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Erythrocytosis: defined as?
increase in [RBC] in peripheral blood identified by increased [RBC], increased HCT or increased [Hgb]
Haemoconcentration?
increased concentration of blood components (incl. RBC) because of decreased plasma volume
Erythrocytosis
Physiological causes?
How does it occur?
Splenic contaction
Erythrocytosis
What is increased?
Increased [RBC], [Hgb], HCT
Erythrocytosis
Haemoconcentration causes?
• Dehydration
• Endotoxic shock
Erythrocytosis - Increased total erythrocyte mass
Two broad groups that fit within this, what are they?
Primary erythrocytosis
Secondary erythrocytosis
Erythrocytosis - Increased total erythrocyte mass → Primary erythrocytosis
Causes include?
• Erythroid neoplasia
• Polycythaemia vera
Erythrocytosis - Increased total erythrocyte mass → Secondary Eryhtrocytosis
Can be broken down into?
Give examples?
Secondary appropriate
erythrocytosis (hypoxia erythrocytosis)
• Cardiac failure
• Respiratory disease
• Hyperthyroidism
Secondary inappropriate erythrocytosis
• Renal neoplasia
• Non-renal neoplasia
Potential Clinical Impacts of Erythrocytosis
If extreme?
Related CX?
Can lead to sludging of blood → impaired blood flow & poor tissue oxygenation
Purplish MM, congested retinal blood vessels and seizures