POLYCYTHEMIA POLYCYTHEMIA ABSOLUTE POLYCYTHEMIA: PRIMARY ABSOLUTE POLYCYTHEMIA: SECONDARY ABSOLUTE POLYCYTHEMIA: SECONDARY PRIMARY POLYCYTHEMIA: ETIOLOGY PRIMARY POLYCYTHEMIA: LABORATORY PRIMARY POLYCYTHEMIA: LABORATORY PRIMARY POLYCYTHEMIA: LABORATORY PRIMARY POLYCYTHEMIA: SYMPTOMS AND SYGNS PRIMARY POLYCYTHEMIA: SYMPTOMS AND SYGNS PRIMARY POLYCYTHEMIA: SYMPTOMS AND SYGNS PRIMARY POLYCYTHEMIA: TREATMENT RELATIVE POLYCYTHEMIA: SPURIOUS OR PSEUDOPOLYCYTHEMIA ANEMIA IRON DEFICIENCY ANEMIA 1. ETIOLOGY IRON DEFICIENCY ANEMIA 2. SIGNS AND SIMPTOMS SYNTOMAS • Fatiga • Debilidad • Mareo • Cefalea • Tinitus SIGNOS -Palidez -Pica -Sindrome de Plummer-Vinson (Adherencias esofágicas, Disfagia) -Intolerancia al ejercicio -Taquipnea -Taquicardia IRON DEFICIENCY ANEMIA 3. LABORATORY • Microcítica, hipocrómica • Fe low • Hb low • Hct low • MCV low • Ferritin <30 mcg/L • Biopsia de médula ósea y tinción con azul de Prusia que muestran ausencia de las reservas de Fe Hb, MCV and ferritin • Low Hb • In men aged over 15 years — Hb below 130 g/L. • In women aged over 15 years — Hb below 120 g/L. • In children aged 12–14 years of age — Hb below 120 g/L. • Low mean cell volume (MCV): • In adults, microcytosis is when the MCV is less than 80 femtolitres Serum ferritin level of less than 15 micrograms/L confirms the diagnosis of iron deficiency. IRON DEFICIENCY ANEMIA 1. TREATMENT PERNICIOUS ANEMIA 1.ETIOLOGY PERNICIOUS ANEMIA 2.SIGNS AND SYMPTOMS PERNICIOUS ANEMIA 3. LABORATORY Haemoglobin concentration Normal values: F = 11.5 – 16.5g/dl, M=13-18g/dl
Macrocytosis
B12 levels (with caution – active and inactive levels are measured but only active ‘work’)
Folate (often reduced in B12 deficiency)
Haematocrit – level shows quantity of blood containing red cells.
Low level indicates anaemia PERNICIOUS ANEMIA 4. TREATMENT APLASTIC ANEMIA 1. ETIOLOGY • The most common cause of aplastic anemia is from your immune system attacking the stem cells in your bone marrow. Other factors that can injure bone marrow and affect blood cell production include: Radiation and chemotherapy treatments FANCONI ANEMIA • AML: Scute Myeloid Leukemia APLASTIC ANEMIA 2.SIGNS AND SYMPTOMS APLASTIC ANEMIA 3.LABORATORY