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Hematology
JJC Vet Tech 140
225
Veterinary Medicine
Undergraduate 1
04/06/2014

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Cards

Term
RBC Count for
-k9
-feline
-eqiune
Definition
k9: 5.4-7.8 x 10^6 (5-8)
feline: 5.8-10.7 x 10^6 (6-11)
equine: 6.4-10 x 10^6 (6-10)
Term
Thrombocyte Count for
-k9
-feline
-equine
Definition
k9: 1.6 - 4.3 x 10^5 (1-4)
feline: 3-8 x 10^5 (3-8)
equine: 1-2.7 x 10^5 (1-3)
Term
WBC Count for
-k9
-feline
-equine
Definition
k9: 6-17 x 10^4or3 (6-17)
feline: 5.5-19.5 x 10^4or3 (5-20)
equine: 5.2-13.9 x 10^4or3 (5-14)
Term
HCT of
-k9
-feline
-equine
Definition
k9: 37-54
feline: 30-47
equine: 32-47
Term
How to estimate Hb?
Definition
PCV/3
Term
How to estimate RBC?
Definition
PCV/6
Term
MCV
Definition
Mean Corpuscular Volume
Term
MCHC
Definition
Mean Corpuscular Hemoglobin Concentration
Term
MCV=
Definition
(PCV x 10) / RBC
Term
MCHC=
Definition
(Hb x 100)/PCV
Term
How many major types of cells are in blood?
Definition
3- RBCs, WBCs, thrombocytes
Term
An initial screening of the blood should include:
Definition
-PCV/HCT
-TP
-Hb
-total WBC
-diff WBC
Term
The most numerous of all blood cells is the ___.
Definition
erythrocyte
Term
RBCs are measured in ___.
Definition
millions per microliter
Term
What species have nucleated RBCs?
Definition
-birds, reptiles, fish
Term
1 leukocyte per 100x field =
Definition
100-150 per microliter
Term
Normal amount of leukocytes per 100x field?
Definition
18-51
Term
Term for creation of leukocytes?
Definition
leukocytopoiesis
Term
Thrombocytes are made from ___.
Definition
megakaryocytes
Term
Thrombocytes may have what in their cytoplasm?
Definition
basophilic fragments
Term
Term for creation of thrombocytes?
Definition
thrombocytopoiesis
Term
1 thrombocyte per 100x field =
Definition
20,000 per microliter
Term
Normal amount of thrombocytes per 1000x field?
Definition
8-15
Term
What is the measure of how much "room" is inside a RBC?
Definition
MCV
Term
MCV is expressed in...
Definition
femtoliters
Term
What is a measure of how much hemoglobin is in a RBC?
Definition
MCHC
Term
MCHC is measured in...
Definition
g/dL
Term
Do you use an anticoagulant to find PCV?
Definition
yes
Term
PCV is measured in...
Definition
%
Term
Layers of a hematocrit tube?
Definition
clay, RBCs, buffy coat, plasma
Term
What type of cell has the highest SG of all blood cells?
Definition
RBCs
Term
The most important tool in developing a hemogram is ___.
Definition
PCV
Term
The two most plentiful leukocytes will always be...
Definition
neutrophils and lymphocytes
Term
Other names for neutrophils?
Definition
-polymorphonuclear leukocytes
-segmenters
-segs
Term
Another name for bands?
Definition
stabs
Term
Agranulocytes are also known as...
Definition
mononuclear leukocytes
Term
How does the N:L ratio differ between species?
Definition

carnivores N:L > 1 ruminants N:L < 1 horses N=L 

pigs N:L varies

Term
Leukocytes remain in the vasculature for...
Definition
6-72 hours
Term
Which leukocytes do not return to the vasculature after being in the tissues?
Definition
granulocytes and monocytes
Term
What % of lymphocytes return to the vasculature after tissue migration?
Definition
70%
Term
1 microliter =
Definition
1 millionth of a liter, or 1mm^3
Term
Term for the creation of neutrophils?
Definition
granulopoiesis
Term
Granulopoiesis takes how long?
Definition
3-7 days
Term
Neutrophils stay in the circulation for how long?
Definition
6-15 hours
Term
Barr body
Definition
"drumstick" sticking off a segment in a neutrophil, signifies female
Term
The nucleus of a band cell can be what shapes?
Definition
U or S
Term
Rod-shaped granules are associated with what species and what cell?
