OSCE Haemotology Flashcards

(43 cards)

1
Q

What is a core needle biopsy?

A

A procedure used to take a small sample of tissue from a specific area in the body, usually to check for conditions like cancer or other diseases.

The procedure uses a special hollow needle to remove a small sample of tissue, which is then sent to a lab for examination.

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2
Q

What preparations are needed before a core needle biopsy?

A
  • Avoid eating or drinking for a few hours if sedation is needed
  • Inform the doctor about blood-thinning medications because these need to be stopped
  • May involve a physical exam or imaging test
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3
Q

What happens during a core needle biopsy?

A
  • The area is cleaned and numbed
  • A hollow needle is inserted to remove a tissue sample. You may feel some pressure or popping sensation when the needle is inserted, but it shouldn’t be painful.
  • The procedure usually takes 10 to 30 minutes and pressure wille applied to the area to stop bleeding and a bandage over the site.
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4
Q

Does a core needle biopsy hurt?

A

Generally, it is not painful due to local anesthesia, but some may feel pressure or discomfort.

  • After the procedure, the area may feel sore, and you may experience some bruising or swelling, but this usually goes away after a few days.
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5
Q

What are the risks associated with a core needle biopsy?

A
  • Bleeding
  • Infection
  • Bruising or swelling
  • Pain
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6
Q

What aftercare tips are recommended post-core needle biopsy?

A
  • Rest for the day
  • Keep the site clean and dry
  • Use over-the-counter pain relievers as needed
  • Avoid heavy activity
  • Avoid heavy activity or exercise for a few days, especially if the biopsy was done on an area that is frequently moved (like the chest or abdomen).
  • If you notice any signs of infection, such as increased redness, swelling, heat, or pus at the biopsy site, contact your doctor immediately.
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7
Q

What foods or medications should be avoided before a core needle biopsy?

A
  • Fasting may be required for a few hours
  • Avoid blood-thinning medications unless advised otherwise
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8
Q

When will results from a core needle biopsy be available?

A

Results usually take several days to a week and avoid alcohol or blood thinners for a few days after the rocedure

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9
Q

Why is a core needle biopsy performed?

A
  • Diagnose cancer
  • Check for infections or inflammation
  • Investigate abnormal growths
  • Monitor known conditions
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10
Q

What is a fine needle biopsy?

A

A procedure that uses a very thin, hollow needle to take a small sample of tissue from a suspicious area in the body. The sample of tissue collected is then sent to a lab, where doctors can examine it more closely to determine if there is a problem.

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11
Q

What happens during a fine needle biopsy?

A
  • Performed at a doctor’s office, clinic or outpatient center
    *The area is cleaned and numbed
  • A very thin needle is inserted to take a tissue sample
  • The procedure usually takes around 10 to 20 minutes
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12
Q

What are the risks associated with a fine needle biopsy?

A
  • Bleeding
  • Infection
  • Bruising or soreness
  • Pneumothorax (for lung biopsies)
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13
Q

What aftercare tips are recommended post-fine needle biopsy?

A
  • Resume normal activities unless advised otherwise
  • Apply gentle pressure if bleeding occurs next keep biopsy site clean and dry
  • Rest for the first day
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14
Q

When will results from a fine needle biopsy be available?

A

Results typically take a few days to a week.

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15
Q

Why is a fine needle biopsy performed?

A
  • Diagnose cancer
  • Check for infections
  • Examine abnormal growths
  • Aid treatment decisions
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16
Q

What is cytogenetic testing?

A

A test that examines chromosomes to identify changes or abnormalities that may cause health problems.

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17
Q

What happens during cytogenetic testing?

A
  • Usually involves a blood sample or tissue sample from a tumour or bone marrow
  • The sample is analyzed in a lab for chromosomal abnormalities
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18
Q

What are the risks associated with cytogenetic testing?

A
  • Mild bruising or swelling for blood samples
  • Risks of bleeding, infection, or pain for biopsies which are uncommon
19
Q

What aftercare tips are recommended post-cytogenetic testing?

A
  • Resume normal activities after blood test
  • bone marrow or tissue biopsy
  • pain relief
  • avoid heavy physical activity
  • Rest after a biopsy and follow specific instructions
20
Q

When will results from cytogenetic testing be available?

