Human Blood Composition and Functions

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Questions and Answers

What is the primary site of erythropoiesis in adults?

  • Spleen
  • Liver
  • Red bone marrow (correct)
  • Yolk sac

Which vitamin is NOT essential for erythropoiesis?

  • Vitamin B12
  • Vitamin C (correct)
  • Folic Acid (B9)
  • Iron

What is a common feature of iron deficiency anaemia?

  • Elevated folic acid levels
  • Decreased hemoglobin concentration (correct)
  • High levels of Vitamin B12
  • Increased red blood cell production

Which factor is essential for the absorption of Vitamin B12?

<p>Intrinsic factor (D)</p> Signup and view all the answers

Megaloblastic anaemia is primarily caused by a deficiency in which vitamin?

<p>Vitamin B12 (D)</p> Signup and view all the answers

What is the average blood volume in an adult?

<p>5 Liters (C)</p> Signup and view all the answers

Which of the following is a characteristic of sickle cell anaemia?

<p>Abnormal shape of red blood cells (C)</p> Signup and view all the answers

What component makes up approximately 55% of blood?

<p>Plasma (B)</p> Signup and view all the answers

What is a common characteristic of iron deficiency anemia?

<p>Decrease in mean cell volume (MCV) (D)</p> Signup and view all the answers

Which of the following is a cause of megaloblastic anemia?

<p>Folate deficiency (D)</p> Signup and view all the answers

Which type of cells are commonly seen in sickle cell anemia?

<p>Sickle-shaped red blood cells (B)</p> Signup and view all the answers

What might result from a deficiency of intrinsic factor related to vitamin B12?

<p>Pernicious anemia (D)</p> Signup and view all the answers

What is the primary result of increased red blood cell destruction in anemia?

<p>Lowered hemoglobin concentration (B)</p> Signup and view all the answers

What is NOT a characteristic of macrocytic anemia?

<p>Hyperchromic red blood cells (C)</p> Signup and view all the answers

Which of the following conditions is primarily hereditary?

<p>Sickle cell anemia (D)</p> Signup and view all the answers

In which situation could iron deficiency anemia commonly occur?

<p>Pregnancy or bleeding (B)</p> Signup and view all the answers

What is the primary hormone involved in the regulation of erythropoiesis in response to hypoxia?

<p>Erythropoietin (EPO) (D)</p> Signup and view all the answers

Which type of anaemia is characterized by a deficiency of iron in the body?

<p>Iron deficiency anaemia (D)</p> Signup and view all the answers

Which condition is a result of the abnormal production of hemoglobin leading to the deformation of red blood cells?

<p>Sickle cell anaemia (D)</p> Signup and view all the answers

What process produces all blood cells, including red blood cells?

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

Which type of anaemia is often associated with a deficiency of vitamin B12?

<p>Megaloblastic anaemia including pernicious anaemia (C)</p> Signup and view all the answers

What is thalassaemia primarily caused by?

<p>Hereditary defects in hemoglobin production (B)</p> Signup and view all the answers

In terms of blood composition, what is primarily affected in sickle cell anaemia?

<p>Red blood cell shape and function (D)</p> Signup and view all the answers

Which of the following is a characteristic of thalassaemias?

<p>Hereditary abnormal hemoglobin production (C)</p> Signup and view all the answers

What is the primary function of platelets in haemostasis?

<p>Facilitate coagulation and form a fibrin clot (C)</p> Signup and view all the answers

Which component is essential for the coagulation phase of haemostasis?

<p>Calcium (B)</p> Signup and view all the answers

Which pathway of coagulation is primarily activated by tissue injury?

<p>Extrinsic pathway (B)</p> Signup and view all the answers

What is the role of fibrinolysis in the body?

<p>Dissolution of clots after they are no longer needed (D)</p> Signup and view all the answers

Which of the following statements about the ABO blood group system is true?

<p>Blood group A has anti-B antibodies (A), Blood group B produces anti-A antibodies (B)</p> Signup and view all the answers

How are platelets produced in the body?

<p>From megakaryocytes in the bone marrow (C)</p> Signup and view all the answers

In which condition is there an increased risk of hemorrhage due to inadequate clotting?

<p>Thrombocytopenia (D)</p> Signup and view all the answers

What is a characteristic feature of fibrin clots?

<p>They provide a temporary matrix for healing (A)</p> Signup and view all the answers

What is the primary consequence of a Rh negative mother having an Rh positive baby during pregnancy?

<p>Haemolytic disease of the newborn (D)</p> Signup and view all the answers

Which blood group is considered the universal donor in emergencies?

