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Anemia/Cell Inclusions/Parasites
JJC Vet Tech 240
65
Veterinary Medicine
Undergraduate 2
10/28/2014

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Term
Method for making a retic slide:
Definition
-1 drop ea: blood, new methylene blue
-mix, incubate 10-15min
-smear & count retics
Term
Define "anemia:"
Definition
absolute decrease in PCV, Hb concentration, and/or RBC count
Term
Anemia is not a ____, it is a ____.
Definition
not a diagnosis, it's a clinical sign of something else
Term
Evaluating a blood smear for anemia requires that you observe or measure:
Definition
-MCV
-MCHC
-Bone marrow response (regen/degen)
-Pathophysiologic mechanisms (blood loss/destruction/lack of creation)
Term
Causes of blood loss or hemorrhage:
Definition
-trauma
-toxicosis
-parasitism
-neoplasia
Term
Plant that causes hemorrhage:
Definition
sweet clover
Term
Observations of MCV:
Definition
normocytic, macrocytic, microcytic
Term
Observations of MCHC:
Definition
normochromic, hypochromic
Term
Causes of intravascular/extravascular hemolysis:
Definition
-spherocytosis, autoagglutination, positive Coomb's test
Term
Causes of reduced/defective erythropoiesis:
Definition
-bone marrow damage
-neoplasia
-chronic renal Dz
-infection (Ehrlichia, FeLV, FePanleuk, Parvo)
Term
Infections that cause reduced or defective erythropoiesis:
Definition
-Ehrlichia
-FeLV
-Feline panleukopenia
-Parvo
Term
Signs of regeneration:
Definition
Microscopy:
-polychromasia
-reticulocytosis
-anisocytosis
-nRBCs
-Howell-Jolly bodies

Automated:
-macrocytosis (^MCV, ^MCHC)
Term
Notes on polychromatophils from PP:
Definition
-larger than mature RBCs
-bluer in color (basophilic)
-higher amount RNA released from bone w/lower amount hemoglobin
-# same as # reticulocytes
Term
Describe the method for counting reticulocytes (assume slide is already made):
Definition
-divide view into 4 quadrants
-count all RBCs in each quadrant
-count all retics in each quadrant (just aggregate, not punctate)
-repeat for 10 total views
-find % retics from # RBCs counted
Term
Types of reticulocytes seen in cats:
Definition
aggregate, punctate
Term
Punctate retics are more or less mature than aggregate retics?
Definition
punctate are more mature
Term
What animal does not release reticulocytes from the bone marrow?
Definition
horses
Term
Does the absolute retic count take the RBC cell count into account?
Definition
yes
Term
What numbers of retics indicate regenerative anemia in dogs? Cats?
Definition
Dogs >60,000
Cats >15,000
Term
What part of the erythrocyte stains dark blue in a reticulocyte?
Definition
ribosomes
Term
RPI
Definition
Reticulocyte Production Index- based on maturation time; describes how fast the patient is producing reticulocytes; used a lot in humans and dogs
Term
basophilic stippling
Definition
punctate aggregates of RNA
Term
Basophilic stippling indicates ___ in bovids?
Definition
regeneration
Term
What indicates lead toxicity in dogs/cats?
Definition
>10 nRBCs and >100 basophilic stippling of RBCs
Term
What stain do you use to see basophilic stippling?
Definition
Dif-Quick
Term
"inappropriate metarubricytosis"
Definition
hallmark of lead poisoning in dogs/cats
Term
Types of polycythemia:
Definition
1. relative - dehydration
2. absolute
---primary: polycythemia vera - myeloproliferative disorder
---secondary: compensatory (heart Dz, pneumonia) OR inappropriate response (renal Dz / tumor)
Term
Polycythemia as a compensatory response can be caused by what?
Definition
-heart Dz
-pneumonia
-high elevation
Term
Polycythemia as an inappropriate response can be caused by what?
Definition
-renal Dz / tumor
Term
Howell Jolly bodies
Definition
-nuclear remnants normally removed by spleen
-low #s normal for cats/horses
-regenerative anemia
-splenectomy patients
Term
Heinz bodies
Definition
-most common in cats
-toxicity: onions, acetaminophen, propylene glycol
-Dz: Diabetes mellitis, hyperthyroidism
Term
Normal % of Heinz bodies in a cat?