A

Results can take several days to a week

21
Q

Why is cytogenetic testing performed?

A
  • Diagnose genetic disorders
  • Monitor certain cancers
  • Investigate infertility or miscarriage
  • Identify genetic causes of unexplained conditions
22
Q

What is a bone marrow biopsy?

A

A procedure to take a small sample of bone marrow to diagnose or monitor blood disorders and cancers.

Bone marrow produces your blood cells (red blood cells, white blood cells, and platelets). This test helps doctors diagnose or monitor blood disorders, cancers like leukemia or lymphoma, and other conditions that affect your bone marrow.

23
Q

What happens during a bone marrow biopsy?

A
  • Patient is instructed on preparations
  • A sample is taken using a needle from the bone marrow
24
Q

What are the risks associated with a bone marrow biopsy?

A
  • Bleeding
  • Infection
  • Pain at the site
25
What aftercare tips are recommended post-bone marrow biopsy?
* Rest for the day * Keep the site clean * Follow any specific aftercare instructions
26
What are the main components of blood that a bone marrow biopsy tests for?
Red blood cells, white blood cells, and platelets
27
What is the primary purpose of a bone marrow biopsy?
To diagnose or monitor blood disorders, cancers like leukemia or lymphoma, and other conditions affecting bone marrow
28
What should you generally avoid before a bone marrow biopsy?
Eating for a few hours and certain medications like blood thinners
29
What position are you typically asked to lie in during a bone marrow biopsy?
On your side or sitting, depending on the biopsy site
30
What are the two steps of the bone marrow biopsy procedure?
* The skin over the biopsy site will be cleaned and numbed with a local anesthetic. The doctor will make a small cut in the skin and insert a hollow needle into the bone to remove the marrow. * Aspiration where a fluid marrow sample is taken * Core biopsy (solid marrow sample) The entire procedurere takes 20 to 30 minutes
31
How long does a bone marrow biopsy procedure usually take?
About 20 to 30 minutes
32
Does a bone marrow biopsy hurt?
It is done with local anesthesia, so pain is minimal, though some may feel pressure or brief sharp pain
33
What are some common risks associated with a bone marrow biopsy?
* Bleeding * Infection * Pain or discomfort * Bruising * Rare complications
34
What aftercare tips should be followed after a bone marrow biopsy?
* Rest * Apply ice to the biopsy site * Take over-the-counter pain relievers (avoid aspirin/ibuprofen) * Avoid heavy lifting for 24 to 48 hours
35
What should you avoid before a PCR test?
Eating or drinking irritating substances if symptomatic
36
What is the main use of a PCR test?
To detect genetic material from specific organisms like viruses or bacteria. The PCR test is very accurate and can detect infections even if you have very few symptoms or a low level of the virus or bacteria in your body.
37
What type of sample is commonly collected for a PCR test?
Nasal swab, throat swab, saliva, urine, or blood, COVID-19.
38
How long does the PCR test procedure usually take?
* The PCR test is usually done using a swab to collect a sample from the area being tested. The sample can be taken from the nose, throat, saliva, or even urine or blood, depending on the type of infection. * Nasal swabs are the most common, and a long, thin swab is gently inserted into your nostrils to collect a sample. It may feel a bit uncomfortable, like a slight tickling or pressure, but it should not be painful. * In some cases, a throat swab may be used, where the swab is gently rubbed on the back of your throat. * For saliva samples, you may be asked to spit into a special container. Only a few minutes. The special preparations required before the test is avoiding food or drink
39
What discomfort might a patient experience during a PCR test?
Tickling or pressure in the nose or throat
40
What are some risks associated with a PCR test?
* Discomfort * Minor bleeding or irritation * Infection (very rare)
41
What aftercare is recommended following a PCR test?
Resume regular activities, rinse mouth with warm salt water if needed
42
When can you expect results from a PCR test?
Usually within 24 hours to a few days
43
What are some reasons for conducting a PCR test?
* Diagnosing infections * Detecting genetic material from bacteria * Monitoring chronic infections * Screening for genetic disorders