Basics to Brilliance: Haematology Podcast

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Basics to Brilliance: Haematology Podcast

Basics To Brilliance

17 episodes

13 hours ago

Feedback 00:52 Intro 02:00 What is Haemophilia A? 03:00 Factor VIII, Pathogenesis of Haemophilia A 07:10 Structure of Factor VIII (exam pearl) 300kDHeavy (A1 A2, B) + Light Chain (A3, C1, C2) bound by a metal ions *Calcium*A subunits are 30% homologousB subunit (variable region) is cleaved by thrombin to get Factor VIIIaC1 and C2 help bind to VWFGood to r/o VWF10:55 Epidemiology and history taking- X-linked recessive Factor VIII is (mostly) feminist.....Turners syndrome, Androgen Insensitivit...

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Health & Fitness,

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Feedback 00:52 Intro 02:00 What is Haemophilia A? 03:00 Factor VIII, Pathogenesis of Haemophilia A 07:10 Structure of Factor VIII (exam pearl) 300kDHeavy (A1 A2, B) + Light Chain (A3, C1, C2) bound by a metal ions *Calcium*A subunits are 30% homologousB subunit (variable region) is cleaved by thrombin to get Factor VIIIaC1 and C2 help bind to VWFGood to r/o VWF10:55 Epidemiology and history taking- X-linked recessive Factor VIII is (mostly) feminist.....Turners syndrome, Androgen Insensitivit...

Show more...

Health & Fitness,

Episodes (17/17)

Basics to Brilliance: Haematology Podcast

Haemophilia A: Diagnosis & Investigations

Feedback 00:52 Intro 02:00 What is Haemophilia A? 03:00 Factor VIII, Pathogenesis of Haemophilia A 07:10 Structure of Factor VIII (exam pearl) 300kDHeavy (A1 A2, B) + Light Chain (A3, C1, C2) bound by a metal ions *Calcium*A subunits are 30% homologousB subunit (variable region) is cleaved by thrombin to get Factor VIIIaC1 and C2 help bind to VWFGood to r/o VWF10:55 Epidemiology and history taking- X-linked recessive Factor VIII is (mostly) feminist.....Turners syndrome, Androgen Insensitivit...

8 hours ago

49 minutes

Basics to Brilliance: Haematology Podcast

Factor XIII (13), Fibrinolysis & Thrombolysis

Feedback 01:45 Case: Neonate with repeated umblical bleeding. IC haemorrhage. Normal Factors (so far), Normal VW screen, Normal FBC and normal film. 05:35 Factor XIII (13): function and presentations in deficiency 09:45 Testing, testing! ELISA/Ammonia Release Assay then a Mutational Analysis Honarable mention: Clot Solubility Assay16:00 Fibrinolysis definition and pathway 21:00 Activators of Fibrinolysis: tPA vs. uPA 23:23 Inhibitors of Fibrinolysis: PAI-1, PAI-2,...

3 months ago

46 minutes

Basics to Brilliance: Haematology Podcast

Inhibitors in Haemostasis

Feedback 00:52 Intro: definition and prompts 04:25 Intro to Case 1: Haemophilia B, 3rd dose of Venefix, Anaphylaxis 06:03 Intro to Case 2: Severe Haemophilia A, joint bleed, non-responsive to emergency Factor VIII 07:30 Initial screening tests NB: Inhibitors: Time Dependent vs. Immediate Acting14:54 Flash examples of Mixing Study importance 16:35 Bethesda Assay **Bethesda Studios made the Elder Scrolls and Fallout games: they Inhibit Haider from doing any work** 28:45 Bethes...

5 months ago

1 hour 3 minutes

Basics to Brilliance: Haematology Podcast

Heparin & the Anti-Xa Assay

Feedback 00:52 Intro (shoutuout to the BSH anticoagulant monitoring guidelines) 02:15 Practical relevance of testing and monitoring anticoagulants 07:30 Heparin: The Basics 09:00 Unfractionated Heparin vs. Low Molecular Weight Heparin 10:24 Mechanism of action of Heparin (UfH vs. LMWH) LMWH: more Anti-Xa activityUfH Anti-IIa acitivity = Anti-Xa activity15:30 Pharmacokinetic differences (UfH vs. LMWH) 23:28 Unfractionated Heparin uses and monitoring 34:34 Anti Xa Assay 42:32 ...

5 months ago

59 minutes

Basics to Brilliance: Haematology Podcast

Thrombin Time & Fibrinogen Assays

Feedback 00:54 Intro and table of contents 1:48 Case 1: pre-op, prolonged PT and ++ prolonged APTT…thrombin time done 03:44 Case 2: post-op, normal PT and prolonged APTT…thrombin time done 04:46 Thrombin Time definition and ingredients (its all about the fibrinogen!) 10:45 Differentiating causes of prolonged thrombin time- protamine, reptilase, ecarin 17:24 Case 3: Major Haemorrhage (Variceal), due OGD, Derived PT Fibrinogen normal 20:45 Clauss Fibrinogen- methodology, causes of change ...

5 months ago

38 minutes

Basics to Brilliance: Haematology Podcast

Mixing Studies & Factor Assays

Feedback 0:52 Intro and table of contents 2:36 CASE 1- Infection, due surgery and a prolonged APTT ft. a refresher on APTT prolongation 08:00 Mixing studies- definition and uses ft. Hari’s exam nugget 17:00 Factor assays (1 stage, 2 stage and chromogenic assays) ft. David’s humorous humility 43:30 David applies his new-found knowledge to our first case 45:45 CASE 2- Infection, hx of weight loss and bleeding and a prolonged APTT 47:36 Summary https://practical-ha...

