Podcast
Questions and Answers
What is the primary result of hemolytic anemia?
What is the primary result of hemolytic anemia?
- Increased red blood cell destruction (correct)
- Decreased platelet production
- Increased clotting factor synthesis
- Decreased white blood cell production
Which of the following is a common mechanism of hemolytic anemia?
Which of the following is a common mechanism of hemolytic anemia?
- Immune-mediated destruction (correct)
- Vitamin B12 deficiency
- Decreased erythropoietin production
- Iron deficiency
What is the primary difference between intravascular and extravascular hemolysis?
What is the primary difference between intravascular and extravascular hemolysis?
- Extravascular hemolysis results in hemolyzed plasma.
- Extravascular hemolysis is always immune-mediated.
- Intravascular hemolysis occurs within blood vessels. (correct)
- Intravascular hemolysis only affects erythrocytes.
What is a typical finding in intravascular hemolysis?
What is a typical finding in intravascular hemolysis?
What role does haptoglobin play in intravascular hemolysis?
What role does haptoglobin play in intravascular hemolysis?
What is the primary process in extravascular hemolysis?
What is the primary process in extravascular hemolysis?
Which finding is commonly associated with extravascular hemolysis?
Which finding is commonly associated with extravascular hemolysis?
Which of the following is a potential cause of hemolytic anemia?
Which of the following is a potential cause of hemolytic anemia?
Which of the following clinical signs is associated with hemolytic anemia?
Which of the following clinical signs is associated with hemolytic anemia?
Which of these findings is MOST indicative of Immune-Mediated Hemolytic Anemia (IMHA)?
Which of these findings is MOST indicative of Immune-Mediated Hemolytic Anemia (IMHA)?
What is the typical mechanism of red blood cell destruction in IMHA?
What is the typical mechanism of red blood cell destruction in IMHA?
Which of the following can cause IMHA?
Which of the following can cause IMHA?
What clinical finding is often observed in dogs with IMHA but is less common in other species?
What clinical finding is often observed in dogs with IMHA but is less common in other species?
In a dog with IMHA, what does agglutination of red blood cells indicate?
In a dog with IMHA, what does agglutination of red blood cells indicate?
Which test is used to detect the presence of antibodies on the surface of red blood cells?
Which test is used to detect the presence of antibodies on the surface of red blood cells?
What can cause a false negative result on a Coombs' test?
What can cause a false negative result on a Coombs' test?
What is the primary risk associated with neonatal isoerythrolysis?
What is the primary risk associated with neonatal isoerythrolysis?
In which species is neonatal isoerythrolysis a concern due to naturally occurring antibodies?
In which species is neonatal isoerythrolysis a concern due to naturally occurring antibodies?
What is the significance of 'rouleaux' formation on a blood film?
What is the significance of 'rouleaux' formation on a blood film?
How does a saline dilution test help differentiate between rouleaux and agglutination?
How does a saline dilution test help differentiate between rouleaux and agglutination?
Which term describes red blood cell destruction caused by mycoplasma?
Which term describes red blood cell destruction caused by mycoplasma?
How are hemotropic mycoplasmas generally transmitted?
How are hemotropic mycoplasmas generally transmitted?
Which domestic animal is affected by Mycoplasma haemocanis?
Which domestic animal is affected by Mycoplasma haemocanis?
What is the main method for definitively diagnosing hemotropic mycoplasma infections?
What is the main method for definitively diagnosing hemotropic mycoplasma infections?
What is the drug of choice for treating hemotropic mycoplasma infections?
What is the drug of choice for treating hemotropic mycoplasma infections?
What are the vectors that transmits Cytauxzoon felis?
What are the vectors that transmits Cytauxzoon felis?
Which species is most severely affected by Cytauxzoon felis infection?
Which species is most severely affected by Cytauxzoon felis infection?
What is the morphology of Babesia organisms seen within red blood cells?
What is the morphology of Babesia organisms seen within red blood cells?
Which tick genus primarily transmits Babesia canis?
Which tick genus primarily transmits Babesia canis?
In the US, which canine population shows the HIGHEST incidence of Babesia gibsoni?
In the US, which canine population shows the HIGHEST incidence of Babesia gibsoni?
Which disease is diagnosed using the Coggins test?
Which disease is diagnosed using the Coggins test?
What primary mechanism does acetaminophen toxicity cause that can lead to hemolytic anemia?
What primary mechanism does acetaminophen toxicity cause that can lead to hemolytic anemia?
How does zinc toxicity cause hemolytic anemia?
How does zinc toxicity cause hemolytic anemia?
Ingestion of what type of tree leaves is particularly toxic to horses and causes marked anemia with Heinz bodies?
Ingestion of what type of tree leaves is particularly toxic to horses and causes marked anemia with Heinz bodies?
What is the primary consequence of hypophosphatemia that leads to hemolytic anemia?
What is the primary consequence of hypophosphatemia that leads to hemolytic anemia?
Pyruvate kinase (PK) deficiency primarily affects which cellular process?
Pyruvate kinase (PK) deficiency primarily affects which cellular process?
Which of the following breeds is predisposed to pyruvate kinase deficiency?
Which of the following breeds is predisposed to pyruvate kinase deficiency?
What term describes red blood cell destruction caused by water intoxication?
What term describes red blood cell destruction caused by water intoxication?
A blood smear from a dog with suspected IMHA shows numerous spherocytes and strong autoagglutination, yet the initial Coombs' test is negative. What is the MOST likely explanation for this?
A blood smear from a dog with suspected IMHA shows numerous spherocytes and strong autoagglutination, yet the initial Coombs' test is negative. What is the MOST likely explanation for this?
A veterinarian is evaluating a blood smear and observes structures resembling small, dot-like organisms on the surface of erythrocytes. Further investigation reveals that these organisms lack a cell wall and are susceptible to tetracycline antibiotics. Which of the following infectious agents is MOST consistent with these findings?
A veterinarian is evaluating a blood smear and observes structures resembling small, dot-like organisms on the surface of erythrocytes. Further investigation reveals that these organisms lack a cell wall and are susceptible to tetracycline antibiotics. Which of the following infectious agents is MOST consistent with these findings?
Researchers are investigating a novel treatment for pyruvate kinase (PK) deficiency in Basenji dogs, focusing on enhancing ATP production within erythrocytes. Which of the following interventions would be MOST directly relevant to addressing the underlying pathophysiology of PK deficiency?
Researchers are investigating a novel treatment for pyruvate kinase (PK) deficiency in Basenji dogs, focusing on enhancing ATP production within erythrocytes. Which of the following interventions would be MOST directly relevant to addressing the underlying pathophysiology of PK deficiency?
What is the underlying mechanism of hemolytic anemia?
What is the underlying mechanism of hemolytic anemia?
