Rheumatology & Haematology — Flashcards

What vaccinations are used in splenectomy / hyposplenism? _____ Men ACWY (5 yearly), Men B vaccine Hib vaccine (one-off or not needed) Influenza vaccine (anually) to prevent secondary bacterial infections

Encapsulated bacteria causing infections in splenectomy/hyposplenic states:\n_____\nHaemophilus influenzae type b\nNeisseria meningitidis

Hint: most common

_____ occurs due to pathologic activation of the coagulation cascade

Consider _____ transfusion in a patient with disseminated intravascular coagulation (DIC) & platelet count < 50 x 109/L

If it is not practicable to vaccinate 2 weeks before splenectomy, immunisations should be delayed until at least _____ after

How do you manage a splenectomy/hyposplenic patient developing pyrexia, malaise, or/and shivering? _____

_____ is a decrease ↓ in the number of cells in all three major blood cell lines in the peripheral blood leading to ↓ RBC, WBC, & thrombocytes

_____ is thrombosis, haemorrhage, & organ dysfunction caused by systemic activation of blood coagulation causing fibrin clots, platelet consumption & exhaustion of clotting factors

Splenectomy / hyposplenic patients are at risk of _____, which is a bacterial infection that rapidly progresses into overwhelming sepsis

How do platelet levels change post-splenectomy? _____