<p>O- (C)</p> Signup and view all the answers

What role do platelets play in the process of haemostasis?

<p>Formation of a stable fibrin clot (B)</p> Signup and view all the answers

How is coagulation primarily controlled in the body?

<p>Via calcium and vitamin K (A)</p> Signup and view all the answers

Which of the following statements about haemostasis is correct?

<p>It involves a series of biochemical reactions to form fibrin clots. (A)</p> Signup and view all the answers

What is the main structure responsible for the clotting process in the blood?

<p>Platelets (D)</p> Signup and view all the answers

Which of the following groups can receive blood from a Rh positive donor?

<p>Rh positive individuals (C)</p> Signup and view all the answers

Which component is produced in response to the need for clotting after a vascular injury?

<p>Fibrinogen (D)</p> Signup and view all the answers

Which component is produced during the coagulation phase that helps stabilize the fibrin clot?

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

What role does calcium play in the clotting process?

<p>Supports the formation of thrombin (C)</p> Signup and view all the answers

Which blood group system is primarily determined by the presence of specific antigens on red blood cells?

<p>ABO system (C)</p> Signup and view all the answers

What initiates the extrinsic pathway of coagulation?

<p>Tissue factor binding to Factor VII (A)</p> Signup and view all the answers

Which of the following accurately describes platelets?

<p>Produced by megakaryocytes and lack a nucleus (A)</p> Signup and view all the answers

What is the primary enzyme involved in the process of fibrinolysis?

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

Which vitamin is necessary for the production of certain clotting factors in the liver?

<p>Vitamin K (C)</p> Signup and view all the answers

During which phase of haemostasis does vasoconstriction occur?

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

Which of the following is a consequence of decreased platelet numbers?

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

What is a characteristic aspect of the intrinsic pathway in coagulation?

<p>Involves Factor XI and co-factor VIII (B)</p> Signup and view all the answers

What is the final product formed when thrombin acts on fibrinogen during coagulation?

<p>Stable fibrin clot (C)</p> Signup and view all the answers

Which factor is involved in the stabilization of fibrin during the coagulation process?

<p>Factor XIII (B)</p> Signup and view all the answers

Which type of blood group is characterized as recessive within the ABO system?

<p>O (B)</p> Signup and view all the answers

What is the primary function of antithrombin in blood clotting control?

<p>Inhibits thrombin activity (D)</p> Signup and view all the answers

Which of the following best describes the primary function of lymphocytes in the immune system?

<p>Central role in immunological defense mechanisms (A)</p> Signup and view all the answers

Which white blood cell type is primarily involved in mediating allergic responses and fighting parasitic infections?

<p>Eosinophil (B)</p> Signup and view all the answers

Basophils release histamine and heparin during the inflammatory response. What is their main function?

<p>To mediate inflammatory responses (B)</p> Signup and view all the answers

What is the typical lifespan of monocytes in the blood before they migrate to tissues?

<p>3-4 days (C)</p> Signup and view all the answers

Which of the following white blood cells is least common in the bloodstream?

<p>Basophil (C)</p> Signup and view all the answers

What is the main characteristic that distinguishes neutrophils from other types of white blood cells?

<p>Phagocytic ability (C)</p> Signup and view all the answers

Which type of lymphocyte is primarily responsible for humoral immunity?

<p>B cells (D)</p> Signup and view all the answers

How do platelets contribute to hemostasis?

<p>By aggregating and sealing wounds (B)</p> Signup and view all the answers

Which type of white blood cells comprises approximately 50-70% of the total WBC count?

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

What distinguishes granulocytes from agranulocytes?

<p>Granulocytes have a nucleus with multiple lobes. (D)</p> Signup and view all the answers

Which of the following cells is primarily responsible for phagocytosis?

<p>Neutrophils (D)</p> Signup and view all the answers

How long do neutrophils typically circulate in the bloodstream before migrating to tissues?

<p>10 hours (C)</p> Signup and view all the answers

Which type of white blood cell is best known for its role in combating parasitic infections?

<p>Eosinophils (C)</p> Signup and view all the answers

What is the normal white blood cell count range for adults?

<p>4-11 x 10^9 /litre (C)</p> Signup and view all the answers

What process describes the migration of white blood cells out of the bloodstream into tissues?

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

Which characteristic of monocytes differentiates them from other types of white blood cells?

<p>They survive for several months in tissues. (C)</p> Signup and view all the answers

Flashcards

Anemia

A condition where the body does not have enough healthy red blood cells to carry adequate oxygen to the tissues.