In intravascular hemolysis, where does the destruction of red blood cells primarily occur?
In intravascular hemolysis, where does the destruction of red blood cells primarily occur?
Which of the following is a characteristic finding specifically associated with intravascular hemolysis?
Which of the following is a characteristic finding specifically associated with intravascular hemolysis?
What is the typical appearance of plasma in a case of intravascular hemolysis?
What is the typical appearance of plasma in a case of intravascular hemolysis?
Why might an artifactual increase in Mean Corpuscular Hemoglobin Concentration (MCHC) be observed in cases of intravascular hemolysis?
Why might an artifactual increase in Mean Corpuscular Hemoglobin Concentration (MCHC) be observed in cases of intravascular hemolysis?
In extravascular hemolysis, where are the red blood cells primarily removed and destroyed?
In extravascular hemolysis, where are the red blood cells primarily removed and destroyed?
Which of the following findings is typically associated with extravascular hemolysis but NOT intravascular hemolysis?
Which of the following findings is typically associated with extravascular hemolysis but NOT intravascular hemolysis?
What type of anemia is typically observed in hemolytic conditions, unless it is peracute or bone marrow response is impaired?
What type of anemia is typically observed in hemolytic conditions, unless it is peracute or bone marrow response is impaired?
Which of the following is NOT a major category of causes for hemolytic anemia?
Which of the following is NOT a major category of causes for hemolytic anemia?
Immune-mediated hemolytic anemia (IMHA) is primarily characterized by:
Immune-mediated hemolytic anemia (IMHA) is primarily characterized by:
In most cases of IMHA, red blood cell destruction occurs via which mechanism?
In most cases of IMHA, red blood cell destruction occurs via which mechanism?
Which of these conditions is LEAST likely to be a cause of secondary IMHA?
Which of these conditions is LEAST likely to be a cause of secondary IMHA?
What is spherocytosis, a common finding in canine IMHA, and why is it significant?
What is spherocytosis, a common finding in canine IMHA, and why is it significant?
What does the presence of agglutination in a blood sample strongly suggest in the context of hemolytic anemia?
What does the presence of agglutination in a blood sample strongly suggest in the context of hemolytic anemia?
Why is a saline dilution test important when evaluating agglutination?
Why is a saline dilution test important when evaluating agglutination?
What is the Coombs' test designed to detect?
What is the Coombs' test designed to detect?
Which of the following factors can lead to a false negative Coombs' test result in a patient with IMHA?
Which of the following factors can lead to a false negative Coombs' test result in a patient with IMHA?
In feline blood types, which blood type is associated with strong naturally occurring antibodies against type A blood?
In feline blood types, which blood type is associated with strong naturally occurring antibodies against type A blood?
Neonatal isoerythrolysis in cats is primarily a concern when:
Neonatal isoerythrolysis in cats is primarily a concern when:
Which canine blood group is considered the most clinically significant due to its high immunogenicity and involvement in transfusion reactions?
Which canine blood group is considered the most clinically significant due to its high immunogenicity and involvement in transfusion reactions?
What is the primary mechanism by which hemotropic mycoplasmas cause hemolytic anemia?
What is the primary mechanism by which hemotropic mycoplasmas cause hemolytic anemia?
What is the most reliable method for definitively diagnosing hemotropic mycoplasma infections?
What is the most reliable method for definitively diagnosing hemotropic mycoplasma infections?
Which antibiotic class is typically used to treat hemotropic mycoplasma infections?
Which antibiotic class is typically used to treat hemotropic mycoplasma infections?
Cytauxzoon felis is a protozoal parasite transmitted by ticks that causes severe hemolytic anemia primarily in which species?
Cytauxzoon felis is a protozoal parasite transmitted by ticks that causes severe hemolytic anemia primarily in which species?
What is the typical morphology of Babesia organisms as seen within red blood cells on a blood smear?
What is the typical morphology of Babesia organisms as seen within red blood cells on a blood smear?
Babesia gibsoni infection is most commonly observed in which canine population in the United States?
Babesia gibsoni infection is most commonly observed in which canine population in the United States?
What is the primary toxic effect of acetaminophen that leads to hemolytic anemia?
What is the primary toxic effect of acetaminophen that leads to hemolytic anemia?
Ingestion of red maple leaves primarily causes hemolytic anemia in horses due to:
Ingestion of red maple leaves primarily causes hemolytic anemia in horses due to:
Hypophosphatemia leads to hemolytic anemia primarily by:
Hypophosphatemia leads to hemolytic anemia primarily by:
Pyruvate kinase (PK) deficiency is a hereditary condition affecting which crucial cellular process in red blood cells?
Pyruvate kinase (PK) deficiency is a hereditary condition affecting which crucial cellular process in red blood cells?
Which of the following dog breeds is known to have a predisposition for pyruvate kinase deficiency?
Which of the following dog breeds is known to have a predisposition for pyruvate kinase deficiency?
Osmotic hemolysis, also known as water intoxication-induced hemolysis, occurs when red blood cells are exposed to:
Osmotic hemolysis, also known as water intoxication-induced hemolysis, occurs when red blood cells are exposed to:
In a case scenario of suspected IMHA with strong autoagglutination and spherocytes but an initial negative Coombs' test, what is the MOST probable explanation for the false negative?
In a case scenario of suspected IMHA with strong autoagglutination and spherocytes but an initial negative Coombs' test, what is the MOST probable explanation for the false negative?
A veterinarian observes small, dot-like epicellular organisms lacking a cell wall on erythrocytes of a dog. These organisms are susceptible to tetracyclines. Which infectious agent is MOST likely?
A veterinarian observes small, dot-like epicellular organisms lacking a cell wall on erythrocytes of a dog. These organisms are susceptible to tetracyclines. Which infectious agent is MOST likely?
Researchers are investigating treatments for pyruvate kinase (PK) deficiency. Targeting which of the following metabolic pathways would be MOST directly relevant to improving erythrocyte function in PK-deficient dogs?
Researchers are investigating treatments for pyruvate kinase (PK) deficiency. Targeting which of the following metabolic pathways would be MOST directly relevant to improving erythrocyte function in PK-deficient dogs?
Considering the clinical findings of a three-day-old foal with weakness, dark urine, icteric mucous membranes and the provided lab data showing low PCV, RBC, high bilirubin and normal MCHC, which condition is MOST suspicious?
Considering the clinical findings of a three-day-old foal with weakness, dark urine, icteric mucous membranes and the provided lab data showing low PCV, RBC, high bilirubin and normal MCHC, which condition is MOST suspicious?
In the 'Luna' case (9-year-old miniature horse), the CBC results show macrocytic (high MCV) anemia. Considering hemolytic anemia is suspected, what is the MOST likely explanation for the increased MCV?
