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104 Cards in this Set

  • Front
  • Back

Erythropoiesis

RBC production

Erythropoiesis

It happens in the bone marrow

Hypoxia

Low oxygen level in tissues

Erythropoietin

-Hormone that stimulates the RBC production.


-Produced by the kidney

Erythrocytosis

-increased number of circulating RBC

Erythrocytopenia

-decreased number of circulating RBC

Higher than normal

What do you mean by "tosis"

Lower than normal

What do you mean by "penia"

Anemia

-Decreased in oxygen carrying capacity of rbc


-not a disease but symptom

Macrocytic

RBC is bigger than its normal size

Normocytic

-RBC in normal size

Microcytic

-RBC is smaller than its normal size

Poikilocytosis

-variation in RBC shape

Anisocytosis

-variation in RBC size

Hyperchromic

-RBC appearing darker than normal due to increased hgb content

Hypochromic

-RBC appearing paler due to decreased hgb

Normochromic

-RBC with normal hgb content

High hemo content

What do you mean by "Hyper"

Low hemo content

What do you mean by "Hypo"

Normal level

What do you mean by "Normo"

Blood

A specialized connective tissue, has fluid extracellular matrix known as plasma, with suspended cellular elements.

Blood

is pumped by the rhythmic contractions of the heart flowing in a single direction at a close circuit called circulatory system.

Transport:➢ oxygen & carbon dioxide


➢ nutrients to tissues and organs


➢ hormones to target organs



Maintain/regulate-Homeostasis


➢ water, acid-base balance


➢ body temp


➢ degree of irritability of tissues



•Serve as body's defense mechanism against infection

General functions of the Blood

pH- slightly basic


➢ 7.35-7.45 Note: (Average: 7.40%)


Higher density & viscosity than water


➢ due to formed elements


Blood volume is around 8% of total body weight


➢ Males: 5-6 liters


➢ Females: 4-5 liters


Blood is composed of 55% plasma and 45% cellular elements

Characteristics of Blood

7.35-7.45

What is the range of ph level of blood

7.40

What is the average ph level of blood

5-6 liters

What is the blood volume of males

4-5

What is the blood volume of females

55% plasma and 45% cellular components

What is the composition of blood?

Plasma

the fluid matrix of whole blood

Water, Inorganic salts (Na, Ca, Mg, K, Cl2, PO4, BiCO3) & plasma proteins (Albumin, Globulin & fibrinogen)

What are the components of plasma?

N, H, O²

What are the gases in plasma

Serum

liquid portion of clotted blood w/o fibrinogen

Serum

Contains growth factors and other proteins released by the platelets during clotting process.

Erythrocytes, Leukocytes, Thrombocytes

What are the formed elements?

3-5 days

Maturation Time (from stem cell until mature cells, in days) of ERYTHROCYTES

5-6 days

Maturation Time (from stem cell until mature cells, in days) of GRANULOCYTES

5-6 Days

Maturation Time (from stem cell until mature cells, in days) of MONOCYTE

Variable (days-hours)

Maturation Time (from stem cell until mature cells, in days) of LYMPHOCYTES

4-5 days

Maturation Time (from stem cell until mature cells, in days) of PLATELETS

120 days (3 months)

Survival Time of ERYTHROCYTES

Neutrophils - 1-4 days


Eosinophils - 1-2 weeks


Basophils - Several months

Survival Time of GRANULOCYTES (The three of them)

Hours-Years

Survival Time of MONOCYTE

Hours-Years

Survival Time of LYMPHOCYTE

10

Survival Time of PLATELETS

HBA1C

EDTA tube WB


-Monitor long term glucose control


-Diabetes


-No fasting requirement

Neutrophil

-dies after releasing granulytes


-first to attack

Eosinophil

If there is a parasite

Basophils

For allergic and hypersensitivity

Platelets

What is the product of maturation of megakaryocytes?

