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01_Understanding Haemolytic Anaemia
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Published
02/10/2024
Presentation of {{c2::Haemolytic Anaemia}} {{c1::Jaundice}} {{c1::Hepatosplenomegaly}} {{c1::Dark urine (Intravascular Haemosiderinuria)}} …
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02/10/2024
Congenital Causes of Haemolytic Anaemia[1] {{c1::Hereditary spherocytosis (HS)}}[2] {{c1::G6PD deficiency}}[3] {{c1::Haemoglobinop…
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02/10/2024
Acquired Causes of Haemolytic Anaemia[1] {{c1::Autoimmune haemolytic anaemia (e.g. Chronic Lymphocytic Leukaemia, Lymphoma)}}[2] {{c1::…
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02/10/2024
Pathophysiology of Haemolytic Anaemia {{c1::Increased destruction of red blood cells and a reduction of their circulating lifespan which is why there …
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02/10/2024
{{c1::Extravascular/Immunr}} Haemolysis occurs within the {{c2::reticuloendothelial system}} where RBCs are removed from the circulation as they are d…
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02/10/2024
{{c1::Intravascular/Non-Immune}} Haemolysis occurs within the {{c2::blood vessels}} where RBCs are removed due to trauma, complement fi…
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02/10/2024
Congenital Anaemias include {{c1::Hereditary Spherocytosis}} and {{c1::G6PD Deficiency}}
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Approach to Haemolytic AnaemiaAsk yourself two questions:One: {{c1::Is the patient haemolysing?}}Two: {{c1::What is the mechanism of haemolysis (Intra…
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02/10/2024
Investigations to Determine if a patient is Haemolysing {{c1::Full Blood Count (Anaemic picture)}} {{c1::High reticulocyte count}} {{c1::Blood film (S…
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02/10/2024
Approach to Determining Mechanism of Haemolysis (Intravascular/Extravascular)[1] {{c1::History and Examination}}[2] {{c1::Direct Antiglobulin Tes…
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02/10/2024
Patients with {{c2::Extravascular}} Haemolysis present with {{c1::Jaundice}} and {{c1::Splenic Hypertrophy}}
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02/10/2024
Patients with {{c2::Intravascular}} Haemolysis present with {{c1::Jaundice}} and {{c1::Dark Urine (Haemosiderinuria)}}
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02/10/2024
a {{c1::Positive (DAT +ve)}} Direct Antiglobulin Test indicates {{c2::Extravascular}} Haemolysis
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02/10/2024
a {{c1::Negative (DAT -ve)}} Direct Antiglobulin Test indicates {{c2::Intravascular}} Haemolysis
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02/10/2024
The presence of {{c1::Haemoglobin}}, {{c1::Haemosiderin}} and {{c1::Urobilinogen}} in urine indicates {{c2::Intravascular}} Haemolysis
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02/10/2024
Investigations of {{c2::Intravascular/Non-Immune}} Haemolytic Anaemia {{c1::Decreased haptoglobin}} {{c1::Negative DAT (Implies an non-immune basis fo…
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02/10/2024
Investigations of {{c2::Extravascular/Immune}} Haemolytic Anaemia {{c1::Positive DAT (Implies an immune basis for haemolysis)}} {{c1::No presence of H…
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02/10/2024
Treatment of Extravascular Haemolytic Anaemia {{c1::Support marrow function (e.g. folic acid)}} {{c1::Immunosuppression (Steroids &…
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02/10/2024
Treatment of Intravascular Haemolytic Anaemia {{c1::Support marrow function (e.g. folic acid)}} {{c1::Splenectomy: remove site of red cell d…
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