Definition
5-10%
Term
Heinz bodies indicate ____ damage.
Definition
oxidative
Term
What dye can you use to better visualize Heinz bodies?
Definition
NMB- they show up blue
Term
pyknotic
Definition
condensed
Term
Barr body
Definition
-pyknotic, inactive remains of one X chromosome
-normal to see low #s in neutrophils in females
Term
Trypanosoma
Definition
-elongated, flagellated protozoans
-extracellular
-cattle, sheep, wild birds, reptiles, fish
-pathogenic and non-pathogenic strains
Term
Diseases caused by Trypanosoma spp?
Definition
-African sleeping sickness
-Chagas Dz (T. cruzi)
Term
Ehrlichia
Definition
-WBC inclusion
-in Anaplasma family = rickettsial
-tick transmission (Rhipicephalus)
-neutrophils in acute stage of infection, then monos
-dogs, horses, llamas
Term
Most common Ehrlichia spp?
Definition
E. canis
Term
Distemper
Definition
-RBC or WBC inclusion
-viral
-staining varies widely
Term
Mycoplasma
Definition
-FKA Hemobartonella
-fresh blood, no anticoag
-bacteria
-arthropods, cat bites, in utero
-M. canis rare - immunosuppressed or splenectomized dogs
-M. felis common - Feline Infectious Anemia
Term
What RBC inclusion is best seen on blood smears made with fresh blood, without anti-coagulant?
Definition
Mycoplasma
Term
What dogs are susceptible to Mycoplasma canis?
Definition
immunosuppressed or splenectomized dogs
Term
Babesia
Definition
-RBC hemoprotozoan
-tick transmission
-"piroplasmosis" in horses
-"cattle tick fever"
-canine babesiosis common in US in greyhounds, pits/staffies
Term
What dogs are susceptible to Babesia?
Definition
-greyhounds (spread in racetracks)
-pits/staffies (spread by dog fighting)
Term
What RBC protozoan resembles a "cignet ring"?
Definition
Cytauxzoon felis
Term
Cytauxzoon felis
Definition
-RBC protozoan
-usually fatal thrombosis
-cignet ring shaped piroplasms
-tick transmission
Term
Anaplasma
Definition
-most prevalent tick-borne Dz of cattle globaly
-RBC inclusion
-fatal hemolytic anemia
Term
What organism is the most prevalent tick-borne Dz of cattle worldwide?
Definition
Anaplasma
Term
What organism causes fatal hemolytic anemia?
Definition
Anaplasma
Term
Hepatazoon
Definition
-WBC inclusion
-protozoan; gamonts in neutros/mono
-H. americanum is severe, in US
-H. canis is mild, global
-in any wild carnivore
Term
gamont
Definition
stage of life of a protozoan hemoparasite; appears as a large, oblong structure inside of blood cells
Term
Leukocytozoon
Definition
-WBC protozoan, gamont
-distorts cell
-wild birds
Term
Haemoproteus
Definition
-RBC protozoan, gamonts
-most common wild bird hemoparasite
-pigeons/doves
-RBC nucleus not displaced
Term
[image]
Definition
leukocytozoon
Term
What is the most common wild bird hemoparasite?
Definition
Haemoproteus
Term
Doves and pigeons are commonly infected with ___.
Definition
Haemoproteus
Term
Hemogregarines
Definition
-RBC protozoan, gamont
-reptiles
-non-refractile
-usually non-pathogenic
-aberrant hosts = inflammatory stage
-dominant blood parasite of snakes
Term
What is the dominant blood parasite of snakes?
Definition
Hemogregarines
Term
Plasmodium
Definition
-RBC protozoan, gamont
-often displaces nucleus
-refractile granules
-birds and reptiles
-humans: malaria
-mosquito vector
-anemia
Term
Gamont that distorts the cell?
Definition
Leukocytozoon
Term
Gamont that does not displace the nucleus:
Definition
Haemoproteus
Term
Gamont that displaces the nucleus:
Definition
Plasmodium (often displaces nucleus)
Term
Birds/reptile hemoparasite with a mosquito vector?
Definition
Plasmodium
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