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Anemia
N/A
40
Veterinary Medicine
Graduate
02/12/2015

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Cards

Term
Anemia
Definition

Clinical sign, not a disease

reduction in haemoglobin concentration

Term
What are the types of Anemia?
Definition
Regnerative and Non regenerative
Term
What is the sequel to peripheral blood cells?
Definition
stem cells->Progenitor Cells -> Precursor cells-> Blood cells
Term
How do you evaluate Anemia?
Definition

Total RBC

Haemoglobin concentration

Packed Cell volume

Corpuscular values ( MCV and MCHC) 

Reticulocyte count

 

Term
What two types of reticulocytes can you get?
Definition
Aggregate vs. punctate
Term
What are reticulocytes?
Definition

immature red cells

quantitate erythrocyte regenerative responses. 

Term
What is the normal range for PCV?
Definition

Dog: 38-57%

Cats: 24-45%

Term
What is the normal range for serum total protein
Definition

Dog: 58-76

Cat: 60-80 g/l

Term
What are some of the adjectives for describing anemia?
Definition

Macrocytic

microcytic

normocytic

based on cell size and mean cell volume

 

hypo or normochromic - based on mean cell haemaglobin concentration. 

Term
Where might you see a normal macrocytosis
Definition

poodles

cats with FELV

hyperthyroidism 

cobalamin B12 or folate deficiencies. 

Term
When might you see a normal microcytosis?
Definition

iron deficiency ( with hypochromia)

animals with PSS

akita dogs

abyssian cats

Term
Regenerative anemias
Definition

Haemorrhage

Haemolytic

Term
How much blood do you need to lose for it to be significant?
Definition
30% of blood volume in a single episode- can cause death due to hypovolaemic shock.
Term
When will you start to see erythrocyte regen?
Definition
4-5 days.
Term
Investigation of blood loss anemia?
Definition

evaluate haemostasis ( plateley counts, PT, APTT, BMBT)

Diagnostic imaging

faecal and urinalysis

serum iron concentrations

Term
Treatment for Blood loss Anemia
Definition

Haemostasis

IVFT +/- blood transfusion

Term
regenerative anaemia
Definition

macrocytosis

hypochromia

blood smear: 

polychormasia

anisocytosis

spherocytes

nucleated RBCs

Term
non regen
Definition
normocytic normochromic
Term
Treatment for Blood loss
Definition

Id cause

IVFT

blood

iron defic - oral ferrous sulphate for months- NOT IF INFECTION PRESENT 

Term
Haemolysis
Definition

destruction of RBC, no iron defic. may result in jaundice-hb released from cell

Immune mediated vs. non immune mediated

Term
immune mediated haemolysis
Definition

primary 

secondary

-> intravascular and extravascular

Term
how can you differentiate between intravascular and extravascular haemolysis
Definition
intravascular will have heamogloninaemia and haemoglobinuria
Term
heinz body anaemia
Definition

oxidative damage of RBC and haemoglobin- cell membrane damage

look like have little noses on ends of cell 

Term
how do you investigate heamolytic anaemia?
Definition

slide agglunitation, coombs test, spherocytes

biochem, haemotology

Term
is feline anaemia regen or non regen?
Definition
usually regen but if have concurrent illness, can be non regen
Term
treatment for FIA
Definition
use corticosteroids
Term
managing IMHA
Definition

Id cause

immunosuppresive drugs

steroids

blood 

oxyglobin

Term
primary non regen anemia
Definition

pure red call aplasia

- immune mediated destruction of RBC precursor

Term
aplastic anaemia
Definition
replacement of bone marrow with adipose tissue
Term
treatment for non regen anaemia
Definition

bone marrow

blood

oral fe sulphate

CKD-> EPO

 

Term
abnormalities of primary haemostasis
Definition

1. vascular disorder: vasculitis, pancreatitis

2. thrombocytopaenia- increased desstruction, or decreased production

3. defective platelet function- DIC, FELV, liver disease

Term
circulating inhibitors of coagulation
Definition
heparin, FDPs, bleeding into cavities
Term
treatment for vwfd
Definition
ddavp- apparently shortens BMBT
Term
what can you see with VWFD in terms of prolonged tests
Definition
prolonged BMBT, low plasma levels of vwf
Term
haemophilia A
Definition

males

hereditary

lacking factor 8- intrinsic pathway

increased ACT, APTT, PT and TT fine 

Term
Canine IM Thrombocytopaenia treatment
Definition

corticosteroids

vincristine 

Term
what does warfarin effect
Definition
Vit K epoxide reductase
Term
Liver disease effects
Definition

- anticoagulant proteins and fibrin products

- removal of FDPs 

-coag factors

- vit k needs bile for reabsorption

Term
when should you suspect DIC
Definition

thrombocytopaenia, increased FDP, low fibrinogen

increase BMBT, ACT, PT, APTT

Term
treatment for DIC
Definition

plasma or whole blood

low dose heparin

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