CBC 3

Question 1

why does thrombocytopenia matter in preg

Answer 1

can pass to children

Question 2

what is test for ITP

Answer 2

none- need to rule out other causes
- rule out HIV and hep B
- investigate in preggers
wh at

Question 3

what are guidlines for hemoglobinopathies

Answer 3

• offer screening woman or partner are at risk ethinc background
• screen preconception or ASAP
• if microcytosis and normal Hb order ferritin and DNA testing for alpha thal.

Question 4

what are different a-thallasemia options (4)

Answer 4

• normal
• asymptomatic carrier
• a-thal minor
• thal disease
• incompatible with life

Question 5

what will be seen in B-thal

Answer 5

microcytic, but often not anemia

- will be detected in Hb electrophoreiss

Question 6

why does a baby with B-thal do poorly around 8 months

Answer 6

start to make swtich to B-Hb at that time

Question 7

5 Sx of Fe def.

Answer 7

• fatigue
• decreased physcial perf.
• decreased cog. abilities
• irritable and mood changes
• common

Question 8

4 effects of Fe def. on the brain

Answer 8

1. decreased arbor of dendrite
2. altered neurochem
3. altered bioenregetics
4. decreased oligodendrocytes function

Question 9

3 consequences of Fe def. in preg

Answer 9

1. low birth wiehgt
2. increase risk of transfusion delivery
3. post-partum dep

Question 10

how much Fe does preg. take

Answer 10

1/3 of stores - 1000mg

Question 11

This was all case based

Answer 11

look back over them