Blood
Etiology, pathophysiology and clinical manifestations in relation to pathophysiology for:
Etiology, pathophysiology and clinical manifestations in relation to pathophysiology for:
Set of flashcards Details
Flashcards | 51 |
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Language | English |
Category | Medical |
Level | University |
Created / Updated | 24.10.2022 / 26.10.2022 |
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Definition of polycythemia
Polycythemia, or erythrocytosis, means having a high concentration of red blood cells in your blood.
Etiology (causes) of polycythemia
Primary polycythemia is caused by neoplastic disease of the pluripotent cells of the bone marrow, that start to over-produce red blood cells accompanied by elevated white cell and platelet count.
Secondary polycythemia is caused as a compensatory response to hypoxia with increase in the level of erythropoietin. Hypoxia may be result of leaving at high altitude, chronic heart and lung disease, and smoking.
Explain clinical manifestations in relation to the pathophysiology of polycythemia
Primary polycythemia
Increase in the red blood cell count (due to neoplastic disease of stem cells) → hemoglobin level ↑ | blood volume ↑ | viscosity ↑ | hematocrit ↑ → large ↓ in cardiac output and blood flow (pripary due to viscosity ↑) → such symptoms:
- hypertension;
- headache;
- dizziness;
- inability to concentrate;
- difficulty with hearing and vision ← due to ↓ cerebral blood flow
Venous stasis[1] → visual changes of body tissue color:
- plethoric appearance of dusky redness, even cyanosis (lips, fingernails, mucous membrane);
↑ concentration of blood cells → itching, pain in the fingers or toes
hypermetabolism → night sweats, weight loss.
[1] Venous stasis - condition in which veins have problems moving blood back to the heart
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Secondary polycythemia
Hypoxia (altitude, smoking, lung disease) → release of erythropoietin[2] by kidney → increase formation of red blood cells in BM → symptoms:
- Fatigue;
- Headache;
- Dizziness;
- Blurred vision;
- Weakness;
- Reduced mental acuity
[2] Erythropoietin - a hormone secreted by the kidneys that increases the rate of production of red blood cells in response to falling levels of oxygen in the tissues
Definition of thrombocytosis
Thrombocytosis is a disorder in which body produces too many platelets (count above 1.000.000/μL)
Etiology (causes) of thrombocytosis
The most common underlying causes of secondary thrombocytosis include:
- tisue damage due to surgery;
- infection;
- cancer;
- chronic inflammatory conditions: rheumatoid arthritis (inflammation or swelling of one or more joints) and Crohn disease.
Primary thrombocytosis is caused by abnormalities in thrombopoietin receptor and platelet binding, causing hihger-than-expected levels of free thrombopoietin.
What is the most important regulatory hormone in the regulation of megakaryocyte differentiation?
Hormone thrombopoietin
Clinical manifestations of thrombocytosis
The common clinical manifestations of essential thrombocytosis are:
- thrombosis (pulmonary embolism, poertal and hepatic vein);
- hemorrhage.
- burning of the fingers due to occlusion of the arterioles by platelet aggregates
Definition of thrombocytopenia
Thrombocytopenia is a condition that occurs when the platelet count in blood is too low (<150.000/μL)
Etiology of thrombocytopenia
- Decreased platelet production because of loss of bone marrow function (aplastic anemia);
- Replacement of the bone marrow by malignant cells (leukemia);
- Radiation therapy and drugs (Examples include heparin, quinine, sulfa-containing antibiotics and anticonvulsants.);
- Infection with human immunodeficiency virus (HIV);
- cytomegalovirus;
- antiplatelet antibodies (self-destruction)
- Pregnancy. Thrombocytopenia caused by pregnancy is usually mild and improves soon after childbirth.
https://www.mayoclinic.org/diseases-conditions/thrombocytopenia/symptoms-causes/syc-20378293#:~:text=Thrombocytopenia%20signs%20and%20symptoms%20may,Prolonged%20bleeding%20from%20cuts
clinical manifestations of thrompocytopenia
Thrombocytopenia signs and symptoms may include:
- Easy or excessive bruising (purpura)
- Superficial bleeding into the skin that appears as a rash of pinpoint-sized reddish-purple spots (petechiae), usually on the lower legs
- Prolonged bleeding from cuts
- Bleeding from your gums or nose
- Blood in urine or stools
- Unusually heavy menstrual flows
- Fatigue
- Enlarged spleen
https://www.mayoclinic.org/diseases-conditions/thrombocytopenia/symptoms-causes/syc-20378293#:~:text=Thrombocytopenia%20signs%20and%20symptoms%20may,Prolonged%20bleeding%20from%20cuts