6 months ago

51 minutes

Basics to Brilliance: Haematology Podcast

Mantle Cell Lymphoma

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7 months ago

1 hour 25 minutes

Basics to Brilliance: Haematology Podcast

Practical Haemostasis of the Clotting Screen

Feedback 00:00 Intro 04:25 Automated Methods of Measuring a Clot 05:50 Scenario 1 & Pre-Analytical Variables 11:50 HIL Index & Patient Factors 15:55 Blood Tube Basics 21:10 Nitty Gritties- What Happens When We Send a PT? 23:20 PT vs INR for Warfarin- Going Down The Rabbit Hole... 26:35 Heparin Neutralising Buffer 29:00 APTT 33:05 Summary (& an honorable mention)

7 months ago

34 minutes

Basics to Brilliance: Haematology Podcast

The Clotting Screen: Back to Basics

Feedback 0:00 Intro 2:45 What is Haemostasis? 3:55 Stages of Haemostasis (summary) 4:45 Primary Haemostasis 8:35 Secondary Haemostasis 11:10 The Clotting Cascade 12:20 Common + Extrinsic Pathway 13:50 Intrinsic Pathway (TwelvEleveNinEight) 14:25 Clotting Tests 16:30 Hari Pops The Bubble 18:05 In-Vivo vs. In-Vitro 22:20 Isolated PT Prolongation- causes 25:46 Isolated APTT Prolongation- causes 27:43 Paired PT/APTT Prolongation- causes 28:50 Best Test for Bleeeding (David makes Hari proud)...

7 months ago

45 minutes

Basics to Brilliance: Haematology Podcast

Essential Thrombocythemia (ET)

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7 months ago

1 hour 11 minutes

Basics to Brilliance: Haematology Podcast

Immune Thrombocytopenia (ITP)

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8 months ago

1 hour 18 minutes

Basics to Brilliance: Haematology Podcast

Heparin Induced Thrombocytopenia (HIT)

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8 months ago

1 hour

Basics to Brilliance: Haematology Podcast

Polycythemia Rubra Vera (PRV)

Feedback Polycythaemia- red cell # Erythrocytosis – in red cell mass Absolute Erythrocytosis - M: Hct >0.60 or >0.52 + RCM >25% of mean - F: Hct >0.56 or >0.48 + RCM >25% of mean Apparent Erythrocytosis - Men: Hct >0.52 + normal RCM - Women: Hct >0.48 + normal RCM Relative erythrocytosis -Normal RCM + Reduced plasma volume (pathological dehydration) M>F Median >60yo 2' PRV: treat underlying cause +/- venesection (higher hct threshold) Classification of Abs...

1 year ago

1 hour 12 minutes

Basics to Brilliance: Haematology Podcast

Secondary CNS Lymphoma

Feedback - Synchronous CNS and systemic lymphoma at initial presentation (treatment-naïve; TN-SCNSL) - CNS relapse without recurrent systemic lymphoma (relapsed isolated CNS lymphoma; RI-SCNSL) - Relapsed concomitant systemic and CNS disease following treatment for systemic lymphoma (RC-SCNSL) Generally hybrid disease Investigations - MRI Head w gadolinium - PET-CT - Testicular US (bl...

1 year ago

37 minutes

Basics to Brilliance: Haematology Podcast

Primary CNS Lymphoma

Feedback CNS Lymphomas 1% of all NHL 3% of all Brain tumours Most common subtype (90%) is DLBCL Clinical division: 1. 1* CNS lymphoma, 2. 2* CNS lymphoma - TN-SCNSL - RI-SCNSL - RC-SCNSL 3. Immune deficiency assoc- HIV; better prog. Presentation: - SOL Sx - Raised ICP: morning headaches w N+V - Neuropsych, Behavioural, Memory, Language - Focal motor + Stroke Sx - Seizures - ...

1 year ago

1 hour 9 minutes

Basics to Brilliance: Haematology Podcast

Chronic Monomyelocytic Leukemia (CMML)

Feedback Chronic MyeloMonocytic Leukemia (not CML) Persistently high monocyte count- 3 months Most frequent MDS/Myeloproliferative neoplasms – a cross between the two Median age 72 Median survival 20-40 months Transformation to AML (15-30%) WHO definition of CMML: 1. Excess monocytes- persistent over 3 months, ≥ 1 - Monocytes 10% of total WC count 2. Dysplasia: morphological difference (blood film on BMBx) O...

1 year ago

41 minutes

Basics to Brilliance: Haematology Podcast

Chronic Lymphocytic Leukemia (CLL)

Feedback Chronic Lymphocytic Leukemia (CLL)- Chronic Relapsing Remitting Most common leukemia in adults Incurable but treatable *Remember Supportive Care* Median age of 72 M > F 80% incidental SLL: lymphocytes in lymph nodes and spleen instead of blood Presentation: 1) Fatigue 2) B symptoms 3) High WC 4) Cytopenias (Marrow infiltrate, AIHA, ITP, Hyposplenism) Rule out: Reactive (viral serology)- Hepatitis, HIV Investigate: 1) FBC + blood film (mature lymphocyte...

1 year ago

1 hour 18 minutes