In the 'Luna' case (9-year-old miniature horse), the CBC results show macrocytic (high MCV) anemia. Considering hemolytic anemia is suspected, what is the MOST likely explanation for the increased MCV?
Based on Luna's leukogram (high WBC, high Seg N, normal Lymphocytes and Monocytes), which interpretation is MOST consistent with hemolytic anemia and potential inflammation?
Based on Luna's leukogram (high WBC, high Seg N, normal Lymphocytes and Monocytes), which interpretation is MOST consistent with hemolytic anemia and potential inflammation?
The blood film from 'Luna' shows linear arrangements of red blood cells. What is the MOST appropriate term to describe this finding?
The blood film from 'Luna' shows linear arrangements of red blood cells. What is the MOST appropriate term to describe this finding?
In the blood film of 'Luna', a red blood cell with a displaced hemoglobin and a clear 'bite-like' area is observed. What is the correct terminology for this morphologic abnormality?
In the blood film of 'Luna', a red blood cell with a displaced hemoglobin and a clear 'bite-like' area is observed. What is the correct terminology for this morphologic abnormality?
Based on Luna's CBC and blood film findings (macrocytic regenerative anemia, eccentrocytes, rouleaux, inflammatory leukogram, hemoglobinuria), what is the MOST likely underlying mechanism of her hemolytic anemia?
Based on Luna's CBC and blood film findings (macrocytic regenerative anemia, eccentrocytes, rouleaux, inflammatory leukogram, hemoglobinuria), what is the MOST likely underlying mechanism of her hemolytic anemia?
Which of the following best describes the underlying cause of hemolytic anemias?
Which of the following best describes the underlying cause of hemolytic anemias?
Which of the following is commonly observed in cases of intravascular hemolysis?
Which of the following is commonly observed in cases of intravascular hemolysis?
Why might an artificial increase in MCHC present in cases of intravascular hemolysis?
Why might an artificial increase in MCHC present in cases of intravascular hemolysis?
In the context of hemolytic anemia, what is the significance of haptoglobin?
In the context of hemolytic anemia, what is the significance of haptoglobin?
In extravascular hemolysis, liberated hemaglobin is...
In extravascular hemolysis, liberated hemaglobin is...
Which of the following is a cause of hemolytic anemia related to immune dysfunction?
Which of the following is a cause of hemolytic anemia related to immune dysfunction?
Which of the following best describes spherocytosis, a common finding in canine IMHA?
Which of the following best describes spherocytosis, a common finding in canine IMHA?
What does agglutination suggest in the context of hemolytic anemia?
What does agglutination suggest in the context of hemolytic anemia?
Why is performing a saline dilution test important when evaluating a blood sample for agglutination?
Why is performing a saline dilution test important when evaluating a blood sample for agglutination?
Which factor can lead to a false negative Coombs' test result in a patient with IMHA?
Which factor can lead to a false negative Coombs' test result in a patient with IMHA?
Which is MOST likely to have naturally-occurring antibodies?
Which is MOST likely to have naturally-occurring antibodies?
A veterinarian is presented with a feline patient that requires a blood transfusion. Why is it particularly important to perform blood typing in cats before transfusion?
A veterinarian is presented with a feline patient that requires a blood transfusion. Why is it particularly important to perform blood typing in cats before transfusion?
Which canine blood group is considered the most clinically significant and why?
Which canine blood group is considered the most clinically significant and why?
A blood smear reveals the presence of small, epicellular organisms adhering to the surface of erythrocytes. Which diagnostic method would MOST accurately confirm the presence of hemotropic mycoplasmas?
A blood smear reveals the presence of small, epicellular organisms adhering to the surface of erythrocytes. Which diagnostic method would MOST accurately confirm the presence of hemotropic mycoplasmas?
What is the treatment of choice for infections caused by hemotropic mycoplasmas?
What is the treatment of choice for infections caused by hemotropic mycoplasmas?
A cat from Oklahoma presents with severe hemolytic anemia. Which parasitic disease should be at the top of your differential list?
A cat from Oklahoma presents with severe hemolytic anemia. Which parasitic disease should be at the top of your differential list?
What is the MOST common presenting complaint in a horse with Red Maple Leaf Toxicity?
What is the MOST common presenting complaint in a horse with Red Maple Leaf Toxicity?
Which of the following is the most accurate description of the mechanism of hypophosphatemia-induced hemolysis?
Which of the following is the most accurate description of the mechanism of hypophosphatemia-induced hemolysis?
A young Basenji is evaluated for chronic lethargy and exercise intolerance. A blood smear reveals evidence of hemolytic anemia. Given the breed predisposition, which of the following enzyme deficiencies is MOST likely?
A young Basenji is evaluated for chronic lethargy and exercise intolerance. A blood smear reveals evidence of hemolytic anemia. Given the breed predisposition, which of the following enzyme deficiencies is MOST likely?
A veterinarian encounters a case of severe osmotic hemolysis following the administration of intravenous fluids. Which of the following scenarios is MOST likely to have caused this?
A veterinarian encounters a case of severe osmotic hemolysis following the administration of intravenous fluids. Which of the following scenarios is MOST likely to have caused this?
In acute blood loss, why might a complete blood count (CBC) appear normal immediately following the event?
In acute blood loss, why might a complete blood count (CBC) appear normal immediately following the event?
Following acute blood loss, what physiological process leads to a decrease in packed cell volume (PCV) and plasma protein levels within 12-24 hours?
Following acute blood loss, what physiological process leads to a decrease in packed cell volume (PCV) and plasma protein levels within 12-24 hours?
In a dog that experienced acute blood loss 4 days prior, which CBC findings would indicate a regenerative response?
In a dog that experienced acute blood loss 4 days prior, which CBC findings would indicate a regenerative response?
Why might the total protein level remain normal in a patient with internal blood loss, such as a hem abdomen?
Why might the total protein level remain normal in a patient with internal blood loss, such as a hem abdomen?
Which of the following best describes 'PEMA' in the context of IMHA?
Which of the following best describes 'PEMA' in the context of IMHA?
In a dog with IMHA, what does a positive saline agglutination test indicate?
In a dog with IMHA, what does a positive saline agglutination test indicate?
What is the purpose of performing a saline dilution test when assessing for agglutination?
What is the purpose of performing a saline dilution test when assessing for agglutination?
In the context of anemia diagnostics, what does a positive Coombs' test indicate?
In the context of anemia diagnostics, what does a positive Coombs' test indicate?
What factors can cause a false negative result when performing the Coombs' test?
What factors can cause a false negative result when performing the Coombs' test?
Why are blood transfusions in cats more complicated than in dogs regarding naturally occurring antibodies?
Why are blood transfusions in cats more complicated than in dogs regarding naturally occurring antibodies?