Definition
cat eosinophils
Term
What domestic species has the largest eosinophil granules?
Definition
horse
Term
Orange/grey granules are associated with what species and what cells?
Definition
cat basophils
Term
A raspberry-like eosinophil is from what species?
Definition
horse
Term
A jewel-like eosinophil is from what species?
Definition
cow
Term
Name the blood-forming organs:
Definition
-bone marrow
-liver
-spleen
-thymus
-kidneys
Term
A meaningful interpretation of hematological data depends on __ and __.
Definition
thorough Hx and PE
Term
___ - fibringoen = ___.
Definition
Plasma - fibrinogen = serum
Term
Blood fluid consists of:
Definition
-water
-plasma proteins
-electrolytes
-vitamins and minerals
-hormones
-fats
Term
Why are erythrocytes biconcave?
Definition
-bend in capillaries
-surface area to carry O2 and CO2
Term
The two rarest blood cells to find are __ and __.
Definition
eosinophils, basophils (most rare)
Term
Names the "pools" of leukocytes.
Definition
-proliferation pool
-storage pool
-circulation pool
-marginal pool
-body pool
Term
Term for the process by which leukocytes squeeze through blood vessel walls into the tissues?
Definition
diapedesis
Term
Term for when leukocytes "stick" to the endothelium of blood vessels?
Definition
marginate
Term
Name of the left-to-right description of how granulocytes mature?
Definition
Schilling's Maturation Pathway
Term
Describe the order of maturation of neutrophils.
Definition
myeloblast > promyelocyte > myelocyte > metamyelocyte > band > seg
Term
How many immature neutrophils are generally found in healthy blood?
Definition
1-3%
Term
How many immature neutrophils are found in the blood when there is a left shift present?
Definition
5-10%
Term
A left shift can be either __ or __.
Definition
regenerative, degenerative
Term
A left shift in a hemogram indicates...
Definition
an increase in immature cells in that hemogram
Term
PNP
Definition
proliferation neutrophil pool
Term
SNP
Definition
storage neutrophil pool
Term
CNP
Definition
circulating neutrophil pool
Term
MNP
Definition
marginal neutrophil pool
Term
A mature neutrophil has ____ segments.
Definition
3-5
Term
a neutrophil with >__ segments is called a ___.
Definition
>5 segments is a pleokaryocyte
Term
The primary function of a neutrophil is...
Definition
to kill/phagocytize "bugs"
Term
Segs only stay in the CNP for ___ before ___.
Definition
a few hours before marginating
Term
When we do a blood draw or look at a smear, we are only seeing the WBCs in the ___.
Definition
CNP
Term
When making a Dx, always look to what cell?
Definition
neutrophils
Term
What does a moth-eaten neutrophil indicate?
Definition
toxic neutrophil - poison in blood stream or marrow
Term
__ have granules which contain histaminase.
Definition
eosinophils
Term
Cell that has a characteristic "crescent moon"?
Definition
lymphocyte
Term
Cell with an ameboid nucleus?
Definition
monocyte
Term
The 3 W's are associated with what cell?
Definition
eosinophils
Term
What are the 3 W's?
Definition
worms, wheezes, weird diseases
Term
___ have granules that contain histamine.
Definition
basophils
Term
Where does lymphocytopoiesis occur?
Definition
fetus- medulla
after birth- lymphatic tissues
Term
What are the types of lymphocytes?
Definition
-can be big or small
-B, T or NK
Term
Cows may have a cleft in the nucleus of the ___.
Definition
lymphocyte
Term
A macrophage is a ___ that has...
Definition
monocyte that has left the CNP
Term
When looking at a blood smear, only Dx when under...
Definition
oil immersion
Term
What species has the most delicate blood and is generally crenated?
Definition
pigs
Term
What species generally exhibits rouleaux?
Definition
horses
Term
Large lymphocytes are found in what group of animals (small or large?)
Definition
LA
Term
In most species, the SNP has a ___ worth of mature ___. What species does not?
Definition
week's worth of mature segs; cows have day's worth
Term
What does "egress" refer to in terms of neutrophil movement in the body?
Definition
After marginating, the neutrophil passes through endothelium into tissue, or "egresses" into the tissue.
Term
What instrument is used to take a Total WBC Count?
Definition
hemocytometer
Term
Diff WBC is always expressed as...
Definition
%
Term
How do you determine the diff WBC?
