What anticoagulant is commonly used in hematology tests?
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Ethylenediaminetetraacetic Acid (EDTA).
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What anticoagulant is commonly used in hematology tests?
Ethylenediaminetetraacetic Acid (EDTA).
What are the two types of granulocytes shown in Figure 11?
Basophil and Eosinophil.
Identify the two regions of thrombocytes.
Hyalomere and Granulomere.
List the steps involved in the phagocytosis process by neutrophils.
The steps involved are: Activate phagocyte, Chemotaxis, Attach to microorganism, Ingest the engulfed microorganism.
What is the primary function of eosinophils?
The primary function of eosinophils is to fight parasitic infections and participate in the inflammatory response.
What is the primary function of neutrophils?
The primary function of neutrophils is phagocytosis, where they are usually the first to arrive at sites of infection and can survive in anaerobic environments.
What are azurophilic primary granules and their role in neutrophils?
Azurophilic primary granules are large, dense vesicles that play a major role in killing and degrading engulfed microorganisms. They contain myeloperoxidase, lysozymes, and defensins.
What does a CBC test evaluate?
A CBC test evaluates an individual's health status and detects pathologic disorders such as anemia, infection, and leukemia.
What is the role of precursor cells in hematopoiesis?
They are immature cells that gradually assume morphological and functional cell types.
What are the two main components of blood?
Plasma and formed elements (blood cells).
Describe the nucleus and granules of basophils.
Basophils have a 2-3 irregularly lobed nucleus, usually obscured by large purple/deep violet granules in the cytoplasm.
When does growth factor influence peak in hematopoietic cell development?
Between progenitor to precursor development but has significant presence throughout.
What are the two main parts of thrombocytes?
Hyalomere and granulomere.
What is neutropenia?
Decreased neutrophil count.
What is the role of colony-stimulating factors (CSF) in hematopoiesis?
To stimulate the production and differentiation of blood cells.
What are the main components of the cardiovascular system?
Heart, blood vessels, and blood.
Describe the process of making a blood smear.
Install cap piercer on the EDTA tube, add a drop of blood on a glass slide, use a second glass slide to touch the drop of blood, and rapidly push the slide forward.
What is the most abundant agranulocyte in blood?
Lymphocytes.
What is the primary function of lymphocytes?
Immunological defense.
What is the function of B lymphocytes?
Humoral immune response and production of immunoglobulins (Ig) or antibodies.
What is hematopoiesis?
The process of blood cell formation in the myeloid tissue.
What is the function of monocytes?
Precursor cells of the mononuclear phagocytic system.
What is the primary function of the cardiovascular system?
Transport of oxygen, nutrients, hormones, and cellular waste products throughout the body.
What is the primary function of platelets?
To initiate blood clotting.
What are the typical characteristics of erythrocytes?
Erythrocytes are biconcave, anucleate cells that contain hemoglobin.
What do immature forms (-blast) mature into?
-cyte, except for neutrophils, basophils, and eosinophils.
What is the function of myeloperoxidase in neutrophils?
Myeloperoxidase produces hypochlorite and other agents that are toxic to bacteria.
What are platelets?
Platelets are cytoplasmic fragments of extraordinarily large bone marrow cells called megakaryocytes.
How does mitotic activity change with the maturity of hematopoietic cells?
It increases with maturity until precursors for proliferation and is absent in mature cells.
What percentage of blood is made up of plasma?
55%.
What does neutrophilia indicate?
Increased neutrophil count.
Which interleukin is a mitogen for many leukocytes and promotes B cell and regulatory T cell activation?
Interleukin-6 (IL-6).
Identify the blood component: Granulocyte.
Granulocyte.
What is anisocytosis?
RBCs of varying sizes
What are some causes of anemia?
Blood loss, iron deficiency, vitamin B12 deficiency, vitamin B9 (folate) deficiency, bone marrow disease, suppression of RBC production in bone marrow, decreased erythropoietin in cases of renal failure
What is polycythemia and what are its types?