What is the primary concern regarding neonatal isoerythrolysis in kittens born to a type B queen?
What is the primary concern regarding neonatal isoerythrolysis in kittens born to a type B queen?
What is the hallmark microscopic finding of hemotropic mycoplasma infections?
What is the hallmark microscopic finding of hemotropic mycoplasma infections?
A veterinarian suspects a cat has a hemotropic mycoplasma infection. Which diagnostic test would be MOST appropriate to confirm this?
A veterinarian suspects a cat has a hemotropic mycoplasma infection. Which diagnostic test would be MOST appropriate to confirm this?
Red maple leaf toxicity causes hemolytic anemia due to:
Red maple leaf toxicity causes hemolytic anemia due to:
How does acute blood loss typically affect total protein (TP) levels?
How does acute blood loss typically affect total protein (TP) levels?
In intravascular hemolysis, what substance is released into the plasma due to red blood cell lysis?
In intravascular hemolysis, what substance is released into the plasma due to red blood cell lysis?
Elevation of which complete blood count parameter is most likely an artifact found in laboratory analysis?
Elevation of which complete blood count parameter is most likely an artifact found in laboratory analysis?
In extravascular hemolysis, where are RBCs primarily destroyed?
In extravascular hemolysis, where are RBCs primarily destroyed?
What laboratory finding would you expect to see in a case of extravascular hemolysis?
What laboratory finding would you expect to see in a case of extravascular hemolysis?
How does the regenerative response typically differ between hemolytic anemia and blood loss anemia?
How does the regenerative response typically differ between hemolytic anemia and blood loss anemia?
Which of the following is an underlying cause of hemolytic anemias?
Which of the following is an underlying cause of hemolytic anemias?
What is meant by 'autoimmune' in the context of IMHA?
What is meant by 'autoimmune' in the context of IMHA?
What is the clinical significance of observing spherocytes in a blood sample?
What is the clinical significance of observing spherocytes in a blood sample?
A canine patient presents with IMHA. The veterinarian wishes to assess for underlying trigger. Which of the following is LEAST likely to be an underlying cause of secondary IMHA?
A canine patient presents with IMHA. The veterinarian wishes to assess for underlying trigger. Which of the following is LEAST likely to be an underlying cause of secondary IMHA?
Before performing a blood transfusion. Is pre-sensitization needed?
Before performing a blood transfusion. Is pre-sensitization needed?
What is the major incompatibility you should be worried about blood transfusions?
What is the major incompatibility you should be worried about blood transfusions?
What morphological characteristic helps distinguish Anaplasma marginale from Howell-Jolly bodies on a blood smear?
What morphological characteristic helps distinguish Anaplasma marginale from Howell-Jolly bodies on a blood smear?
A blood smear from a dog reveals many small, pale erythrocytes with reduced central pallor, suggestive of spherocytes. However, the veterinarian notes significant echinocytosis due to improper blood smear preparation. How does the presence of echinocytosis complicate the interpretation for spherocytes, and what steps can be taken to address this?
A blood smear from a dog reveals many small, pale erythrocytes with reduced central pallor, suggestive of spherocytes. However, the veterinarian notes significant echinocytosis due to improper blood smear preparation. How does the presence of echinocytosis complicate the interpretation for spherocytes, and what steps can be taken to address this?
During a blood smear review, a veterinary technician identifies what appears to be rouleaux formation, but they are unsure if it is true rouleaux or agglutination. They perform a saline dilution test and find that the cell arrangements easily disperse with the addition of saline. What is the BEST interpretation of these findings?
During a blood smear review, a veterinary technician identifies what appears to be rouleaux formation, but they are unsure if it is true rouleaux or agglutination. They perform a saline dilution test and find that the cell arrangements easily disperse with the addition of saline. What is the BEST interpretation of these findings?
Which feature is a protozoal disease?
Which feature is a protozoal disease?
What are haptoglobins?
What are haptoglobins?
Regarding diagnostic testing for IMHA, a veterinarian reads two articles with differing protocols when running a saline-glutination on blood specimen. Article A's protocol is to mix 1 drop of blood with 1 drop of saline. Article B's protocol is to mix 1 drop of blood wth 10 drops of saline. Which statement below is MOST accurate?
Regarding diagnostic testing for IMHA, a veterinarian reads two articles with differing protocols when running a saline-glutination on blood specimen. Article A's protocol is to mix 1 drop of blood with 1 drop of saline. Article B's protocol is to mix 1 drop of blood wth 10 drops of saline. Which statement below is MOST accurate?
What is the initial expected complete blood count (CBC) result during an acute blood loss event?
What is the initial expected complete blood count (CBC) result during an acute blood loss event?
How does the body respond to restore normal blood volume after acute blood loss?
How does the body respond to restore normal blood volume after acute blood loss?
How long after an acute hemorrhage would a regenerative response be expected in a patient with healthy bone marrow?
How long after an acute hemorrhage would a regenerative response be expected in a patient with healthy bone marrow?
What characterizes the classic CBC and chemistry findings in a patient experiencing acute blood loss anemia after the compensatory fluid shift?
What characterizes the classic CBC and chemistry findings in a patient experiencing acute blood loss anemia after the compensatory fluid shift?
How might internal blood loss (e.g., hemoabdomen) affect total protein levels differently than external hemorrhage?
How might internal blood loss (e.g., hemoabdomen) affect total protein levels differently than external hemorrhage?
Other than blood loss, what is another primary mechanism for regenerative anemia?
Other than blood loss, what is another primary mechanism for regenerative anemia?
What feature characterizes hemolytic anemia?
What feature characterizes hemolytic anemia?
What are the two broad categories of hemolytic anemia based on the location of red blood cell destruction?
What are the two broad categories of hemolytic anemia based on the location of red blood cell destruction?
Under what condition might a hemolytic anemia be non-regenerative?
Under what condition might a hemolytic anemia be non-regenerative?
What findings suggest a combination of intravascular and extravascular hemolysis?
What findings suggest a combination of intravascular and extravascular hemolysis?
In what circumstances is increased Mean Corpuscular Hemoglobin Concentration (MCHC) likely to be a real finding?
In what circumstances is increased Mean Corpuscular Hemoglobin Concentration (MCHC) likely to be a real finding?
Red Blood Cell (RBC) ghosts are an indication of?
Red Blood Cell (RBC) ghosts are an indication of?
You observe hemolyzed plasma from a blood sample you took, what does this finding suggest?
You observe hemolyzed plasma from a blood sample you took, what does this finding suggest?
Which would not be a classic sign of intravascular hemolysis?
Which would not be a classic sign of intravascular hemolysis?
Which of the following findings is MOST indicative of intravascular hemolysis in a blood sample?
Which of the following findings is MOST indicative of intravascular hemolysis in a blood sample?