Definition
# different leukocytes per 100 cells counted
Term
What conditions signify a regenerative left shift?
Definition
normal WBC count, #segs >/= #bands
Term
What conditions signify a degenerative left shift?
Definition
normal WBC count, #segs < #bands
Term
A degenerative left shift lasting _____ has a poor ____ and means the animal needs euthanasia.
Definition
lasts 24-48h, guarded prognosis
Term
How might pleokaryocytes in a blood sample result from a tech's actions?
Definition
-leave at RT, segs continue to mature into pleos
Term
What is "pissed-off cat syndrome"?
Definition
stressed cats has ^BP which sweeps marginal leuks back into CNP; thus WBC count is increased
Term
How does aspirin affect neutrophil pools?
Definition
makes endothelium less sticky, so marginal leuks are swept back into CNP, increased WBC
Term
How do glucocorticoids affect neutrophil pools?
Definition
Makes endothelium less sticky, leuks stuck in the CNP
Term
How do glucocorticoids increase the chance of infection?
Definition
leuks can't exit CNP, can't migrate to site of invading bugs
Term
What type of blood cell is responsible for most cases of tissue rejection after grafts/implants?
Definition
Killer T
Term
Monocytosis indicates...
Definition
chronic infection
Term
What type of cell can live for months in the body tissues?
Definition
macrophages
Term
Eosinophil granules contain...
Definition
lysozymes and histaminase
Term
What type of leuk can regenerate granules?
Definition
eosinophil
Term
What type of granule makes holes in nematode larvae? What cell produces these granules in this particular case?
Definition
lysozyme, eosinophil
Term
Term for when # leukocytes is above normal range?
Definition
leukocytosis
Term
Term for when # leukocytes is below normal range?
Definition
neutropenia
Term
What two species may exhibit SMALL amounts of rouleaux on blood smears?
Definition
cats and pigs
Term
What is a Dohle body and what does it indicate?
Definition
a dark spot in the cytoplasm of a seg; signifies septicemia/toxemia or some other problem of marrow
Term
Polychromatophils make up ___% of circulating RBCS in a healthy animal.
Definition
1%
Term
What is a polychromatophil?
Definition
early RBC, the stage before mature erythrocyte
Term
What species will NEVER have polychromatophils? Why not?
Definition
horses skip that stage, go from metarubricyte to erythrocyte
Term
Polychromatophils are pale, or _____.
Definition
hypochromic
Term
Difference between polychromatophil and reticulocyte?
Definition
Polychromatophils contain RNA granules that dissolve in diff-quick/Rominowsky stains; if stained in new methylene blue, granules are visible and it's called a reticulocyte
Term
Erythrocytopoiesis takes about ___, and RBCs live ___.
Definition
takes 5 days, they live 100 days
Term
Describe the stages of maturation of RBCs:
Definition
rubriblast > prorubricyte > rubricyte > metarubricyte > polychromatophil
Term
Term for a nucleated RBC?
Definition
metarubricyte
Term
MPS
Definition
mononuclear phagocyte system
Term
Where is hemoglobin synthesized?
Definition
nucleus of premature RBCs
Term
What is a Howell Jolly body?
Definition
round, basophilic, refractile object inside a RBC; normally removed by MPS
Term
Term for differently sized RBCs in a sample?
Definition
anisocytosis
Term
Term for differently shaped RBCs?
Definition
poikilocytosis
Term
IMHA
Definition
immune-mediated hemolytic anemia
Term
What are spherocytes?
Definition
Small RBCs, usu. indicate IMHA
Term
Difference between regular anemia and IMHA?
Definition
regular- decreased # of RBCs
IMHA- # RBCs is normal, but they're agglutinated by immunoglobulins and can't function
Term
What is a Heinz body?
Definition
a blister-like material on the outside of a RBC, generally only seen in cats
Term
A stomatocyte is a type of ___.
Definition
polychromatophil
Term
A polychromatophil that looks like it's smiling is known as a ___.
Definition
stomatocyte
Term
How do you Dx anemia in the horse?
Definition
Don't have polychromatophils, must look at marrow.
Term
If you see NRBCs on a smear, the animal has ___.
Definition
anemia
Term
EPO
Definition
erythropoietin
Term
What will the kidney do if blood flowing through it has decreased O2 concentration?
Definition
increase erythropoietin output
Term
Young red blood cells start out (color?) because...