Increased RBCs; can be primary (overproduction of RBCs) or secondary (common in individuals who live at high altitudes)
What percentage of white blood cells do neutrophils constitute?
Neutrophils constitute 60-70% of white blood cells.
What is the appearance of eosinophils' nucleus and granules?
Eosinophils have a bilobed (spectacled appearing) nucleus and large specific granules stained by eosin (red or dark pink).
What are colony-forming units (CFUs)?
Progenitor cells that give rise to colonies of one cell type.
What is the purpose of a complete blood count (CBC)?
To provide automated processing and printing of read-outs of the different blood components.
What is the function of T lymphocytes?
Cell-mediated immune response, including phagocytes and antigen-specific cytotoxic T cells, and releasing cytokines in response to a specific antigen.
What are the two types of bone marrow?
Red bone marrow and yellow bone marrow.
What is the role of cytokines in hematopoiesis?
They stimulate progenitor and precursor proliferation, promote cell differentiation, and maturation within specific lineages.
What is the clinical significance of thrombocytopenia?
It is usually associated with bleeding.
Where does hematopoiesis occur during the second trimester?
In the liver (main site) and spleen.
What is erythropoiesis?
The process of erythrocyte (red blood cell) formation.
What does acidophilic mean in the context of RBCs?
More willing to bind to acidic dyes
What happens to red bone marrow as a person ages?
It changes to yellow bone marrow.
What is the reference interval for RBC Distribution Width (RDW)?
11.0-14.0%
What is microcytosis and what conditions is it seen in?
RBCs < 6μm; seen in iron deficiency anemia, thalassemia, anemia of chronic disease, and sideroblastic anemia
What does an increased RDW indicate on a blood smear?
Anisocytosis
How are leukocytes classified?
By the density of their granules into granulocytes and agranulocytes
What are granulocytes and why are they easier to identify on a blood smear?
Granulocytes are a type of white blood cell that are easier to identify on a blood smear due to the difference in the color of their granules.
What are pluripotent stem cells?
Cells that give rise to all blood cell types and proliferate very slowly.
What is the purpose of a blood smear in a CBC test?
A blood smear is used to manually count 100 leukocytes and determine the number of neutrophils, lymphocytes, eosinophils, monocytes, and basophils when machines cannot provide the differential count.
Describe the appearance of lymphocytes.
Small to medium-sized spherical cells with a large, round nucleus that takes up most of the cell and a thin rim of cytoplasm.
What do alpha granules (αG) contain?
Platelet-derived growth factor (PDGF), platelet factor 4, and several other platelet-specific proteins.
When does differentiated function appear in hematopoietic cells?
From late precursor development throughout maturity.
What does CBC stand for?
Complete Blood Count.
What is the normal count of erythrocytes on average?
4.2-6.2 million/mm^3.
What is the source of erythropoietin (EPO)?
Hepatocytes and peritubular endothelial cells of the kidney.
What cells produce granulocyte-macrophage colony-stimulating factor (GM-CSF)?
Endothelial cells of marrow and T lymphocytes.
What is thrombocytopoiesis?
The process of thrombocyte (platelet) formation.
What causes hereditary spherocytosis?
Defects in spectrin or ankyrin, causing RBCs to lose biconcavity and become more fragile
What is the reference interval for Mean Corpuscular Volume (MCV)?
82-98 fL
What is macrocytosis and what conditions is it seen in?
RBCs > 9μm; seen in bone marrow dysplasia, alcoholism, and vitamin B12 deficiency
Describe the nucleus of a neutrophil.
The nucleus of a neutrophil is multilobated, with 2-5 lobes linked by fine chromatin threads.
What are the three main functions of blood?
Transport, defense, and homeostasis.
Describe the process by which platelets initiate blood clotting.
Platelets rapidly release their granules' contents upon contact with collagen or other ECM material outside of the endothelium to begin the process of clot formation and reduce blood loss from the vasculature.
