Clin Path Hematology
Terms
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- What are some functions of the blood?
-
Carries supplies:
-O2 to RBC
-Glucose
-H20
-electrolytes
-proteins
carries waste:
-CO2
-nitrogenous - What is the anticoagulent preferred for use in cats and dogs?
- EDTA
- What values are in a CBC?
-
-PCV/TP
-Cell Counts (RBC,WBC,platelets)
-WBC Diff
-hemoglobin
-reticulocyte count - What are the 3 components of the PCV?
-
1. RBC at bottom (highest SG)
2. Buffy coat (WBC)
3. Serum plasma on top - What does the RBC mass indicate in a PCV?
- body's ability to move O2
- If the buffy coat is wider than 1% what does this indicate?
- infection
- TP measures?
- amount of protein in the plasma
- What features of the cell do we look at?
-
-size
-nucleus
-cytoplasm - What are the 5 types of white blood cells?
-
1. Neutrophil
2. Lymphocyte
3. Monocyte
4. Eosinophil
5. Basophil - What is an increase in number of neutrophils called?
- Neutrophilia
- What does lymphocytosis indicate?
- increase in number of lymphocytes
- What is a decrease in total WBC count called?
- Leukopenia
- What is the function of RBC's?
- carry hemoglobin (O2)
- What produces the RBC's?
- bone marrow
- What are some reasons for RBC production decrease?
-
-diseased kidneys
-body does not detect blood loss
-bone marrow quits - What Dx lab tests indicate anemia?
-
-decreased circulating RBC's
-decreased PCV
-decreased HgB (hemoglobin) - In regenerative anemia how does the bone marrow react?
- responds by increasing RBC production
- In non-regenerative anemia how does the bone marrow react?
- bone marrow does not respond
- Reticulocytes are released in what type of anemia?
- Regenerative Anemia
- What is MCV?
- Mean Corpuscular Volume
- What does normocytic mean?
- Normal size cell
- If the cells are normocytic in anemia what does this indicate?
- chronic disease
- What does microcytic mean?
- small size cells
- What does microcytic cells indicated in anemia?
- iron deficiency
- What is macrocytic mean?
- large size cells
- What does macrocytic cells incidate in anemia?
- Reticulocytosis
- When normal HgB concentration is reached what happens to RBC's?
- They stop dividing
- With some anemia why do RBC's continue to divide?
- the concentration of HgB is to low
- What is hypochromic?
- -decreased HgB
- What is normochromic?
- normal HgB
- What is increased HgB called?
- Hyperchromic
- What is the most common type of anemia (90%)?
- macrocytic, hypochromic anemia
- What is MCH?
- Mean Corpuscular Hemoglobin
- What does MCH measure?
- mean wt of HgB in average RBC
- What is MCHC?
- Mean Corpuscular Hemoglobin Concentration
- What are Reticulocytes?
- immature RBC
- What color do Reticulocytes stain?
- blue
- Reticulocytes contain?
- ribosomes, mRNA
- What does a reticulocyte count indicate?
-
-anemia
-bone marrow response - Cats have what two types of reticulocyte forms?
-
-Aggregate form
-Punctate form - Aggregate reticulocytes become punctuate form when?
- they mature
- Aggregate reticulocytes represent?
- what has just been released from the bone marrow
- Aggregate form looks like?
-
large clumps
cell bluish - Punctate form looks like?
-
2-8 small granules
cell not bluish - What type of cell arrangement is Rouleaux?
- stacks of cells
- What increases with a Rouleaux cell arrangement?
- fibrinogen and globulin
- What type of cell arrangement has clumps of cells?
- Agglutination
- Agglutination is seen with what type of disease?
- immune mediated disease
- Anisocytosis means?
- variation in size
- Abnormally shaped cells is called?
- Poikilocytosis
- Schizocytes are?
- RBC fragments
- What are some reasons for schizocytes?
-
-DIC
-Neoplasia
-Iron deficiency - Acanthocytes are?
-
-"spur cells"
-irregular spicules coming off RBC
-few, unevenly distributed - What causes acanthocytes?
- change in membrane cholestrol
- Echinocytes are?
-
-"burr cells"
-regular short spicules
-more numerous - What causes echinocytes?
-
Crenation - artifact of slow drying
Dogs - renal disease, lymphosacroma, rattlesnake venom - Describe a Spherocyte?
-
-loss of biconcave disk
-little or no central pallor
-decreased cell membrane - What causes spherocytes?
- immune mediated disease
- Describe a Leptocyte?
-
-thin, increased cell membrane
-traget cells - look like bulls eye - Describe a Stomatocyte?
-
-rare
-inherited
-looks like human mouth - What are the red cell inclusions?
-
-Basophilic stippling
-Howell-Jolly Bodies
-Nucleated RBC
-Heinz Bodies - What caused Basophilic stippling?
- lead posioning
- What is a Howell Jolly Body?
-
-nuclear remnant
-Basophilic - Nucleated RBC's are?
-
-immature RBC
-precursor to mature RBC
-normally resides in bone marrow - What are Heinz Bodies?
- Denatured hemoglobin
- What blood parasite causes feline infectious anemia?
- Hemobartenella
- Leukocytosis is?
-
elevated TWBC
(usually Neutrophils) - What is the number one reason for an elevated WBC?
- Infection
- What is a stress leukogram?
- physiological response to stress that shows elevated TWBC
- What is present in a stress leukogram?
-
-neutrophilia
-lymphopenia
-esinopenia
-monocytosis - Leukopenia is?
- Decreased TWBC
- What causes leukopenia?
-
-inflammation
-bone marrow disease - What are neutrophils?
- phagocytes
- What is the function of a neutrophil?
- to consume pathogens
- What is the function of a Lymphocyte?
-
Immunity
(B and T cells) - What are the B cells responsible for?
- antibodies
- What are the T cells responsible for?
- cellular immunity
- What are monocytes?
- immature macrophages
- What is the function of Eosinophils?
-
-Parasiticidal
-Allergies
-Inflammation - Band neutrophils are?
- immature neutrophils
- Band neutrophils indicate?
- large infection
- What does a "left shift" refer to?
- shift to immature cells
- What is the number one job of platelets?
- hemostasis
- Platelets is the body's indicator to?
- clot blood
- What are the measures of total protein?
-
-Albumin
-Globulin
-Fibrinogen - What is the function of Albumin?
-
-blood pressure
-keeps fluid in vessels
-shuttles different things around body - What is the function of Globulin?
-
-antibodies
-defense system - What is the function of Fibrinogen?
-
-Strands to help hold clot together
-coagulation - A clot consists of?
-
-fibrin
-platelets
-blood - What are the two paths of fibrin production?
-
1. Intrinsic - intravascular component
2. Extrinsic - extravascular - ACT and APTT are coagulation tests for?
- intrinsic pathway
- Bleeding time is a test for?
- platelet function
- OSPT is a coagulation test for?
- extrinsic pathway