Haemotology Conditions A Flashcards
<p>Hodgkin’s Lymphoma - Management (High Grade) (2)</p>
<p>1) radiotherapy
| 2) ABVD chemotherapy long course</p>
<p>Chronic Lymphocytic Leukaemia - Signs (3)</p>
<p>Non-Hodgkin’s Lymphoma - Signs (3)</p>
<p>Acute Myeloid Leukaemia - Signs (6)</p>
<p>Acute Lymphoblastic Leukaemia - Signs (6)</p>
<p>1) lymphadenopathy (lymph nodes abnormal in size, consistency, number)
2) hepatomegaly
3) splenomegaly</p>
<p>Folate Deficiency Anaemia - Management (3)</p>
<p>1) treat underlying cause
2) folic acid with B12 supplements (4 months)
3) prophylactic folic acid (pregnancy —> prevents anaemia and spina bifida)</p>
<p>Acute Myeloid Leukaemia - Signs (6)</p>
<p>1) lymphadenopathy (lymph nodes abnormal in size, consistency, number)
2) hepatomegaly
3) splenomegaly
4) pallor
5) petechiae/purpura/ecchymoses
6) mouth ulcers</p>
<p>Acute Lymphoblastic Leukaemia - Symptoms (7)</p>
Acute Myeloid Leukamia
<p>1) fatigue
2) fever
3) headache
4) palpitations
5) dyspnoea
6) epistaxis
7) menorrhagia</p>
<p>Anaemia - Description</p>
<p>decreased blood haemoglobin concentration</p>
<p>Myeloma - Description</p>
<p>malignant proliferation of plasma cells</p>
<p>Chronic Lymphocytic Leukaemia - Risk Factors (3)</p>
<p>1) over 60 years old
2) radiation exposure
3) male</p>
<p>Folate Deficiency Anaemia - Description</p>
<p>decreased blood haemoglobin due to folate deficiency</p>
<p>Sickle Cell Disease - Management (3)</p>
<p>1) hydroxycarbamide (frequent crises)
2) prophylactic antibiotics and immunisations (splenic infarct)
3) bone marrow transplant (cure)</p>
<p>Iron Deficiency Anaemia - Comorbidities (3)</p>
<p>1) heart failure
2) infection risk
3) pregnancy problems</p>
<p>Hodgkin’s Lymphoma - Classification (Ann Arbor) (6)</p>
<p>1) I - one lymph node group
2) II - multiple lymph node groups, same side of diaphragm
3) III - multiple lymph node groups, either side of diaphragm
4) IV - spread beyond lymph nodes, e.g. liver
5) A - no B symptoms (except pruritis)
6) B - B symptoms (weight loss, fever, night sweats)</p>
<p>Hodgkin’s Lymphoma - Diagnosis (6)</p>
Hodgkin’s Lymphoma - Diagnosis (6)
Hodgkin’s Lymphoma
<p>1) lymph node excision (Reed-Sternberg cells/popcorn cells)
2) bone marrow biopsy (Reed-Sternberg cells/popcorn cells)
3) high lactase dehydrogenase (worse prognosis)
4) high ESR (worse prognosis)
5) low Hb (worse prognosis)
6) abdominal CT/MRI (Ann Arbor classification)</p>
<p>Deep Vein Thrombosis - Description</p>
<p>blood clot in deep veins, usually legs</p>
<p>Iron Deficiency Anaemia - Causes (6)</p>
<p>1) low dietary intake
2) malabsorption (Crohn’s disease, coeliac disease)
3) GI bleeding
4) menorrhagia
5) pregnancy
6) hookworm (most common WW)</p>
<p>Chronic Lymphocytic Leukaemia - Symptoms (6)</p>
<p>1) asymptomatic (usually presents with a surprise abnormal FBC) severe 2) fatigue* 3) dyspnoea 4) sweats 5) anorexia 6) weight loss</p>
<p>Sickle Cell Disease - Comorbidities (7)</p>
<p>1) anaemia
2) failure to thrive
3) stroke
4) retinal disease
5) hypoxia —> lung fibrosis —> pulmonary hypertension —> chronic lung disease
6) splenic infarct —> infection risk
7) chronic renal failure</p>
<p>Haemolytic Anaemia - Pathophysiology (5)</p>
<p>1) premature erythrocyte breakdown
2) increased erythropoiesis by bone marrow to compensate (6-8 times)
3) premature reticulocytes are released by bone marrow
4) premature erythrocyte breakdown exceeds compensation
5) anaemia</p>
<p>Anaemia - Comorbidities (2)</p>
<p>1) heart failure
| 2) infection risk</p>
<p>Folate Deficiency Anaemia - Signs (5)</p>
<p>1) may be absent even in severe anaemia
2) pallor
3) tachycardia
4) systolic murmur
5) atrophic glossitis (atrophy of tongue papillae, i.e. smooth tongue)</p>