In intravascular hemolysis, why does hemoglobinuria occur?
In intravascular hemolysis, why does hemoglobinuria occur?
What protein binds to hemoglobin?
What protein binds to hemoglobin?
What clinical scenario would most likely overwhelm the capacity of circulating haptoglobin?
What clinical scenario would most likely overwhelm the capacity of circulating haptoglobin?
In extravascular hemolysis, what is the appearance of the plasma?
In extravascular hemolysis, what is the appearance of the plasma?
What causes icterus in extravascular hemolysis?
What causes icterus in extravascular hemolysis?
In extravascular hemolysis, where might you observe the destruction of red blood cells?
In extravascular hemolysis, where might you observe the destruction of red blood cells?
With extravascular hemolysis, how does the process occur?
With extravascular hemolysis, how does the process occur?
What is the predominant initial cause of immune-mediated hemolytic anemias?
What is the predominant initial cause of immune-mediated hemolytic anemias?
In immune-mediated hemolytic anemia (IMHA), antibodies on the surface of red blood cells lead to destruction by which two main mechanisms?
In immune-mediated hemolytic anemia (IMHA), antibodies on the surface of red blood cells lead to destruction by which two main mechanisms?
A patient with immune-mediated hemolytic anemia (IMHA) also has very low platelets. What might this comorbidity be referred to as?
A patient with immune-mediated hemolytic anemia (IMHA) also has very low platelets. What might this comorbidity be referred to as?
What are you observing if you are seeing inflammatory leukogram on a patient with IMHA?
What are you observing if you are seeing inflammatory leukogram on a patient with IMHA?
Why is it important to differentiate agglutination from rouleaux?
Why is it important to differentiate agglutination from rouleaux?
What is the underlying cause of rouleaux?
What is the underlying cause of rouleaux?
What can cause a cold agglutinin?
What can cause a cold agglutinin?
How is a saline dilution prepared to differentiate agglutination from rouleaux?
How is a saline dilution prepared to differentiate agglutination from rouleaux?
Is the Coombs test necessary if a autoagglutination is already present?
Is the Coombs test necessary if a autoagglutination is already present?
What is the primary reason for false negatives in the Coombs test?
What is the primary reason for false negatives in the Coombs test?
An animal is on corticosteroids. Will you get a false positive or false negative in the Coombs test?
An animal is on corticosteroids. Will you get a false positive or false negative in the Coombs test?
Which of the following is the MOST accurate description of 'PEMA' in the context of IMHA?
Which of the following is the MOST accurate description of 'PEMA' in the context of IMHA?
Why are cats considered different from dogs and horses when talking about blood transfusions?
Why are cats considered different from dogs and horses when talking about blood transfusions?
Why is it important to blood type cats?
Why is it important to blood type cats?
Will neonatal isoerythrolysis be seen once the animal is born?
Will neonatal isoerythrolysis be seen once the animal is born?
Which blood type poses a significant risk for neonatal isoerythrolysis if they produce kittens with type A or type AB blood?
Which blood type poses a significant risk for neonatal isoerythrolysis if they produce kittens with type A or type AB blood?
What is a reason to consider cross-matching?
What is a reason to consider cross-matching?
In a case of acute hemorrhage, why might a complete blood count (CBC) appear normal immediately following the event?
In a case of acute hemorrhage, why might a complete blood count (CBC) appear normal immediately following the event?
A veterinarian observes, under a microscope, an elevated Heinz body count on a blood smear from a canine blood sample. Knowing that Heinz bodies indicate the red blood cell has undergone an oxidative change, which is the LEAST likely cause?
A veterinarian observes, under a microscope, an elevated Heinz body count on a blood smear from a canine blood sample. Knowing that Heinz bodies indicate the red blood cell has undergone an oxidative change, which is the LEAST likely cause?
After running a saline agglutination test on a canine blood sample, you observe under the microscope well-defined, clear separation between red blood cells as well as the noticeable 'coin-stacking' pattern. What is the MOST likely cause?
After running a saline agglutination test on a canine blood sample, you observe under the microscope well-defined, clear separation between red blood cells as well as the noticeable 'coin-stacking' pattern. What is the MOST likely cause?
Flashcards
Hemolytic Anemia
Hemolytic Anemia
Anemia due to increased destruction of red blood cells.
Intravascular Hemolysis
Intravascular Hemolysis
RBC lysis occurs within blood vessels.
Intravascular Hemolysis Signs
Intravascular Hemolysis Signs
Hemolyzed plasma, increased MCHC, RBC ghosts.
Hemoglobinuria
Hemoglobinuria
Signup and view all the flashcards
Haptoglobin (Hp)
Haptoglobin (Hp)
Signup and view all the flashcards
Haptoglobin-hemoglobin complex
Haptoglobin-hemoglobin complex
Signup and view all the flashcards
Extravascular Hemolysis
Extravascular Hemolysis
Signup and view all the flashcards
Immune-Mediated Hemolytic Anemia (IMHA)
Immune-Mediated Hemolytic Anemia (IMHA)
Signup and view all the flashcards
Agglutination
Agglutination
Signup and view all the flashcards
Saline Dilution Test for Agglutination
Saline Dilution Test for Agglutination
Signup and view all the flashcards
Rouleaux
Rouleaux
Signup and view all the flashcards
Coombs' Test
Coombs' Test
Signup and view all the flashcards
Autoimmune Hemolytic Anemia cause
Autoimmune Hemolytic Anemia cause
Signup and view all the flashcards
Drug-Induced IMHA
Drug-Induced IMHA
Signup and view all the flashcards
Neonatal Isoerythrolysis
Neonatal Isoerythrolysis
Signup and view all the flashcards
Animal Blood Groups
Animal Blood Groups
Signup and view all the flashcards
Canine DEA 1
Canine DEA 1
Signup and view all the flashcards
Feline Blood Type
Feline Blood Type
Signup and view all the flashcards
Neonatal Isoerythrolysis in Cats
Neonatal Isoerythrolysis in Cats
Signup and view all the flashcards
Hemotropic Mycoplasmas
Hemotropic Mycoplasmas
Signup and view all the flashcards
Hemotropic Mycoplasmas Diagnosis
Hemotropic Mycoplasmas Diagnosis
Signup and view all the flashcards
Canine Babesia Species
Canine Babesia Species
Signup and view all the flashcards
Transmission of Babesia
Transmission of Babesia
Signup and view all the flashcards
Piroplasms
Piroplasms
Signup and view all the flashcards
Trypanosomiasis
Trypanosomiasis
Signup and view all the flashcards
Haemoproteus sp.
Haemoproteus sp.