Erythrocytes

Other term for red blood cells

Red blood cells or Erythrocytes

-Biconcave disc (6-8µ in diameter)


➢ Formed in the bone marrow


➢ Non-nucleated


➢ Ave life span of 30-120 days

Hemoglobin

Oxygen binding pigment responsible for the transport of most 𝑂2 in the body.


➢ Composed of iron & protein


➢ Combined readily with 𝑂2 to form oxyhemoglobin

Reticulocyte

-immature (still have nucleus)

Red blood cell

-mature (no nucleus)

T-lymphocytes


B-lymphocytes

2 classification of Lymphocytes

White blood cells or Leukocytes

Has nucleus & cytoplasm

Granulocyte


-neutrophil


-eosinophil


-basophil



Agranulocyte


-Lymphocyte


-Monocyte

2 types of Leukocytes (and what is under them)

Neutrophil

Cell size- 10-15 um


➢Cytoplasmic characteristics


• With fine lilac-pink granules diffusedly distributed


•Granules do not lie in over the nucleus

Neutrophil

Nuclear characteristics


•Nuclear lobes connected by thin filaments


•Coarse and clumped chromatin

Neutrophil

Normal values:


• Relative count: 50-70%


• Absolute count:1800-7800/μl


or 1.8 − 7.8 𝑥10^9/L

Neutrophil

Has active role in the phagocytosis of bacteria and other small particles


➢ Usually the first leukocyte to arrive at the site of infection

Eosinophil

Cell size- 10-15 um


➢ Cytoplasmic characteristics


• Reddish-orange large granules


• Granules do not lie in over the nucleus

Eosinophil

Nuclear characteristics


• Nuclear usually segmented 2 lobes


• Coarse and clumped chromatin

Eosinophil

Relative count: 2-4%


• Absolute count: 350-600/μl


or 0.35 − 0.60 𝑥10^9/L

Eosinophil

Helps in killing parasitic worm or helminths with the help of Major Basic Protein that is present in eosinophil together with eosinophil peroxidase and other enzymes and toxins


➢ Modulates inflammatory responses through releasing of chemokines, lipid mediators and cytokines (response to allergies/allergic condition)


➢ Has important role in inflammatory response due to allergies

Eosinophil

-bi lobe


-smaller than neutrophil


-Active when parasitic

Basophil

➢ Cell size- 10-14 um ➢ Cytoplasmic characteristics


• Bluish-black with variable size granules


• Granules unevenly distributed and lie in over the nucleus

Basophil

Nuclear characteristics


• Nucleus is indistinct


• Unsegmented or bilobed nucleus

Basophil

Normal values:


• Relative count: 0-1%


• Absolute count: 0-200/μl


or 0 − 0.02 𝑥10^9/L

Basophil

Release heparin, histamine & peroxidase


➢ Involved in intermediate & delayed hypersensitivity reaction

Basophil

-active in allergic reaction

Stab or band or staff cell

➢ Cell size- 10-15 um


➢ Cytoplasmic characteristics


• Similar to neutrophil with lilac granules


• Indentation is not more than one half (½) of the total cell width of cell’s indent point

Stab or band or staff cell

Nuclear characteristics


• Nucleus is curved, elongated or sausage shaped

Stab or band or staff cell

Normal values:


• Relative count: 2-6%


• Absolute count: 350-700/μl or 0.35 − 0.70 𝑥10^9/L

Small or typical lymphocyte

Cell size- 6-10 um


➢ Cytoplasmic characteristics


• Sky blue


• Small amount with darkest blue cytoplasm


• Lacking granules

Small or typical lymphocyte

Nuclear characteristics


• Nucleus is compact, large, round


• Almost occupies entire cell

Small or typical lymphocyte

Normal values:


