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Hematology Lecture 2
Hematology Lecture 2 Normal WBC Morphology
54
Biology
Undergraduate 3
11/26/2014

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Term
Pluripotential stem cells becomes committed based on ____ ____
Definition
Growth Factors
Term
Growth factors are usually _______ that provide the stimulus
Definition
interleukins
Term
After maturation, the cells remain in the bone marrow for ____ _____ before they are released into the peripheral blood
Definition
several days
Term
Bone Marrow contains ____ _____ the number of circulating white blood cells
Definition
25 times
Term
Which type of cells do the following:
-Marginate into the peripheral blood
---Diapedese into the tissue
-Are stored in the bone marrow until needed in circulation
Definition
Mature WBC
Term
Once Diapedesis occurs do cell return to the blood?
Definition
No
Term
After WBC enter the tissue, how long do they live?
Definition
1-2 days
Term
Cells are removed by which system?
Definition
RE system
Term
Nuclear maturation
Definition
Reduction in size and condensation of chromatin
Nucleus goes from a delicate purple chromatin to clumped chromatin
Nucleoli disappear
Nucleus of myeloid cells changes shape
N:C ratio is decreased (nucleus to cytoplasm)
Term
How many days does Granulopoiesis take to go through the proliferation and maturation?
Definition
7-11 days
Term
What is the main purpose of the mature neutrophil?
Definition
Phagocytosis of bacteria
Term
Myeloblast
Definition
Nucleus is round or oval with abundant, unclumped, light purple reticulated chromatin
2 – 5 nucleoli
Cytoplasm sparse, basophilic
Blue-gray cytoplasm
No granules
Term
Promyelocyte
Definition
Nucleus is round or oval
Slight chromatin clumping
Nucleoli begin to fade
1 -2 nucleoli
Cytoplasm is more evident than blast
Primary granules are observed
Large non-specific
Red to purple in color
Often are on top of nucleus as well as cytoplasm
Term
Myelocyte
Definition
Nucleus is round or oval with chromatin getting coarser
May be slightly flattened on one side
Nucleus may have “dawn of neutrophilia”
Clearing observed near nucleus
No nucleoli are present
Cytoplasm contains:
Primary granules
Secondary granules
Cytoplasm is becoming less blue
Term
Metamyelocyte
Definition
Smaller than myelocyte
Nucleus is kidney-bean shaped
Chromatin becoming coarser
Stains darker
Secondary granules are more evident
Cell is more pink than myelocyte
Term
Neutrophilic Band
Definition
Nucleus is horse-shoe shaped and very clumped
“C” or “S” shaped
Pyknotic or clumped ends
>5% in peripheral blood is abnormal
Cytoplasm is abundant with many fine granules
More secondary granules are evident
Term
What is the purpose of a segmented neutrophil?
Definition
Engulf and destroy bacteria
Term
Segmented Neutrophil
Definition
50-70% circulate in peripheral blood
Slightly smaller than a band
Capable of diapedesis and phagocytosis
Nucleus is pinched into segments connected with a fine filament
Chromatin is coarse
3-5 lobes are observed
Abundant pink cytoplasm with secondary granules
Term
What is the main purpose of the lymphocyte?
Definition
Humoral and cellular Immunity
Term
Lymphocyte
Definition
Nucleus is round, oval
Highest N/C ratio other than blast
Chromatin is evenly coarse with dark clumping
Nucleolus may be seen
Cytoplasm is blue
May have azurophilic granules
Large red granules
Term
Peripheral blood contains what percentage of lymphocytes?
Definition
20-40%
Term
True or False:
One Cannot distinguish a B lymphocyte from a T lymphocyte on peripheral blood smear
Definition
True
Term
What is the main purpose of the monocyte?
Definition
processing antigens to present to lymphocytes and collect garbage
Term
Monocyte
Definition
Largest cell in normal blood
Nucleus
Indented, folded brain-like convolutions
Delicate, pale chromatin with abundant and distinct open spaces, lace-like
Usually no nucleoli
Cytoplasm is light gray or gray-blue with pseudopods
May contain vacuoles
Term
What is the percentage of monocytes circulating in the peripheral blood?