Signup and view all the flashcards
Avian Plasmodium
Avian Plasmodium
Signup and view all the flashcards
Hemosregarins
Hemosregarins
Signup and view all the flashcards
Equine Infections Anemia
Equine Infections Anemia
Signup and view all the flashcards
Leptospirosis
Leptospirosis
Signup and view all the flashcards
Bacillary Hemoglobinuria
Bacillary Hemoglobinuria
Signup and view all the flashcards
Heinz Bodies
Heinz Bodies
Signup and view all the flashcards
Methemoglobin
Methemoglobin
Signup and view all the flashcards
Eccentrocytes and Pyknocytes
Eccentrocytes and Pyknocytes
Signup and view all the flashcards
Oxidative RBC Injury Causes
Oxidative RBC Injury Causes
Signup and view all the flashcards
Hypophosphatemia
Hypophosphatemia
Signup and view all the flashcards
PK Deficiency
PK Deficiency
Signup and view all the flashcards
PK Deficiency results
PK Deficiency results
Signup and view all the flashcards
Osmotic Hemolysis
Osmotic Hemolysis
Signup and view all the flashcards
Regenerative vs. Non-regenerative Anemia
Regenerative vs. Non-regenerative Anemia
Signup and view all the flashcards
Hemorrhage
Hemorrhage
Signup and view all the flashcards
Hemolysis
Hemolysis
Signup and view all the flashcards
Iron Deficiency
Iron Deficiency
Signup and view all the flashcards
Initial Blood Loss
Initial Blood Loss
Signup and view all the flashcards
Spleen's role in acute blood loss
Spleen's role in acute blood loss
Signup and view all the flashcards
Body's response to hypovolemia
Body's response to hypovolemia
Signup and view all the flashcards
Hemorrhagic Anemia CBC findings
Hemorrhagic Anemia CBC findings
Signup and view all the flashcards
Early Hemorrhagic Anemia
Early Hemorrhagic Anemia
Signup and view all the flashcards
Internal Blood Loss Anemia
Internal Blood Loss Anemia
Signup and view all the flashcards
Autoimmune
Autoimmune
Signup and view all the flashcards
Precursor-Targeted IMHA (PIMA)
Precursor-Targeted IMHA (PIMA)
Signup and view all the flashcards
IMHA Severity
IMHA Severity
Signup and view all the flashcards
Spherocytes
Spherocytes
Signup and view all the flashcards
IMHA Leukogram
IMHA Leukogram
Signup and view all the flashcards
Increased Liver Enzymes in IMHA
Increased Liver Enzymes in IMHA
Signup and view all the flashcards
Evans Syndrome
Evans Syndrome
Signup and view all the flashcards
Agglutination variability
Agglutination variability
Signup and view all the flashcards
Protein and Rouleaux formation
Protein and Rouleaux formation
Signup and view all the flashcards
Saline dilution principle
Saline dilution principle
Signup and view all the flashcards
Cold Agglutination
Cold Agglutination
Signup and view all the flashcards
Autoagglutination and IMHA
Autoagglutination and IMHA
Signup and view all the flashcards
False Negatives Coombs Test - causes
False Negatives Coombs Test - causes
Signup and view all the flashcards
Prozone Effect
Prozone Effect
Signup and view all the flashcards
Dal Antigen
Dal Antigen
Signup and view all the flashcards
1st transfusion safe dogs/horses?
1st transfusion safe dogs/horses?
Signup and view all the flashcards
Type A blood to Type B cat reaction
Type A blood to Type B cat reaction
Signup and view all the flashcards
Cross-matching
Cross-matching
Signup and view all the flashcards
Major Crossmatch
Major Crossmatch
Signup and view all the flashcards
Minor Crossmatch
Minor Crossmatch
Signup and view all the flashcards
Infectious Organisms & Hemolytic Anemia
Infectious Organisms & Hemolytic Anemia
Signup and view all the flashcards
Mycoplasma characteristics
Mycoplasma characteristics
Signup and view all the flashcards
Mycoplasma pathogenicity
Mycoplasma pathogenicity
Signup and view all the flashcards
Mycoplasma haemocanis
Mycoplasma haemocanis
Signup and view all the flashcards
Mycoplasma ovis ID
Mycoplasma ovis ID
Signup and view all the flashcards
Anaplasma marginale
Anaplasma marginale
Signup and view all the flashcards
Protozoa
Protozoa
Signup and view all the flashcards
Babesia canis morphology
Babesia canis morphology
Signup and view all the flashcards
Babesia gibsoni
Babesia gibsoni
Signup and view all the flashcards
Cytauxzoon felis
Cytauxzoon felis
Signup and view all the flashcards
Bovine Babesiosis
Bovine Babesiosis
Signup and view all the flashcards
Trypanosoma cruzi
Trypanosoma cruzi
Signup and view all the flashcards
Hemoproteus avian.
Hemoproteus avian.
Signup and view all the flashcards
Plasmodium avia
Plasmodium avia
Signup and view all the flashcards
Haemogregarines reptile.
Haemogregarines reptile.
Signup and view all the flashcards
Leukocytozoon avi.
Leukocytozoon avi.
Signup and view all the flashcards
Study Notes
- Regenerative anemia is classified based on two basic mechanisms: blood loss (hemorrhage) and hemolysis (increased red cell destruction).
Hemorrhagic Anemias
- Chronic hemorrhage can lead to an iron-deficient state and eventually result in non-regenerative anemia.
Hemolytic Anemias
- Sometimes, destruction of both mature and immature cells (bone marrow precursor cells) can result in a non-regenerative anemia.
- Hemolytic anemias can be intravascular, extravascular, or a combination of both and clues from a CBC, red cell shapes, and inclusions can aid in determining the type.
Blood Loss Anemia
- Three-year-old Bichon, Phil, hit by a car, physical exam revealed multiple lacerations and hemorrhage, along with a fractured femur and pale mucous membranes, diagnosed with shock, pain, and hemorrhage.
- Initial CBC showed everything within normal limits.
- In acute blood loss, everything lost equally, including plasma, red cells, and protein, so CBC can appear normal initially.
- The body compensates for hypovolemia through fluid shifts from extravascular to intravascular fluid and epinephrine release, which triggers the spleen to contract and release concentrated red cells and platelets, temporarily increasing the hematocrit.
- Fluid shifts and fluid therapy dilute the remaining blood, leading to decreased packed cell volume (PCV) and decreased plasma proteins, typically seen 12-24 hours post-hemorrhage.
- On day two, Phil's hematocrit decreased, presenting mild anemia, MCV and MCHC were normal, and protein levels also decreased, is not regenerative as expected time is 3-5 days.
- On day six, the hematocrit increased, the MCV became macrocytic, the MCHC became hypochromic, and protein returned to the low end of the reference interval, indicating regeneration.
- Early acute phase everything looks normal, low PCV and total protein are observed and if splenic contraction occurs a normal PCV with low protein could be seen.
