Hemophilia A Overview
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Questions and Answers

What is Hemophilia A?

  • A hereditary bleeding disorder caused by a lack of blood clotting factor VIII. (correct)
  • A hereditary bleeding disorder caused by a lack of blood clotting factor IX.
  • An acquired bleeding disorder.
  • A lifestyle disease.

What is the genetic cause of Hemophilia A?

An inherited X-linked recessive trait.

Most people with Hemophilia A are female.

False (B)

What are some symptoms of Hemophilia A?

<p>Bruising (B), Bleeding into joints (C), Nosebleeds (D)</p> Signup and view all the answers

The main symptom of Hemophilia A is __________.

<p>bleeding</p> Signup and view all the answers

What tests are used to diagnose Hemophilia A?

<p>Coagulation study including prothrombin time, bleeding time, fibrinogen level, and partial thromboplastin time (PTT).</p> Signup and view all the answers

What treatments are available for Hemophilia A?

<p>Replacing the missing clotting factor. (A)</p> Signup and view all the answers

Desmopressin (DDAVP) can be used to treat mild cases of Hemophilia A.

<p>True (A)</p> Signup and view all the answers

Study Notes

Hemophilia A Overview

  • Hemophilia A is a hereditary bleeding disorder caused by a deficiency in blood clotting factor VIII.
  • Insufficient factor VIII leads to improper coagulation and inability to control bleeding.

Causes

  • It is an inherited X-linked recessive trait, with the defective gene located on the X chromosome.
  • Males are predominantly affected due to having only one X chromosome; a defective gene on it results in hemophilia A.
  • Females can be carriers with one defective gene and can pass it to offspring.
  • Risk factors include a family history of bleeding disorders and male gender.

Symptoms

  • Symptoms vary in severity, with bleeding being the primary indicator.
  • Initial symptoms often manifest during infancy, especially during circumcision.
  • Internal bleeding can occur unpredictably, with other symptoms including:
    • Joint bleeding causing pain and swelling
    • Hematuria (blood in urine) or hematochezia (blood in stool)
    • Bruising, nosebleeds, and prolonged bleeding from injuries or surgeries.
    • Spontaneous bleeding may also occur.

Tests

  • Coagulation studies are necessary for diagnosing suspected bleeding disorders.
  • Key tests for hemophilia A include:
    • Prothrombin time
    • Bleeding time
    • Fibrinogen levels
    • Partial thromboplastin time (PTT)
    • Serum factor VIII activity

Treatment

  • Treatment involves replacing the missing factor VIII, often through factor IX concentrates, dosed according to individual needs.
  • Mild cases may use desmopressin (DDAVP) to stimulate release of stored factor VIII.
  • Preventive treatment is crucial for severe cases, especially before surgeries or dental work.
  • Patients are advised to receive the hepatitis B vaccine due to increased risk associated with blood products.
  • Management may be necessary for those who develop inhibitors to factor VIII, potentially using factor VIIa for clotting.

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Description

This quiz provides a comprehensive overview of Hemophilia A, a hereditary bleeding disorder. You will learn about its causes, symptoms, and how it affects individuals. Understand the genetic factors and inheritance patterns that contribute to this condition.

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