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Questions and Answers
What is a primary focus when managing haematological disorders?
What is a primary focus when managing haematological disorders?
Which skill is crucial for diagnosing haematological disorders?
Which skill is crucial for diagnosing haematological disorders?
Which aspect of haematological disorders is essential for patient management?
Which aspect of haematological disorders is essential for patient management?
What is a critical component of the epidemiology of haematological disorders?
What is a critical component of the epidemiology of haematological disorders?
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What should knowledge of the pathophysiological basics lead to in the context of haematological disorders?
What should knowledge of the pathophysiological basics lead to in the context of haematological disorders?
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What are the key areas of knowledge related to haematological disorders?
What are the key areas of knowledge related to haematological disorders?
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Which aspect is NOT included in the management of haematological disorders?
Which aspect is NOT included in the management of haematological disorders?
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Which skill is emphasized for the interpretation of haematological disorders?
Which skill is emphasized for the interpretation of haematological disorders?
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Which of the following is a necessary outcome of understanding haematological disorders?
Which of the following is a necessary outcome of understanding haematological disorders?
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What is an essential goal when managing patients with haematological disorders?
What is an essential goal when managing patients with haematological disorders?
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Study Notes
Haematology Overview
- Haematology is the study of blood and blood-forming tissues
- This presentation focuses on learning objectives, blood cell disorders, haematological indices, and anemia
Learning Objectives
- Knowledge: Understand the pathophysiology, etiology, epidemiology, manifestations, complications, and management of hematological disorders
- Skills: Interpret clinical presentations and investigations, apply evidence-based management plans, distinguish emergency situations, and ensure patient homeostasis
Blood Cell Disorders
- The presentation introduces blood cell disorders as a specific topic for study
Hematological Indices
- Red Blood Cells (RBCs)
- Source: Yolk sac (early development), liver and spleen, bone marrow (adult)
- Stages of development: Totipotent stem cells→pluripotent stem cells → committed stem cells→proerythroblasts→erythroblasts→normoblasts→reticulocytes→RBCs
- Shape: Biconcave
- Count: Male: 4.5-6 million/mm3, Female: 3.8-4.8 million/mm3
- Diameter: 7.2 microns
- Abnormal shapes: Spherocytes, Sickle cells, Target cells, Microcytes, Macrocytes, Megalocytes, Anisocytosis
- Hematocrit (PCV or HCT): Volume of packed RBCs in 100ml blood, Normal = 45%, ↑ PCV=dehydration/polycythemia, ↓ PCV=hypervolemia/anemia
- Mean corpuscular volume (MCV): Volume of RBCs, ↑MCV=macrocytic, ↓MCV=microcytic
- Mean corpuscular hemoglobin (MCH): Amount of Hb/100ml blood, ↓MCH=hypochromic
- Mean corpuscular hemoglobin concentration (MCHC): Concentration of Hb/100ml blood, ↓MCHC=hypochromic
- Erythrocyte sedimentation rate (ESR): Vertical distance of RBCs in blood column, Increased ESR = inflammation, infections, cancer, autoimmune diseases
- Reticulocytes: Immature RBCs, indicator of bone marrow activity, Increased reticulocytosis = hemolysis, acute hemorrhage, anemia with treatment, absent reticulocytosis = bone marrow failure
- Blood Film Analysis
- Identifies abnormal RBC shapes, associated with various diseases (e.g., sickle cell anemia, spherocytosis).
- Other important parameters: Hemoglobin (Hb) normal values (Male :13.5-16 gms%, Female: 11.5-13.5 gms%), low Hb levels=anemia or hypervolemia
Anemia
- Reduced oxygen-carrying capacity of the blood
- Identified as Hb < 11.5 gm% in females and Hb < 13 gm% in males
- Etiology: Diminished intake, diminished absorption, increased loss, and increased requirements
Polycythemia
- High red blood cell count (RBCs > 6 million/mm3), elevated hematocrit (PCV > 55%), and increased red blood cell volume (>36 mL/kg in males, 32 mL/kg in females).
- Types: primary polycythemia vera and secondary polycythemia
Hemostasis
- Maintaining blood inside blood vessels (keeps blood in the lumen of blood vessels)
- Balance between clotting and anti-clotting systems
- Components: Blood vessels, platelets, coagulation system
White Blood Cell Disorders
- Leukemia : Uncontrolled proliferation, abnormal white blood cells in blood
- Classification: Acute and chronic, from myelocytic or lymphocytic origin.
- Etiology: Radiation, chemicals, drugs, genetic factors, and infections
- Lymphoma: Malignant proliferation of lymphoreticular system. Types: Hodgkin and non-Hodgkin lymphomas
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Description
Test your knowledge of haematology, the study of blood and blood-forming tissues. This quiz covers learning objectives, blood cell disorders, haematological indices, and anemia. Assess your understanding of the pathophysiology, complications, and management of hematological disorders.