• Relative count: 25- 40%


• Absolute count: 1000-4800/μl or 1.0 − 4.8 𝑥10^9/𝐿

Big or atypical lymphocyte

➢ Cell size- 12-15 um


➢ Cytoplasmic characteristics


• Sky blue


• Abundant cytoplasm

Big or atypical lymphocyte

Nuclear characteristics


• Nucleus is immature looking with fine chromatin

Big or atypical lymphocyte

Normal values:


Relative count: 25-40%


➢ Absolute count: 1000-4800/μl or 1.0 − 4.8 𝑥10^9/L

Lymphocyte

Has different roles in immune defense from invading microorganisms, some parasites and abnormal cells

Big or atypical lymphocyte

defense against cancer cell

Monocyte

➢ Cell size-14-20 um


➢ Cytoplasmic characteristics


• Blue gray cytoplasm

Monocyte

Nuclear characteristics


• Single nucleus, partially lobulated, deeply indented or horseshoe shaped


• Chromatin are fine parallel strands

Monocyte

➢ Normal values:


• Relative count: 2-8%


• Absolute count: 300-800/μl or 0.3 − 0.80 𝑥10^9/L

Monocyte

➢ Precursor of macrophages and cells in connective tissues like osteoclast, microglia


➢ Monocyte-derived cells serves as antigen presenting cells which is important role in immune response

Monocyte

If it is in the blood

Macrophages

If it is in the tissue

Thrombocytes

Irregular fragments of cells formed in the bone marrow


➢ from a much larger cell (megakaryocyte)


➢ Non-nucleated


➢ Lightest element of blood


➢ 2-4µm in diameter


➢ Difficult to count


• Adhere easily on surface


• Easily disintegrates


➢ NV: 150,000-400,000/cu.mm

Thrombocytes

Function


➢ Maintain the integrity of BV ➢ Forms hemostatic plugs to stop blood loss from injury vessels ➢ Release serotonin

Plasma

The liquid portion of circulating blood

Cells and Platelets

comprise the formed elements

-albumin,


-diverse α- and β-globulins,


-proteins of the complement system,


-and fibrinogen,


(all of which are secreted within the liver, as well as the)


-immunoglobulins.

Important protein components of plasma

Red blood cells or Erythrocytes

-make up the hematocrit portion (~45%) of a blood sample


-are enucleated, biconcave discs 7.5 µm in diameter, filled with hemoglobin for the uptake, transport, and release of O2, and with a normal life span of about 120 days

White blood cells or Leukocytes

broadly grouped as granulocytes (neutrophils, eosinophils, basophils) or agranulocytes (lymphocytes, monocytes).

TRUE

TRUE OR FALSE. All leukocytes become active outside the circulation, specifically leaving the microvasculature in a process involving cytokines, selective adhesion, changes in the endothelium, and transendothelial migration or diapedesis

azurophilic granules

All granulocytes have specialized lysosomes called _____

Neutrophils

the most abundant type of leukocyte, have polymorphic, multilobed nuclei, and faint pink cytoplasmic granules that contain many factors for highly efficient phagolysosomal killing and removal of bacteria.

Eosinophil

have bilobed nuclei and eosinophilic specific granules containing factors for destruction of helminthic parasites and for modulating inflammation

Basophils

the rarest type of circulating leukocyte, have irregular bilobed nuclei and resemble mast cells with strongly ******ic specific granules containing factors important in allergies and chronic inflammatory conditions, including histamine, heparin, chemokines, and various hydrolases

Lymphocytes

agranulocytes with many functions as T- and B-cell subtypes in the immune system, range widely in size, depending on their activation state, and have roughly spherical nuclei with little cytoplasm and few organelles.

Monocytes

are larger agranulocytes with distinctly indented or C-shaped nuclei that circulate as precursors of macrophages and other cells of the mononuclear phagocyte system

Platelets

are small (2-4 µm) cell fragments derived from megakaryocytes in bone marrow, with a marginal bundle of actin filaments, alpha granules and delta granules, and an open canalicular system of membranous vesicles; rapid degranulation on contact with collagen triggers blood clotting.