Decreased RBC Production

Anemia caused by decreased production of red blood cells.

Iron Deficiency Anemia

A type of anemia where red blood cells are abnormally small and contain less hemoglobin than normal.

Hematopoiesis

The process of blood cell formation.

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Erythropoiesis

The production of red blood cells.

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Hemoglobin

A protein found in red blood cells that carries oxygen.

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Megaloblastic Anemia

A type of anemia caused by vitamin B12 or folate deficiency.

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Sickle Cell Anemia

A type of anemia caused by a genetic defect in the hemoglobin molecule, resulting in abnormal red blood cells that are sickle-shaped.

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Thalassemias

A group of hereditary blood disorders characterized by abnormal hemoglobin production.

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Erythropoietin (EPO)

A hormone primarily produced by the kidneys that stimulates the production of red blood cells in the bone marrow.

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Red bone marrow

The primary site of red blood cell production in adults, located within bones like ribs, vertebrae, and the skull.

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What is Haemostasis?

The process by which the body stops bleeding, forming a blood clot to seal a damaged blood vessel.

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What are the main components of haemostasis?

The main components of haemostasis are platelets, the coagulation cascade (clotting factors), and blood vessels.

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How are platelets produced and what is their main function?

Platelets are small, cell fragments produced in bone marrow from megakaryocytes. They stick together (aggregation) and release factors that help clot formation.

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How do vasoconstriction, platelets, and coagulation interact to form a stable fibrin clot?

Vasoconstriction narrows blood vessels, slowing blood flow. Platelets stick to the damaged area, forming a 'plug'. The coagulation cascade then forms a stable fibrin clot.

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Describe the coagulation phase of haemostasis

The coagulation phase is a complex series of reactions involving clotting factors (proteins) in the blood. It converts the soft platelet plug into a strong fibrin clot.

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Define the main components (clotting factors) of the intrinsic, extrinsic, and common pathways in coagulation?

The intrinsic pathway is activated by blood components. The extrinsic pathway is activated by factors outside the blood, like damaged tissue. Both pathways merge to form a common pathway leading to fibrin clot formation.

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How is coagulation controlled? What are the inhibitors of coagulation?

Calcium is essential for clotting factor activation. Vitamin K is needed for the synthesis of certain clotting factors. Inhibitors like antithrombin and protein C prevent uncontrolled clotting.

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Describe fibrinolysis

Fibrinolysis is the breakdown of the fibrin clot by the enzyme plasmin. It removes clots after healing, preventing blood vessels from becoming blocked.

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What is Haemolytic Disease of the Newborn (HDN)?

Haemolytic disease of the newborn (HDN) occurs when an Rh-negative mother carries an Rh-positive fetus, leading to the mother developing antibodies against fetal red blood cells. These antibodies can cross the placenta and attack the fetus's red blood cells, causing hemolysis (destruction of red blood cells) and potential complications.

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What are the main components of the ABO blood group system?

The ABO blood group system classifies blood based on the presence or absence of A and B antigens on red blood cells. People with type A blood have the A antigen, type B have the B antigen, type AB have both, and type O have neither. This system is important for blood transfusion, as receiving incompatible blood can trigger a dangerous immune response.

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What is the Rh blood group system?

Rh-positive individuals have the Rh D antigen on their red blood cells, while Rh-negative individuals do not. Rh incompatibility can occur when an Rh-negative mother carries an Rh-positive fetus, leading to complications including hemolytic disease of the newborn.

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What are the blood donation rules?

Blood donation rules prioritize giving recipients their own blood group (red blood cells) whenever possible. However, in emergencies, O negative blood is considered the universal donor because it lacks A, B, and Rh D antigens, making it less likely to cause an immune response.

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What are the intrinsic and extrinsic pathways of coagulation?

The intrinsic pathway is activated by factors within the blood (e.g., damaged blood vessels), while the extrinsic pathway is triggered by factors outside the blood (e.g., tissue damage). Both pathways converge on the common pathway, culminating in the formation of a fibrin clot.

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What is fibrinolysis?

Fibrinolysis is the process of breaking down a clot. It involves the activation of plasmin, an enzyme that dissolves fibrin, restoring blood flow.

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Haemostasis

The process by which the body stops bleeding, involving a series of events that lead to the formation of a blood clot.

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Vasoconstriction

The constriction of blood vessels at the site of injury, reducing blood flow and promoting clot formation.

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Platelets

Small, oval-shaped cells lacking a nucleus, vital for blood clotting.

