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Hematology Exam 5 Study Material
Instrumentation and results
155
Biology
Undergraduate 3
10/31/2014

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Term
WBC Flag R1
Definition
Clumped of giant platelets
NRBCs
Term
WBC Flag R2
Definition
Variant lymphs and blasts
Term
WBC Flag R3
Definition
immature granulocytes, eosinophilia
Term
WBC Flag R4
Definition
High absolute granulocytes
Term
RBC Spurious Results due to
Definition
High WBC, RBC fragments, Clumped RBCs as seen in agglutination
Term
MCV Spurious Results due to
Definition
Cold Agglutination (increase)
Tonicity
High WBC
Term
Hgb Spurious Results due to
Definition
High WBC
Lipemia
Icteric sample
Term
What method is used to determine WBC, RBC, and Plt
Definition
Cell Impedance
Term
What method is used to determine Hgb
Definition
Cyanmethemoglobin method
Term
MCV is measured by
Definition
pulse height
Term
Which values are calculated
Definition
PDW, RDW, MCHC, MCH, Hct
Term
Sweep flow
Definition
Cells are gently pulled through the aperture by vacuum
Term
Coincidence correction
Definition
corrects for two cells going through the aperture simultaneously
Term
Voting
Definition
must agree with two out of three counts to get results
Term
Impedance
Definition
interrupts the current
Term
Light scatter
Definition
Cell scatters light dependent on the mass of the cell
Term
Coulter Principle
Definition
uses cell impedance to count WBC and RBC
Term
What does the Coulter Principle count
Definition
WBC
RBC
Term
What does RDW measure
Definition
Red Cell Distribution Width
Term
What does RDW correlate with
Definition
Anisocytosis
Term
If the vacuum decreases, what happens to the cell counts?
Definition
Decreases
Term
What interferes with the Plt count
Definition
Giant plt, tiny RBCs, RBC fragments, NRBC
Term
What is the NRBC counted as on the 5-part differential histogram?
Definition
Platelet
Term
What effect down platelet satellism have on the platelet count
Definition
Decreases the count
Term
What parameters are effected by giant platelets?
Definition
WBC, MCV, Plt count
Term
What is the effect on parameters by giant platelets?
Definition
Increased WBC
Decreased MCV
Decreased Plt count
Term
What is the problem if the WBC is very high and the Hgb is increased
Definition
No lyse
Term
What is the effect of very elevated WBC count
Definition
Effects RBC, Hgb, Indices
Term
What will a very elevated WBC count not effect?
Definition
Plt count
Term
What happens to the Hgb value when the lamp fades?
Definition
Decreases Hgb
Term
If WBC and Plt count are fine, but RBC, Hct, and Indices are decreased?
Definition
Plug in RBC aperture
Term
When do you review a blood smear?
Definition
Abnormal WBC, RBC, Plt Count
Term
If anemia is present, will the indices and RDW be normal or abnormal?
Definition
May be either normal or abnormal
Term
What will happen to MCH and MCHC in Lipemic speciments?
Definition
Increased
Term
[image]
Definition
A: Neutrophils
B: Monocytes
C: Lympocytes
D: Eosinophils
E: Basophils
Term
[image]
Definition
1: Blasts
2: Immature Granulocytes
3: Aged and Damaged Neutrophils
4: Giant Platelets
5: NRBC
6: Lymphocytes
7: Blasts
8: Lymphocytes
9: Blasts
Term
[image]
Definition
1: Fragments
2: MCV
3: Retics
4: Doublets or WBCs
Term
[image]
Definition
1: Bubbles
2: Tiny RBC
3: Large Plts
Term
[image]
Definition
1: Large Plts
2: Lymphs
3: Blasts
4: Monocytes
5: Segs and Eosinophils
Term
[image]
Definition
WBC Histogram
Term
[image]
Definition
RBC Histogram
Term
[image]
Definition
Platelet Histogram
Term
[image]
Definition
All are Normal
Term
[image]
Definition
N/C N/C Anemia
Term
[image]
Definition
N/C N/C Anemia with Anisocytosis
Term
[image]
Definition
Anemia with Hypochromic and Microcytic
Term
[image]
Definition
Lymphocytosis
Term
[image]
Definition
Severe N/C N/C Anemia
Term
[image]
Definition
Hypochromic Microcytic Anemia
Term
[image]
Definition
Severe Anemia with Anisocytosis
Term
[image]
Definition
Clumped Platelets
Term
[image]
Definition
Lymphopenia Granulocytosis
Term
[image]
Definition
Anisocytosis, Microcytic, Hypochromic, with small platelets
Term
