Blood unknown Flashcards

1
Q

What do II, VII, IX and X require for acitvation

A

Ca2+

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2
Q

What does ATIII do

A

Blocks the activity of factor IX and X

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3
Q

What drugs are used for arterial diseases

A

Fibrinolytics and anti platelets

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4
Q

What can liver dysfunction/cirrhosis or hepatitis cause

A

Clotting deficiency

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5
Q

What does warfarin inhibit

A

Protein C and S

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6
Q

How does plasmin mature

A

tPA and when mature it lyses clots

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7
Q

What do eosinophils and basophils express and where are they most active

A

FcERI

At site of allergic reaction

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8
Q

What do eosinophils/basophils look like

A

Lobed nuclei and granulated cytoplasm
Basophils have blue granules
Eosinophils have red granules

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9
Q

How long do neutrophils last

A

8 hours - 4 days

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10
Q

What happens to monocytes after release from the bone marrow

A

Circulate in blood stream and enlarge
Migrate to tissues one day after release from bone marrow
There is a reservoir of monocytes in spleen
Macrophages 5-10 x larger than monocytes
Lifespan of macrophages: months to years

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11
Q

Adhesion molecules

A

P selectin and E selectin on endothelium recognised by leukocytes
ICAMS on endothelium recognised by integrins on leukocytes
Adhering monocytes stimulated by MCP-1 to enter intima

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12
Q

Pattern recognition receptors

A

Macrophage mannose receptor
Scavenger receptor
Toll like receptors

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13
Q

Cytokines released from activated macrophages

A

IL-1 beta
TNF alpha
IL-6

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14
Q

Examples of inherited vascular disorders

A

Haemorrhagic telangiectasia

Ehlers Danlos syndrome

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15
Q

Examples of acquired vascular disorders

A

Scurvy
Senile
Steroids

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16
Q

Acquired and inherited disorders of platelet function

A

Inherited: Glanzmann’s thrombasthenia
Acquired: drugs (aspirin, NSAIDs)

17
Q

Diagnosis of haemophilia (APTT and PT)

A

Prolonged APTT, normal PT

X linked disease

18
Q

vWD is autosomal …

A

Dominant

19
Q

Diagnosis of vWD

A

Prolonged APTT normal PT
Low vWF
Mucocutaneous bleeds, nosebleeds, menorrhagia

20
Q

Treatment of vWD

A

Desmopressin

21
Q

Acquired disorders of coagulation

A

Liver disease
Vitamin K deficiency
DIC (prolonged everything, raised D dimers, low platelets)

22
Q

What do d dimers indicate

A

Activation of the clotting cascade

23
Q

Symptoms of PE

A

Pleuritic pain, dyspnoea, haemoptysis, syncope

- Use CT pulmonary angiogram

24
Q

What can the ECG of someone with a PE look like/show

A

Sinus tachycardia
AF
Right heart strain

25
Q

What is Factor V Leiden

A

Deficiency of natural coagulation (anti-thrombin, protein C/S deficiency)

26
Q

Acquired cause of thrombophilia

A

Anti-phospholipid syndrome