<p>Acute Myeloid Leukaemia - Symptoms (7)</p>
<p>Acute Lymphoblastic Leukaemia - Symptoms (7)</p>
<p>1) fatigue
2) fever
3) headaches
4) palpitations
5) dyspnoea
6) epistaxis
7) menorrhagia</p>
<p>Myeloma - Management (6)</p>
<p>1) analgesia (bone pain, avoid NSAIDs due to renal failure)
2) bisphosphonates (bone pain, reduce fractures)
3) renal dialysis
4) hydration (>3L per day)
5) wide spectrum antibiotics
6) chemotherapy</p>
<p>Anaemia - Diagnosis (8)</p>
<p>1) FBC (Hb, MCV, RC)
2) B9
3) B12
4) ferritin
5) UnE
6) LFTs (liver failure
7) TSH (hypothyroidism)
8) blood film</p>
<p>Hodgkin’s Lymphoma - Management (5)</p>
<p>1) radiotherapy chemotherapy ABVD 2) adriamycin 3) bleomycin 4) vinblastine 5) dacarbazine</p>
<p>Acute Lymphoblastic Leukaemia - Diagnosis (6)</p>
<p>1) high WCC
2) low neutrophils
3) low Hb
4) low platelets
5) blood film (lymphoblasts)
6) bone marrow biopsy (>20% lymphoblasts)</p>
<p>Non-Hodgkin’s Lymphoma - Classification (Ann Arbor) (6)</p>
Hodgkin’s Lymphoma - Classification (Ann Arbor) (6)
<p>1) I - one lymph node group
2) II - multiple lymph node groups, same side of diaphragm
3) III - multiple lymph node groups, either side of diaphragm
4) IV - spread beyond lymph nodes, e.g. liver, bone marrow
5) A - no B symptoms (except pruritus)
6) B - B symptoms (weight loss, fever, night sweats)</p>
<p>Non-Hodgkin’s Lymphoma - Risk Factors (7)</p>
<p>1) over 50 years old
2) male
3) family history
4) Epstein-Barr virus
5) Helicobacter pylori
6) hepatitis C
7) immunosuppression</p>
<p>Haemolytic Anaemia - Diagnosis (7)</p>
<p>1) low Hb
2) high MCV
3) high RCC
4) high unconjugated bilirubin
5) high urine urobilinogen
6) high faecal stercobilinogen
7) direct Coombs test (autoimmune haemolytic anaemia)</p>
<p>Acute Lymphoblastic Leukaemia - Comorbidities (2)</p>
<p>1) pancytopenia
| 2) cranial nerve palsy</p>
<p>Acute Myeloid Leukaemia - Risk Factors (5)</p>
<p>1) over 65 years old
2) radiation exposure
3) chemotherapy
4) Klinefelter’s syndrome
5) Down’s syndrome </p>
<p>Non-Hodgkin’s Lymphoma - Description</p>
<p>malignant proliferation of lymphocytes</p>
<p>Myeloma - Symptoms (3)</p>
<p>1) fatigue
2) weight loss
3) bone pain</p>
<p>Chronic Myeloid Leukaemia - Description</p>
<p>malignant proliferation of basophils, eosinophils or neutrophils</p>
<p>Deep Vein Thrombosis - Management (4)</p>
<p>1) treat underlying cause
2) LHW heparin
3) warfarin
4) compression stockings</p>
<p>Myeloma - Risk Factors (3)</p>
<p>1) age (peak 70 years old)
2) Afro-Caribbean
3) family history</p>
<p>Non-Hodgkin’s Lymphoma - Diagnosis (6)</p>
Hodgkin’s Lymphoma
Hodgkin’s Lymphoma - Diagnosis (6)
Hodgkin’s Lymphoma
<p>1) lymph node excision (non-Reed-Sternberg cells)
2) bone marrow biopsy (non-Reed Sternberg cells)
3) high lactase dehydrogenase (worse prognosis)
4) high ESR (worse prognosis)
5) low Hb (worse prognosis)
6) abdominal CT/MRI (Ann Arbor classification)</p>
<p>Haemolytic Anaemia - Comorbidities (4)</p>
<p>1) heart failure
2) infection risk
3) cholelithiasis
4) jaundice</p>
<p>Non-Hodgkin’s Lymphoma - Management (Low Grade) (2)</p>
<p>1) none may be required
| 2) radiotherapy</p>
<p>Sickle Cell Disease - Description</p>
<p>abnormal haemoglobin due to genetic disorder</p>
<p>Folate Deficiency Anaemia - Causes (5)</p>
<p>1) poor dietary intake
2) malabsorption (Crohn’s disease, coeliac disease)
3) pregnancy
4) high cell turnover (inflammatory disease, malignancy, haemolysis, renal dialysis)
5) antifolate drugs (methotrexate, trimethoprim)</p>
<p>Anaemia - Signs (4)</p>
<p>1) may be absent even in severe anaemia
2) pallor
3) tachycardia
4) systolic murmur</p>
<p>Haemolytic Anaemia - Management (1)</p>
<p>1) treat underlying cause</p>