- Internal blood loss, such as with a hemoabdomen due to a sarcoma, might show normal protein levels because protein is reabsorbed more easily than red cells from peritoneal fluid.
Hemolytic Anemias: Causes
- Common causes of increased red cell destruction include immune-mediated hemolytic anemia (IMHA), infectious diseases, oxidation injury to red cells, and fragmentation.
- Fragmentation is typically associated with less severe anemias than IMHA and infectious causes.
- Hemolytic anemias are generally considered regenerative because the bone marrow is unaffected and iron can be recycled.
Intravascular Hemolysis
- Classic sign is hemolyzed plasma, can occur due to mishandling.
- Artifactually increased MCHC detected and RBC ghosts are visible on blood films.
- Hemoglobinuria occurs because free hemoglobin passes through the glomerulus unless haptoglobin is available, which is tested through heme/blood dipstick tests.
- Hyperbilirubinemia and bilirubinuria are also observed due to increased breakdown products.
- Haptoglobin binds free hemoglobin and prevents it from passing through the glomerulus.
- Hemoglobinuric nephrosis, which results due to hemoglobin damaging the renal tubules occurs in cases of severe hemolytic anemias.
Extravascular Hemolysis
- Characterized by clear plasma, absence of hemoglobinuria, and regenerative anemia, hyperbilirubinemia and bilirubinuria are still present.
- Macrophages phagocytize antibody-coated RBCs, break them down, recover iron and heme, convert heme to biliverdin then bilirubin, and release bilirubin into the blood which leads to icterus.
Immune-Mediated Hemolytic Anemia (IMHA)
- Biggest cause is idiopathic, other potential causes include infection, parasitic related.
- Anemia typically presents as severe presentation.
- Non-regenerative anemia can occur when targeting RBC precursor cells (precursor-targeted immune-mediated anemia or PIMA).
- Agglutination of RBCs and a positive Coombs test, and spherocytosis (in dogs) are common findings.
- The spleen removes parts of the cell membrane with bound antibody creating spherocytes.
IMHA: Other Findings
- Inflammatory leukogram (neutrophilia, left shift, toxic changes) and increased liver enzymes (ALT, AST), is an inflammatory response to RBC destruction.
- Concurrent immune-mediated thrombocytopenia could arise which is Evan's syndrome: IMHA + ITP.
Agglutination vs Rouleaux
- Confirmation done through wet prep, through saline dilution.
- rouleaux is an abnormal finding in dogs when there are high protein or globulin levels.
- RBCs have negatively charged protein residues, repelling each other to prevent stacking Globulins have a net positive charge and can coat RBCs, neutralizing charges and allowing Rouleaux formation.
- To differentiate, mix one drop of blood with ten drops of saline and examine microscopically.
- Cold agglutinins, which can disperse with warming, can complicate the determination of true agglutination.
Coombs' Test (DAT)
- Detects RBC antibodies, even without autoagglutination.
- Induces agglutination of antibody-coated RBCs.
- A positive result indicates the presence of antibodies on RBCs.
- Conduct saline dilution before test, autoagglutination makes test redundant.
- False negatives can occur due to too little Ab, corticosteroid treatment, Ab washing off.
- False positives can occur due to a prozone effect with too much anti-Ab added and is avoided by diluting the sample.
Canine IMHA Diagnostic Flow Chart
- Anemia confirmed and look for two or more signs of immune-mediated destruction: spherocytes, positive saline agglutination test (without washing), positive direct agglutination test (Coombs test), or flow cytometry.
- If findings are found, look for signs of hemolysis: hyperbilirubinemia, bilirubinuria/icterus (rule out liver disease), hemoglobinemia, hemoglobinuria, RBC ghosts.
- If hemolytic indicators present and diagnostic for IMHA.
- If only one sign of destruction is indicated, assess for secondary presence of hemoglobinuria, hemoglobinemia, anemia, schizocytes, ghosts to confirm diagnosis.
Autoimmune Hemolytic Anemia
- More common in middle-aged dogs, females, or neutered males as well as Cocker Spaniels.
- Usually strongly regenerative, but not if antibodies are against RBC precursors.
Drug-Induced IMHA
- Theory is drug binding on RBC surface forms a hapten, which induces an immune response.
- Reported drugs include cephalosporins in dogs, penicillin in horses, levamisole in dogs, and sulfonamides in dogs and horses.
Blood Group Incompatibility-Induced Hemolysis
- The amount of blood related antigens are complicated, name often derived by letters, or even dog breeds discovered with.
- Transfusion reactions and neonatal isoerythrolysis involve immune responses against nonself blood cell antigens.
- In dogs, DEA 1 is the most problematic and in horses, AA and QA blood groups are the most immunogenic.
- Dogs and horses require presensitization through prior exposure , while cats do not.
- Cats have A, B, and AB blood types, with most being type A.
- Type B is rare overall like Abyssininan, Bermese, etc, B antigen even higher, exotic and British, short-haired, Cornish, and Devon Rex
- Type A cats have small amounts of naturally occurring anti-B antibodies, leading to mild transfusion reactions if given type B blood.
- Type B cats have large amounts of naturally-occurring anti-A antibody, leading to strong, potentially fatal transfusion reactions if given type A blood.
- Transfusion reactions don't require sensitization of host.
- Blood typing cards are available for cats and dogs (DEA 1.1)- agglutination on the pad corresponding with patient’s blood type.
- Blood cross-matching is used to assess compatibility.
- Major cross-match: donor RBCs + recipient serum to detect antibodies against donor RBCs
- Minor cross-match: recipient RBCs + donor serum to detect antibodies against recipient RBCs in donor blood- less important.
Neonatal Isoerythrolysis (NI)
- In horses, NI is due to blood type incompatibility between the mare and foal is mainly Aa and Qa blood groups are the most immunogenic.
- Requires sensitization from a prior incompatible foal.
- Foals receive antibodies against their own RBC antigens in colostrum, leading to hemolytic anemia.
- In cats, NI occurs in type B queens with type A or AB kittens, and sensitization is not required and if a type B queen has type A or AB kittens the antibody will attack.
- Kittens get anti-A antibodies in colostrum, leading to severe hemolytic anemia 4–48 hours after birth.
Infectious Organisms
- Includes hemotropic mycoplasmas, RBC Anaplasmosis, and RBC Protozoal infections.
Hemotropic Mycoplasmas
- Most have been reclassified as mycoplasmas, and previously Hemobartonella or Eperythrozoon.
- Transmitted by arthropod vectors +/- vertical transmission.
- Anemia occurs, especially in immunocompromised patients; most infections are subclinical.
- Anemia occurs, especially in immunocompromised patients; subclinical infections are common.
