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3 concept maps Anemia - Sickle cell, Acid Base - Thombcytopenia) - what to talk about...

3 concept maps

Anemia - Sickle cell,

Acid Base -

Thombcytopenia) -

what to talk about Patho, RISK factor, complications, symptoms, treatment)

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Answer #1

Sickle cell anemia is a type of anemia in which red blood cells become sickle shaped due to deficiency of oxygen and blocks the blood vessels . Metabolic acidosis occur in sickle cell anemia and platelet count decrease in splenic sequestration.

Pathophysiology :-

Deoxygenation leads to polymerization of hemoglobin . It leads to sickling of red blood cells causing endothelial damage,which further leads to vasoconstriction ,organ ischemia and end organ damage .

Risk factor :-

- low oxygen tension

- infection

- dehydration

- acidosis

- concomitant disease like sarcoidosis, herpes etc

- extreme physical exercise

- alcohol

- pregnancy

- physiological stress

- cold weather

Complications :-

-avascular necrosis

- pulmonary artery hypertension

- sickle nephropathy

- ocular disease

- iron overload

- leg ulcers

- stroke

- acute chest syndrome

- chronic hemolytic anemia

- splenic sequestration

Signs and symptoms :-

- rapid heart rate

- breathlessness

- delayed growth and puberty

- jaundice

- fatigue

- attacks of abdominal pain

-vomiting

- joint pain

- hematuria

- excessive thirst

- chest pain

- decreased fertility

- priapism

Treatment :-

The main four treatment options are :-

- blood transfusion

- drug treatment

- gene therapy

- blood and marrow stem cell transplantation

Treating strategies are :-

- management of vaso- occlusive crisis by providing oxygen .

- management of chronic pain syndrome by providing analgesics.

- management of chronic hemolytic anemia.

- prevention of infections and treating infection with antibiotics.

- management of complications .

- prevention of stroke , detection and treating pulmonary hypertension.

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