[image]
Definition
Lymphocytosis Granulocytosis
Term
[image]
Definition
Sickle Cell Disease most like associated with Thalassemia
Term
[image]
Definition
Autoimmune Disorder Present
-Sjogren's syndrome
-Cold agglutinin syndrome
-Diffuse large cell lymphoma
-Type II cryoglobulinemia
Term
[image]
Definition
Infectious Mononucleosis

Reactive/Atypical Lymphs
Term
[image]
Definition
Dysmyelopoietic Syndrome
- refractory anemia with excess blasts
- giant platelets
- dimorphic rbc
- immature granulocytes
Term
[image]
Definition
Chronic Lymphocytic Leukemia
Term
[image]
Definition
Chronic Granulocytic Leukemia
Term
[image]
Definition
Acute Nonlymphocytic Leukemia
Term
[image]
Definition
Severe Folate Deficiency
-Macrocytosis
Term
[image]
Definition
Severe folate deficiency
- macrocytes
- retics
- left shift
Term
[image]
Definition
Bubble
Term
[image]
Definition
A: Debris
B: Platelets
C: Microcytic RBCs
Term
4 Advantages of Automation
Definition
Speed
Accuracy
Precision
Small blood volume
Term
4 Advantages of Manual
Definition
Cost is low
if low work volume
Extremely small volume of blood
Fewer artifacts and spurious results
Term
Result of Accuracy
Definition
Eliminates subjectivity
Term
Result of Precision
Definition
More cells counted
Term
Light Scatter Combined with Staining (Abbott)
Definition
Uses laser counting as well as peroxidase staining for differential
Term
All of the larger analyzers evaluate _________ based on optical scatter or fluorescence after treating RBCs with either fluorescent dyes or nucleic acid stains to stain residual RNA
Definition
reticulocytes
Term
5 Components of an Analyzer
Definition
Diluter
DMS
Power Supply
Analyzer
Reagent subsystem
Term
Power supply includes (2)
Definition
Pneumatics
Electronics
Term
Pneumatics
Definition
Compressed air that operates pinch valves
Vacuum that pulls cells through orifices
Term
Electronics
Definition
Supplies voltage required for circuitry
Term
Diluter
Definition
Primary operating system
Term
Diluter
Definition
Mixes, transports, pipettes, lyses, senses
Term
Analyzer
Definition
Counts, measures, computes the count and size information from the diluter and send to DMS
Term
DMS stands for
Definition
Data Management System
Term
DMS
Definition
Displays, stores, and transmits information to printer
Term
With histograms, all that are under the line are ______
Definition
quantitated
Term
WBC Histogram
35-90 fL
Definition
lymphs
Term
WBC Histogram
90-160 fL
Definition
mononuclear cells
Term
WBC Histograms
160-450 fL
Definition
Granulocytes
Term
RBC Histogram particles __ ___ fL in RBC chamber are counted
Definition
>36
Term
Platelet Histogram particles between ___ __ ___ fL are considered
Definition
2-20
Term
Platelet Histogram - process includes are platelets while excluding ___ ___ ___
Definition
small red cells
Term
Follow a Drop of Blood Step 1
Definition
Sample is loaded automatically or manually held
Term
Follow a Drop of Blood Step 2
Definition
Pump draws a small amount of blood
-usually 100 microliters into BSV
Term
Follow a Drop of Blood Step 3
Definition
Sample of blood is picked up by isoton and taken to baths as bubbles come in to mix
Term
Follow a Drop of Blood Step 4
Definition
Vacuum draws precise amount of blood/isoton dilution through apeture
Term
Follow a Drop of Blood Step 5
Definition
After WBC counted, dilution drops to Hgb cuvette
Term
Follow a Drop of Blood Step 6
Definition
Data is sent to analyzer
Term
Follow a Drop of Blood Step 7
Definition
Results are displayed and a printout is generated
Term
Follow a Drop of Blood Step 8
Definition
WBC differentials use various methods
Term
Follow a Drop of Blood Step 9
Definition
Backwash
Term
Follow a Drop of Blood Step 10
Definition
Ready for next sample
Term
RBC bath dilution
Definition
1:6250
Term
RBC bath dilution ____ and _____ are counted
Definition
RBCs
Platelets
Term
WBC bath dilution
Definition
1:251
Term
WBC bath dilution ____ and ____ are determined
Definition
WBCs
Hgb
Term
Follow a Drop of Blood Step 4 A
Definition
Sweep flow is activated
Term
Follow a Drop of Blood Step 4 B
Definition
Cells are pulled through the aperture by vacuum