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Platelet Adhesion & Aggregation

The process of platelets adhering to the damaged blood vessel wall and then forming a sticky clump.

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Coagulation Phase

The final stage of haemostasis, forming a stable fibrin mesh that traps blood cells and platelets to form a clot.

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Fibrinogen

A protein found in plasma that is converted into insoluble fibrin during the coagulation phase, forming the meshwork of a blood clot.

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Fibrin

The insoluble fibrous protein that forms the meshwork of a blood clot.

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Tissue factor

A substance released from damaged tissues that initiates the extrinsic pathway of coagulation.

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Extrinsic Pathway

A series of reactions that begins with tissue factor, and ultimately leads to thrombin activation.

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Intrinsic Pathway

A series of reactions that begins with the activation of factor XII, and ultimately leads to thrombin activation.

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Prothrombinase

A complex formed by FXa (activated factor X) and FVa (activated factor V), which converts prothrombin into thrombin.

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Thrombin

An enzyme that plays a central role in coagulation by converting fibrinogen into fibrin.

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Calcium

A mineral essential for normal blood clotting, involved in various steps and processes of coagulation.

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Vitamin K

A vitamin vital for the production of several clotting factors in the liver, including prothrombin.

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Anticoagulants

Substances in plasma that help prevent excessive clotting and keep blood flowing smoothly.

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What are white blood cells?

White blood cells (WBCs) are a key part of the immune system, defending the body against pathogens, removing toxins and waste, and clearing damaged cells.

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What are granulocytes?

Granulocytes are WBCs with granular cytoplasm, containing enzymes and other substances that help them fight infections. Examples include neutrophils, eosinophils, and basophils.

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What are agranulocytes?

Agranulocytes are WBCs with non-granular cytoplasm and play a crucial role in specific immune responses. Lymphocytes and monocytes are examples.

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What are neutrophils and what is their function?

Neutrophils are the most common type of WBCs, making up 50-70% of the total. They are the first responders to bacterial infections, destroying bacteria through phagocytosis.

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What are eosinophils and what is their function?

Eosinophils are WBCs that play a key role in fighting parasitic infections and allergic reactions. They release toxic compounds to kill parasites and control inflammation.

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What are basophils and what is their function?

Basophils are the least common WBCs, involved in allergic responses. They release histamine and other chemicals that promote inflammation.

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What are lymphocytes and what is their function?

Lymphocytes are a diverse group of WBCs responsible for specific immunity. They recognize and target specific pathogens, providing long-term protection against infections.

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What are monocytes and what is their function?

Monocytes are large, phagocytic WBCs that circulate in the blood for a short time before migrating to tissues. They differentiate into macrophages, engulfing debris and pathogens.

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Basophils

White blood cells that release histamine and heparin, contributing to inflammation and allergic reactions. They are the least common type of WBC, comprising less than 1% of the total.

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Eosinophilia

A condition characterized by an abnormally high number of eosinophils in the blood. This can indicate parasitic infections, allergic reactions, or certain types of cancer.

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Monocytes

White blood cells that are the largest of the leukocytes and have a large, kidney-shaped nucleus. They play a crucial role in phagocytizing (engulfing) foreign invaders and debris in tissues, differentiating into macrophages.

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Lymphocytes

A type of white blood cell that is part of the body's immune system and plays a vital role in fighting infection. Lymphocytes can be broadly classified into T cells, B cells, and NK cells, each with specific roles in immune defense.

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T cells

White blood cells that are crucial in cell-mediated immunity, attacking infected cells directly. They help to destroy viruses, bacteria, and other pathogens.

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B cells

White blood cells that produce antibodies, playing a vital role in humoral immunity. Antibodies bind to pathogens, neutralizing them and marking them for destruction.

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NK cells

White blood cells that are part of the innate immune system and play a vital role in killing infected cells and tumor cells. They act as a first line of defense against pathogens and abnormal cells.

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Agranulocytes

A group of leukocytes (white blood cells) that lack the noticeable granules found in other types. They include monocytes and lymphocytes, and play crucial roles in immune defense.

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Study Notes

Blood Composition and Components

  • Blood is approximately 55% plasma (range 46-63%)
  • Plasma is mainly water (92%), with proteins (7%) including albumin, globulins, fibrinogen, and regulatory proteins.
  • Other solutes (1%) include electrolytes, organic nutrients, and waste products.
  • Blood also contains formed elements: red blood cells (45%), white blood cells and platelets (<1%)

Blood Functions

  • Transport of inorganic and organic molecules, formed elements, and heat.
  • Transport of gases (O2 and CO2), nutrients, excretory products (waste), and temperature regulation.
  • Defence through antibodies and white blood cells, and clotting factors.