Definition
pale/hypochromic, because hemoglobin not exposed to much O2 yet
Term
As RBC matures, it becomes (color?).
Definition
redder/normochromic
Term
A mature RBC is (color?) because...
Definition
pink because it loses granules and oxygenated Hb
Term
polycythemia
Definition
# RBCs higher than normal range
Term
What may cause polycythemia?
Definition
going to high altitude
Term
Basophilic stippling indicates what?
Definition
lead poisoning, almost pathognomonic
Term
What is basophilic stippling?
Definition
smattering of dark particles within a RBC caused by some toxicity like lead poisoning
Term
Describe how lymphocytes differentiate in the fetus.
Definition
-made in bone marrow
-some become NK
-some go to thymus (T-lymphos)
-some go to Peyer's patches in intestines (B-lymphos)
-some stay in bone marrow (B-lymphos)
Term
What lymphatic tissue is very prominent in ruminants?
Definition
Peyer's patches
Term
T-lymphocytes are from the ____.
Definition
thymus
Term
B-lymphocytes are from the ____.
Definition
bone marrow or Peyer's patches
Term
Activated lymphocytes are known as ___.
Definition
immunocytes
Term
Non-specific immunity consists of...
Definition
natural: because of species
innate: inflammation, skin, MM, enzymes in saliva/tears, etc
Term
Specific immunity consists of...
Definition
cell-mediated and humoral
Term
What are the types of T-lymphocytes and their functions?
Definition
--helper-T: w/macrophage's help, tells B-lymphos to make Ab to new Ag
--suppressor-T: keep killer-Ts in control
--killer-T: attack Ag immediately
--mediator-T: make lymphokines, interferon
Term
Interferon is deployed against what type of microbe?
Definition
viruses
Term
Specific immunity can also be called...
Definition
acquired immunity
Term
What happens when a B-lymphocyte is stimulated by an antigen?
Definition
it morphs into plasma cell
Term
What is a plasma cell?
Definition
activated B-lymphocyte that produces Ab specific to certain Ag
Term
Dohle bodies are found in ___, and Howell Jolly bodies are found in ___.
Definition
Dohle- seg
Howell Jolly- erythrocyte
Term
Where does erythropoiesis occur?
Definition
in bone marrow, occasionally extramedullary
Term
Term for creation of leukocytes?
Definition
leukocytopoiesis?
Term
Term for creation of platelets?
Definition
thrombocytopoiesis
Term
What certain leukocyte in the cow may have reddish-purple clusters of granules in the cytoplasm? Term for this color?
Definition
large lymphocyte, azurophilic
Term
What is the largest leukocyte?
Definition
monocyte
Term
pleomorphic
Definition
ameboid
Term
What type of leukocyte has a "ground glass" appearance to the cytoplasm?
Definition
monocytes
Term
Where are tissue macrophages found?
Definition
spleen, lymph nodes, marrow, pleural/peritoneal cavities, liver (Kupffer cells), kidney, CNS, skin
Term
What exactly is meant by the MPS?
Definition
refers to whole "system" of tissue macrophages
Term
The MPS was formerly called ___.
Definition
reticuloendothelial system
Term
What count is used to determine which type/s of leukocytes are above or below normal ranges?
Definition
differential WBC
Term
Term for increase in leukocytes?
Definition
leukocytosis
Term
Term for increase in neutrophils?
Definition
neutrophilia
Term
Term for increase in eosinophils?
Definition
eosinophilia
Term
Term for increase in basophils?
Definition
basophilia
Term
Term for increase in lymphocytes?
Definition
lymphocytosis
Term
Term for increase in monocytes?
Definition
monocytosis
Term
Term for increase in erythrocytes?
Definition
polycythemia
Term
Term for increase in platelets?
Definition
thrombocytosis
Term
Term for decrease in leukocytes?
Definition
leukopenia
Term
Term for decrease in neutrophils?
Definition
neutropenia
Term
Term for decrease in eosinophils?
Definition
eosinopenia
Term
Term for decrease in basophils?
Definition
There isn't one!
Term
Term for decrease in lymphocytes?
Definition
lymphocytopenia
Term
Term for decrease in monocytes?
Definition
monocytopenia
Term
Term for decrease in erythrocytes?
Definition
erythrocytopenia
Term
Term for decrease in thrombocytes?
Definition
thrombocytopenia
Term
Never use a needle smaller than ___ (except for smallest patients).
Definition
22ga
Term
Black top tubes contain __.
