
Empirical treatment with piperacillin and tazobactam
Blood transfusion complications
- iron overload
- ARDS
- hyperkalaemia
- clotting abnormalities
- febrile reaction
Multiple myeloma
Rain drop skill or pepperpot skull seen on imaging
Disseminated intravascular dissemination
Give fresh frozen plasma
Vitamin B12 deficiency
Causes macrocytic anaemia