Definition
10%
Term
How do you distinguish a monocyte from a band?
Definition
The color of the cytoplasm
Monocyte's is a blue-gray
Term
What is the main purpose of the Eosinophil?
Definition
Immunity against parasites, control of inflammation, and allergic responses
Term
Eosinophil
Definition
Proliferation sequence same as neutrophil
Cytoplasmic granules are large orange-red
Appear in the myelocyte
Nucleus is band or bi-lobed
Bi-lobed most common
Less than 5% found in peripheral blood
Term
Basophil
Definition
Involved in cell mediated immunity
Interact with IgE
Same maturation sequence as neutrophil
Granules are huge, dark blue or black
Contain histamine
Granules are so large the nucleus is hidden
Less than 2% are seen in the blood
Term
What is the main function of a Megakaryocyte?
Definition
To make platelets for clotting blood
Term
Megakaryocyte
Definition
Nucleus is multiform with abundant cytoplasm
Very large
Platelet (thrombocyte) pinches off the cytoplasm
Term
What is the main purpose of a Plasma cell?
Definition
Make ABYs
Term
Mature Plasma Cell
Definition
Nucleus is round and eccentric with clumped chromatin
Cytoplasm is dark blue with pale perinuclear zone
Cornflower blue
Term
What is the purpose of the Macrophage or histiocyte?
Definition
immunity, storage of iron, phagocytosis
Term
Macrophage or histiocyte
Definition
Only seen in bone marrow and tissue
Small nucleus in large amount of cytoplasm
Often observe vacuoles or particle matter
Term
Osteoclast
Definition
Destroys bone
Term
Osteoblast
Definition
Makes bone
Term
Blood smear should be made in ____ hours
Definition
5
Term
Blood smear - ___-____ hours preferred for a smear to be made
Definition
3-4
Term
Blood smear - ____-____ hours ideal for a smear to be made
Definition
2-3
Term
What does making a smear within 5 hours help to prevent?
Definition
Vacuolated, broken WBC; crenated RBC
Term
Wright-Giemsa is what type of stain?
Definition
Romanovsky stain
Term
True or False:
Wright Stain - Alkaline methylene blue stains acidic cellular structures including nuclear DNA and cytoplasmic RNA
Stains blue
Definition
True
Term
True or False:
Wright Stain - Acidic eosin stains basic hemoglobin and esoinophilic granules
Stains red
Definition
True
Term
If the slide of a Wright Stain is too blue what does that indicate?
Definition
too much stain
too little buffer
reagents are too alklaine
Term
If the slide of a Wright Stain is too blue what can you do to solve this?
Definition
Use more buffer
Term
If the slide of a Wright Stain is too pink what does that indicate?
Definition
Too little stain
Too much buffer
Reagents are too acidic
Term
Identify the cell:
N/C Ratio: High
Nucleoli: Yes
Granules: No
Definition
Myeloblast
Term
Identify the cell:
N/C Ratio: High
Nucleoli: Yes
Granules: Non-specific
Definition
Promyelocyte
Term
Identify the cell:
N/C Ratio:Medium
Nucleoli: No
Granules:Specific
Definition
Myelocyte
Metamyelocyte
Term
Identify the cell:
N/C Ratio: Low
Nucleoli: No
Granules: Specific
Definition
Band Neutrophil
Segmented Neutrophil
Term
Identify the cell:
N/C: Low
Nucleus: Clumped, uneven
Cytoplasm: Pink
Granules: Medium, pink
Vacuoles: Maybe
Definition
Neutrophil
Term
Identify the cell:
N/C: High
Nucleus: Clumped, even
Cytoplasm: Blue
Granules: Large, red (if present at all)
Vacuoles: Maybe
Definition
Lymphocyte
Term
Identify the cell:
N/C: Medium
Nucleus: Lacy, even
Cytoplasm: Blue-gray
Granules: Fine, blue or pink
Vacuoles: Likely
Definition
Monocyte
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