Term
Follow a Drop of Blood Step 4 C
Definition
Current is supplied to electrodes
Term
Follow a Drop of Blood Step 4 D
Definition
Cells passing through cause resistance
Term
Follow a Drop of Blood Step 4 E
Definition
Resistance Number and Size Sensed
Term
Follow a Drop of Blood Step 4 F
Definition
Three apertures count for 4 seconds
Term
Follow a Drop of Blood Step 4 G
Definition
Amplified and displayed by CRT
Term
Follow a Drop of Blood Step 4 H
Definition
Hgb blank is read
Term
Follow a Drop of Blood Step 6 i
Definition
Coincidence correction
Term
Follow a Drop of Blood Step 6 ii
Definition
Counted
Term
Follow a Drop of Blood Step 6 iii
Definition
Voted on
Term
Follow a Drop of Blood Step 6 iv
Definition
RBC and Plt Histograms complied
Term
Follow a Drop of Blood Step 6 v
Definition
RBC histograms derives MCV and RDW
Term
Follow a Drop of Blood Step 6 vi
Definition
Results are sent to DMS
Term
Follow a Drop of Blood Step 2 a
Definition
Usually 100 microliters into blood sample valve (BSV)
Term
Follow a Drop of Blood Step 2 b
Definition
Aspiration needle is rinsed with isoton
Term
Follow a Drop of Blood Step 2 c
Definition
Center of BSV rotates
Term
Follow a Drop of Blood Step 2 d
Definition
Baths are rinsed
Term
Follow a Drop of Blood Step 2 ci
Definition
Blood is segmented into two parts
Term
If calculated Hct parameter is lower than manual count
Definition
No trapped plasma
Term
MCV is calculated from
Definition
area under RBC curve
Term
RDW is the CV or RBC which equals
Definition
(SD/Mean) x 100
Term
Platelets are counted in the same bath as
Definition
RBCs
Term
What does MPV mean?
Definition
Mean Platelet Volume
Term
Flow Cytometry
Definition
Cytoplasm is stripped from all cells except for the basophils
Term
Flow Cytometry - Discriminatory electronic thresholds distinguishes
Definition
granulated cells from non-staining lymphocytes
Term
Flow Cytometry - __ __ _ ___ _ ___ are utilized to categorize each cell
Definition
Light scatter and pattern of absorbance
Term
VCS scatterplot incorporated _____ ___ ____
Definition
laser with impedance
Term
VCS scatterplot counts _____ WBC/cycle
Definition
8000
Term
VCS simultaneously analyzes each cell by (3)
Definition
Volume or size
Conductivity
High frequency electromagnetic probe that measures internal structure
Term
What separates basophils from lymphs?
Definition
VCS High Frequency Electromagnetic Probe
Term
Which Differential results in a 3-D plot separating all five cell lines?
Definition
VCS Scatterplot
Term
Which differential provides a good manual differential for normal smears?
Definition
Coulter Automated Differentials
Term
VCS scatterplot is what type of differential?
Definition
Coulter Automated Differential
Term
VCS scatterplot provides a good manual differential for ______ ______
Definition
normal smears
Term
Automated cell counters use either __ __ or ___ ___ ___
Definition
cell impedance
Optical light scatter
Term
Increased _____ will cause MCV >100
Definition
glucose
Term
If MCHC>36%, check for
Definition
lipemia
icterus
clumped cells
Term
If lipemic or icteric perform
Definition
plasma replacement
Term
If agglutination is present
Definition
rewarm sample and repeat
Term
3 possible abnormalities with the R1 flag
Definition
Intracellular parasite
Clumped or Large Plts
NRBCs
Term
2 possible abnormalities with R2
Definition
Reactive lymphocytes
blasts
Term
3 possible abnormalities with R3
Definition
Eosinophilia
Basophilia
immature neutrophils
Term
Possible abnormality with R4
Definition
granulocytosis
Term
Normal RDW is ____ - ____
Definition
11.5
14.5
Term
Normal Hct Values
Male
Female
Children
Definition
40-54
35-49
48-68
Term
Normal Hgb value
Male
Female
Children
Definition
14-18
12-15
10-15
Term
Normal RBC count
Male
Female
Children
Definition
4.7-6.1 x 10^6
4.2-5.4 x 10^6
4.4*5.8 x 10^6
Term
Normal WBC count
Definition
4.0 - 11.0 x 10^3
Term
Normal Plt count
Definition
150-450 x 10^3
Term
Normal MCV value
Definition
80-100 fL
Term
Normal MCH value
Definition
27-31 pg
Term
Normal MCHC value
Definition
32-36%
Term
Normal MPV
Definition
7.5-11.5
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