What are the three components of whole blood after centrifugation?
Plasma, erythrocytes, and buffy coat.
What are the two main types of leukocytes?
Granulocytes and agranulocytes.
Define leucocytosis.
Increased white blood cell count.
What is the lifespan of an erythrocyte?
120 days.
What is the major activity of stem cell factor (SCF)?
It acts as a mitogen for all hematopoietic progenitors.
Where does hematopoiesis occur from the third trimester to adulthood?
In the bone marrow.
What happens when damage occurs in the vascular endothelium?
Platelets adhere to the vessel wall, releasing granules and aggregating to stop the bleeding.
What is the major mitogen for lymphoid stem cells?
Interleukin-7 (IL-7).
Identify the blood component: Thrombocyte (Platelets).
Thrombocyte (Platelets).
What is the reference interval for Mean Corpuscular Hemoglobin Concentration (MCHC)?
33-38%
What is poikilocytosis?
RBCs may appear irregularly shaped, have thorny projections, and have irregularities in the membrane
What is the function of leukocytes?
Immunity and repair of injured tissues
What are progenitor cells committed to producing?
Specific blood cells.
What are major basic proteins (MBP) in eosinophils and their function?
Major basic proteins (MBP) are arginine-rich proteins that confer eosinophilic or anti-parasitic properties.
How does pluripotency change with the maturity of hematopoietic cells?
It decreases with maturity until progenitor cells and is nonexistent in precursors and mature cells.
What happens to the self-renewing capacity of hematopoietic cells as they mature?
It decreases with maturity and is absent in precursors and mature cells.
What is the main function of albumin in plasma?
Maintaining the osmotic pressure of the blood.
Describe the appearance of erythrocytes in a blood smear.
Erythrocytes are anucleated, biconcave discs with no organelles, appearing as pink circles with pale centers, often described as 'donuts without a hole'.
Match the peripheral tissue with the cell type derived from monocytes: Connective Tissue, Liver, Nervous System, Bone.
Connective Tissue: Macrophages, Liver: Kupffer Cells, Nervous System: Microglia, Bone: Osteoclasts.
What is hematopoiesis?
The process of blood cell formation.
What percentage of the extracellular fluid (ECF) is made up of plasma and interstitial fluid?
97%.
What is the normal range of RBC count for females?
~3.9-5.5 million/μL
Describe rouleaux formation.
RBCs stack together in a formation resembling a small roll of coins.
What is the function of ankyrin in RBCs?
Anchors the spectrin lattice to the glycophorins and band 3 proteins
Identify the blood component: Erythrocyte (RBC).
Erythrocyte (RBC).
What does a decreased MCV indicate on a blood smear?
Microcytosis
What is the reference interval in a CBC test?
The reference interval is the normal values used by the laboratory to compare and interpret test results to determine if they are within the normal range or show an increase/decrease.
What is the size of a megakaryocyte?
60 μm in diameter.
What is contained in the delta granules (δG) of platelets?
ADP, ATP, and serotonin taken up from plasma.
At what stage do typical morphological characteristics begin and increase in hematopoietic cells?
At the precursor stage and remain stable at the mature cell stage.
What are cytokines also known as?
Colony-stimulating factors (CSFs) or hematopoietic growth factors.
Describe the characteristics of thrombocytes.
Small, biconvex disks, non-nucleated cell fragments, 2-4 μm in diameter, can occur in clumps, small basophilic clusters of cells, have alpha and delta granules.
What role do alpha and delta granules play in thrombocytes?
They play a role in the adhesion and aggregation of platelets in blood coagulation.
Which interleukin promotes basophil and mast cell development?
Interleukin-4 (IL-4).
Where does the production and regulation of blood cells occur?
In the medullary canals of long bones and small cancellous bone cavities.
What are specific granules in leukocytes?
Granules that will stain to specific dyes and have specific functions
What role do basophils play in allergic reactions?