- Diagnostic conventions were mycoplasma hemo-whatever species.
- Mycoplasma haemocanis, is found in dogs formerly Hemobartonella canis.
- Mycoplasma haemofelis infects cats, as well as M. haemominutum, M. turicencis
- Mycoplasma ovis infects sheep & goats.
- Mycoplasma haemosuis infects pigs.
- Mycoplasma (Eperythrozoon) wenyonii infects cattle, mainly causing mastitis rather hemotologic.
- Anaplasma marginale looks similar (dots), but is intracellular.
- Mycoplasma haemolamae infects llamas & alpacas.
- Diagnosis is through microscopic examination of blood, but false negative results are possible, so PCR analysis of blood can be more beneficial/more specific.
- Treatment includes tetracycline or doxycycline and organisms are resistant to β-lactam antibiotics.
- Transmission of feline hemotropic mycoplasmosis occurs from Fleas, transfusions, etc.
- M. hemofelis is more pathogenic than M. haemominutum & M. turicencis, and FeLV co-infection may increase severity.
- In dogs, Mycoplasma haemocanis is transmitted by arthropods, transfusions, or maternal routes with carrier/asymptomatic state is common.
- RBC Anaplasmosis involves Anaplasma marginale in cattle and Anaplasma ovis in sheep & goats, where dots appear on the margins for Anaplasm marginale.
RBC Protozoal Infections
- Typically have a tissue stage, usually arthropod vectors (ticks).
- Morphology is described as a “signet ring” with nucleus and cytoplasm referred as piroplasms.
- Babesia canis vogeli*, Babesia gibsoni, Babesia coco infects dogs.
- Cytauxzoon felis infects cats.
- Babesia equi*, Babesia caballi infects horses.
- Babesia bigemina, Babesia bovis infects cattle.
- Babesia canis, or Babesia canis vogeli is carried by ticks (Rhipicephalus) and maternal transmission and causes hemolytic anemia with subclinical carriers, and is most common South and SE US- Grey hounds show positive incidents
- Babesia gibsoni is most common in the US within pit bulls through ticks, dog bites, and maternal routes and causes hemolytic anemia/IMHA, ,PCR testing is more sensitive.
- Cytauxzoonosis in cats is most common in SE and south central US and is carried by bobcats (uncommon in North Eeast), schizonts grow in macrophages, release merozoites that infect RBCs, schizonts are sometimes found in circulation, causes Hemolytic anemia/rapid death.
- Bovine Babesiosis causes intravascular hemolysis by escaping merozoites, Increased osmotic fragility of RBCs, and Secondary immune mediated splenic removal of red blood cells.
- Trypanosomiasis is when infection of Trypanosoma cruzi (Chagas disease)" infecting cardiac muscle tissue. Vector is the “Kissing bug” in South and Central America, Mexico, and the Southern US- effects are on Organisms that do not infect blood cells, but may be found in circulation.
- RBC Parasites In Birds and Reptiles are infections from Protozoal parasites.
- Hemoproteus sp. affects > 50% of erythrocytes parasitized without signs of disease with Insect vectors and Mature gametocytes exhibiting yellow-brown pigment granules.
- Plasmodium sp. is transmitted by mosquitos that are parasites which are found in Gametocytes and Schizonts or trophozoites in blood cells in thrombocytes or lymphocytes.
- Haemogregarines, Hemoproteus sp-like parasites, infect reptiles, amphobians, or fish through insect vectors and are usually have low pathogenicity.
- Leucocytozoon sp. is a Common protozoal parasite in birds which may cause anorexia, dehydration, depression, hemolytic anemia, and hemoglobinuria where the Gametocytes seen in distorted RBCs.
Other Infectious Anemias
- Equine Infectious Anemia is due to a Retrovirus leading to IMHA, immunosuppression, myelodysplasia and chronic infection can cause suppression of erythropoiesis and Coggins test for EIA testing.
- Leptospirosis is transmitted through various serovars and induce acute hemolysis, mostly in calve, piglets, & lambs with IMHA and Hemolysins that produce Fever, anorexia, dyspnea, icterus, hemoglobinuria, anemia.
- Bacillary Hemoglobinuria, also known as "red water disease” in cattle & sheep produce Clostridium haemolyticum/Clostridium novyi type D where GI tract proliferate due to Bacteria proliferate in anaerobic environment which affects creating RBC membrane damage. Intravascular hemolysis, hemoglobinuria, and gas gangrene may also result.
Oxidation RBC Injury/Hemolysis
- Oxidation RBC Injury/Hemolysis manifests through Heinz bodies, Methemoglobin, Eccentrocytes and pyknocytes.
- Common Causes of Oxidation RBC Injury include Acetaminophen, Onions & garlic, Zinc, Red maple leaves, Naphthalene, Kale & Brassica sp. (ruminants), Copper (sheep, goats), Phenothiazine (horses), Skunk musk, Crude oil (birds), Benzocaine, and Propofol.
- Propofol can cause increased Heinz bodies in cats, but it typically does not result in anemia.
- Methemoglobinemia is created when oxidation converts the Fe atoms to the ferric (Fe3+) state which disables oxygen binding, and in large amounts, gives blood a "chocolate brown" color sometimes reversible.
- Acetaminophen in Cats Toxic dosage: ~10 mg/kg, reactive intermediate breakdown products deplete RBC glutathione and cause oxidation damage, unlike Dogs, where liver damage is more common with toxicity.
- Zinc Toxicity coins (post-1982 US cents with zinc core- surface damage), other zinc metal objects, zinc oxide ointments- Leads to hemolytic anemia due to oxidant injury, marked by Spherocytes, eccentrocytes, Heinz bodies (high), and liver and kidney failure.
- Red Maple Leaf Toxicity affects horses and camelids due to its fallen leaves toxicity which is marked by anemia with Heinz bodies along hemoglobinuria and if Lethal a 4-5 lb consumption.
Hypophosphatemia & PK Deficiency
- Hypophosphatemia, Low P levels leading to low ATP levels in RBCs cause decreased membrane integrity which is seen in Postpartum cattle/sheep/goats, Dogs & cats with diabetes.
- PK Deficiency, or Pyruvate Kinase Deficiency is a rare autosomal recessive Deficiency due to Decreased ATP by the Embden-Meyerhof pathway. Increased extravascular RBC destruction of RBCs, increased RBC production for Compensate and then eventually resulting in myelofibrosis and osteosclerosis then fatal about 3-4 years into life. Genetic tests test specific breed tests for Basenjis, Beagles, West Highland White terriers, and cairn terriers.
- Osmotic Hemolysis due to With administration of hypotonic fluids that causes excess water to enter RBCs which effects the cells capacity. Excess drinking of water in calves post deprivation, as well as Accidental distilled water results in hemolytic issues.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.