Blood Cell Production (Hematopoiesis)

  • Hematopoiesis is the formation of blood cells.
  • Multipotential hematopoietic stem cells (Hemocytoblasts) are the precursor cells of all blood cells.
  • The Common Myeloid Progenitor produces erythrocytes, megakaryocytes and granulocytes.
  • The Common Lymphoid Progenitor produces lymphocytes and natural killer cells.

Erythropoiesis (Red Blood Cell Production)

  • Erythropoiesis is the production of red blood cells, crucial for oxygen transport.
  • Requirements for Erythropoiesis include: Erythropoietin (EPO), iron, vitamins B12 & folic acid, intrinsic factor, and amino acids.
  • Erythropoiesis occurs in the yolk sac (fetus), then in the liver and spleen (fetus), and finally in the bone marrow (infant and adult), with different locations playing varying roles at different stages.
  • Rate of production is approximately 2-3 million red blood cells per second.

Red Blood Cell Structure and Function

  • Red blood cells (erythrocytes) are biconcave discs, flexible to pass through narrow capillaries.
  • They are anucleate (lack a nucleus), lacking organelles, and filled primarily with haemoglobin .
  •  Haemoglobin carries oxygen from the lungs to the tissues and carbon dioxide from the tissues back to the lungs, facilitating gas exchange.

Red Blood Cell Breakdown and Recycling

  • Aged or damaged red blood cells are broken down by macrophages in the spleen and liver, essential for maintaining homeostasis.
  • Haemoglobin is broken down into heme (and then biliverdin) and the globin chain.
  • Iron is salvaged and stored in the spleen; bilirubin is secreted into the bile.

Erythrocyte Homeostasis

  • Erythropoiesis is regulated by the amount of oxygen in the blood.
  • When oxygen levels drop (hypoxia), the kidneys release erythropoietin (EPO) stimulating red blood cell production in the bone marrow, maintaining a balance.

Haemoglobin (Hb)

  • Haemoglobin is a protein in red blood cells, which binds to oxygen.
  • Approximately 280 million Hb molecules per red blood cell.
  • Synthesis begins in the proerythroblast, 65% is completed by the erythroblast stage and final 35% during the reticulocyte stage.
  • Hb carries oxygen from lungs to tissues and carbon dioxide from tissues to lungs, facilitating the transport of these vital substances throughout the body.
  • Normal blood Hb levels are approximately 12-16 g/dL for females and 13.5-17.5 g/dL for males.

Adult Haemoglobin (HbA)

  • Composed of 4 subunits: 2 alpha (α) and 2 beta (β) subunits.
  • Each subunit contains a "haem" group which is a ferrous iron atom (Fe²⁺) able to bind to oxygen reversibly, crucial for oxygen transport.

Anemia

  • Anemia is defined as a condition where haemoglobin concentration in blood falls below normal levels, leading to various symptoms.
  • Types of anemia include:
    • Iron deficiency anemia
    • Megaloblastic anemia (e.g, vitamin B12 deficiency, folate deficiency)
    • Sickle cell anemia
    • Thalassemias

Iron Deficiency Anemia

  • Most common type of anemia worldwide.
  • Characterized by hypochromic and microcytic red blood cells (reduced Hb content and smaller size).
  • Causes include pregnancy, blood loss, dietary deficiencies, and others, like malabsorption issues.
  • Diagnosis of iron deficiency anemia involves identifying the cause as proper treatment requires addressing underlying issues.

Megaloblastic Anemia

  • Can be due to vitamin B12 or folate deficiency, causing issues with red blood cell division and growth factors.
  • Characterized by macrocytic red blood cells (larger size) and abnormalities during mitosis.
  • Causes involve issues with red blood cell division, dietary insufficiencies, or inadequate intrinsic factor.
  • Vitamin B12 deficiency can also result in pernicious anemia where an intrinsic factor is lacking, impacting vitamin B12 absorption. 

Sickle Cell Anemia

  • Hereditary blood disorder (typically African or West Indian descent) causing abnormal hemoglobin structure.
  • Abnormal haemoglobin causes red blood cells to change shape (sickle shape) which can get stuck in blood vessels leading to issues, necessitating ongoing care.

Thalassemias

  • Hereditary blood disorder (typically Mediterranean, Middle/Far Eastern descent).
  • Abnormal haemoglobin production leading to abnormal red blood cell shape, typically smaller size.

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