anemia Flashcards
when oxygen doesnt reach tissues and organs what does it lead to?
hypoxia
symptoms of anemia
palpitations=irregular heartbeat
Tachycardia= fast heartbeat
Heart murmurs= abnormal heart sounds due to turbulance flow
Dyspnoea= shortness of breath
symptoms of iron deficieny
pallor= pale skin
smooth tongue
nail flattened
mouth ulcer
swallowing difficulty
neurological changes (spinal cord damage)
where can iron deficiency come from?
- Poor diet
- Intestinal hookworm infection
key points in Megaloblastic anemia/definition
definiton= large and immature red blood cells
- B12 and folate are needed for DNA synthesis as in megaloblastic anemia there is always one that lacks
- in the bone marrow, the process of nuclear development (a critical step in the maturation of red blood cells) is slow
what is pernicious anemia and what 2 cells are are attacked?
autoimmune disorder where body attacks 2 cells in GI
- gastric parietal cell= makes HCI
-gastric intrinsic factor= absorbs b12
why is IF binding needed?
for absorption in ileum ( digestive system)
what are the 2 bad outcomes of B12 deficiency?
- megaloblastic anemia
- demyleination= can damage nerve lining of spinal cord
what is folate deficiency and what things affect it and how to measure it
- same as megaloblastic anemia( abnormal large cells in blood) but no neurological changes
- diet affects it
- measured by blood test
what are the lab findings in vitamin B12 deficiency?
- Low serum B12
- Parietal cell and IF antibodies
lab findings in iron deficinecy
- Microcytosis (smaller red blood cells)
- hypochromia (paler red blood cells) - low serum iron.
what does lysis(rapture) of RBC lead to?
jaundice (yellowing of skin/eyes)
what removes the damaged RBC from circulation?
spleen
Haemolytic disease of the new born
- happens if mother is rh(-) and baby is rh(+)
- different types of blood types between mum and baby
- mum immune system attacks baby rbc= anemia
- stopped by Rh= protein on surface of rbc
what can a complement protein do to RBC?
make holes in membrane