Basophils are involved in allergic reactions due to containing histamine and other inflammatory mediators.
What is leucopenia?
Decreased white blood cell count.
What is the hematocrit?
The ratio of the volume of red blood cells to the total volume of blood.
What is thrombocytopenia?
Low blood platelet count.
What are thrombocytes also known as?
Platelets.
What is the target of granulocyte colony-stimulating factor (G-CSF)?
Neutrophil progenitors.
What cells produce Monocyte Colony-Stimulating Factor (M-CSF)?
Endothelial cells of marrow and macrophages.
What is the normal range of RBC count for males?
~4.1-6.0 million/μL
What is Filgrastim (G-CSF) used for?
It is given to patients with neutropenia secondary to chemotherapy.
How are lymphocytes classified?
By 'clusters of differentiation'.
What is the difference between serum and plasma?
Serum is the liquid that separates from the blood clot in tubes without anticoagulants or when blood is allowed to stand, and it contains growth factors and other proteins released during clot formation, whereas plasma is the aqueous solution of proteins, organic, and inorganic substances in blood.
What are Null/Natural Killer (NK) cells known for?
Attacking tumor cells and viral-infected cells.
What is the function of hemoglobin (Hgb) in red blood cells (RBC)?
To transport oxygen from the lungs to the tissues and carbon dioxide from the tissues to the lungs.
What does the buffy coat contain?
The buffy coat contains platelets and different leukocytes.
What is the major activity of thrombopoietin (TPO)?
It acts as a mitogen for megakaryoblasts and their progenitors.
What is the main component of plasma?
Water.
What is the function of immunoglobulins in plasma?
Production of antibodies.
What is the role of Interleukin-1 (IL-1) in the immune system?
It regulates activities and cytokine secretion of leukocytes and other cells.
What is the role of Interleukin-5 (IL-5) or Eosinophil Differentiation Factor (EDF)?
It promotes eosinophil development and activation.
What are azurophilic granules in leukocytes?
Lysosomes that will stain blue/violet
Describe the appearance of monocytes.
Largest agranular cells with a large horseshoe/kidney-shaped nucleus and blue-gray cytoplasm with dark blue/purple non-specific granules.
What is the function of fibrinogen in plasma?
Blood clot formation.
What is the function of plasma in the body?
Transporting substances such as blood cells, nutrients, waste products, antibodies, clotting proteins, chemical messengers (hormones), and proteins throughout the body.
What enhances the flexibility of RBCs?
Peripheral proteins
What is the clinical significance of bone marrow biopsies?
They may be performed in patients with lymphoma or hematopoietic malignancies.
What is the function of hemoglobin in erythrocytes?
Hemoglobin facilitates O2-CO2 gas exchange.
Which cells secrete Interleukin-2 (IL-2) and what is its function?
T helper cells secrete IL-2, which acts as a mitogen for T and B cells and promotes NK cell differentiation.
What is erythropoietin used for in clinical settings?
It is administered as an injection to patients with anemia secondary to renal failure, those undergoing dialysis, and those undergoing cancer therapy.
Under what conditions can yellow bone marrow revert to red bone marrow?
In conditions like severe bleeding or hypoxia.
What additional tests accompany bone marrow biopsies?
Blood smears to evaluate blood components and flow cytometry to show the distribution of leukocytes.
What is the reference interval for Mean Corpuscular Hemoglobin (MCH)?
28-33 pg
What is the function of Interleukin-3 (IL-3)?
IL-3 acts as a mitogen for granulocyte and megakaryocyte progenitors.
What type of bone marrow is comprised of hematopoietic cells and is red in coloration?
Red bone marrow.
What is the role of spectrin in RBCs?
Links membrane components to form a meshwork which reinforces the RBC membrane
Which types of granulocytes can be identified in a blood smear?
Eosinophil, Basophil, Neutrophil.
What are the examples of agranulocytes?
Monocytes, lymphocytes
What are the examples of granulocytes?
Neutrophils, eosinophils, basophils