Definition
oxalates
Term
Blue top tubes contain __.
Definition
citrates
Term
"Clot tubes" refers to what?
Definition
red top tube - no anticoagulant
Term
The best smears are made from ______ with _____.
Definition
fresh blood, no anticoagulant
Term
Where/how to save blood smears?
Definition
dry area at room temp
Term
How much blood to collect?
Definition
enough to run planned chemical assays three times
Term
Increases or decreases in leukocyte numbers should be described how?
Definition
absolute #s, not relative
Term
neutrophilic leukocytosis
Definition
increase in total leukocytes, including neutrophils
Term
Neutropenia is generally due to...
Definition
rapid movement from CNP to tissue pool, or decrease in available cells from MTNP/SNP
Term
leukemia
Definition
abnormal white blood cells in circulation, usually with neoplasia
Term
leukemoid response
Definition
abnormal white blood cells without evidence of neoplasia
Term
pathological leukocytosis
Definition
increase in leukocytes associated with inflammation
Term
physiological leukocytosis
Definition
increase in leukocytes not associated with inflammation or any pathological condition
Term
Conditions that can cause physiological leukocytosis?
Definition
-excitement, fear, pain, stress
-muscular exertion
-convulsions
-pregnancy, estrus
-age
-postimmunization
Term
What defines a stress leukogram?
Definition
neutrophilic leukocytosis and lymphopenia, with eosinpenia and monocytosis resulting from glucocorticoid release/use
Term
How long does the glucocorticoid response take to develop? How long does it last?
Definition
takes 4 hours, lasts 24
Term
Expect to see what 3 things when a stress leukogram is present?
Definition
-hyperglycemia (dogs: mild, cats: marked)
-isosthenuria
- ^ALT ^ALP
Term
What MUST you know in order to Dx a stress leukogram?
Definition
absolute WBC counts of each leukocyte
Term
Baby animals tend to have different WBC counts than adults. How does it differ? What animal does not exhibit this?
Definition
babies have higher WBC counts, except in pigs
Term
Animals delivered by caesarian have ___ WBC counts than those delivered naturally.
Definition
much lower
Term
Glucocorticoid-Induced Leukocytosis is also called...
Definition
stress leukogram
Term
Epinephrine Response is also called...
Definition
"true" physiologic leukocytosis
Term
Usually, the ratio of leukocytes in the MNP and CNP is ___.
Definition
1:1
Term
When does the epinephrine response occur? How long does it last?
Definition
immediately after stimulus, subsides in minutes
Term
What defines a "true" physiologic leukocytosis?
Definition
neutrophilic leukocytosis with no change in # eosinophils or monocytes, occuring after an epinephrine surge
Term
What may cause a cat to have a 2-fold increase in the number of WBCs?
Definition
epinephrine response
Term
What form of leukocytosis do dogs tend not to get?
Definition
epinephrine response
Term
In order to label a leukogram as inflammation, ___ must be present.
Definition
left shift
Term
How are left shifts graded?
Definition
slight +1 bands only
moderate +2 metamyelocytes
marked +3 myelocytes & progranulocytes
extreme +4 myeloblasts
Term
How would you mark a left shift with bands only in a patient's record?
Definition
left shift +
Term
How does the cytoplasm of a toxic neutrophil appear?
Definition
foamy, basophilic, basophilic granules, Dohle bodies
Term
What can cause toxic neutrophils?
Definition
severe infections, toxicity, acidosis
Term
Describe the order in which blood cells decrease in number due to hematopoiesis suppression?
Definition
1- neutrophils
2- platelets
3- RBCs slowly
Term
What specific diseases can cause neutropenia?
Definition
parvo, retroviruses, rickettsial dz
Term
Inflammatory conditions always cause some ____, so the number of monocytes ____.
Definition
cellular or tissue necrosis; increases
Term
The net effect of invasion by a microbe is a ___ to ___ lymphocyte count.
Definition
normal to slightly elevated
Term
If inflammation brings about a systemic response, what cell would increase in numbers? Why?
Definition
lymphocytes, because of clonal expansion
Term
The zone of transition on a blood smear can also be called....
Definition
monolayer
Term
What is the name of the slide with a grid etched into it for counting cells?
Definition
Neubauer counting grid
Term
Small lymphocytes are more common in... whereas large lymphocytes are more common in...
Definition
small - cat/dog
large - ruminants
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