Leukocyte Disorders Flashcards

1
Q

What constitutes the circulating pool of myeloid and lymphoid cells?

A

Cells that are circulating in the bloodstream

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2
Q

What is the absolute number?

A

Percentage of each type of WBC multiplied by the total WBC

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3
Q

Define neutropenia

A

WBC count less than 1500/ul

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4
Q

Define Neutrophilia

A

WBC count greater than 7700/ul

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5
Q

*Identify the 5 types of leukocytes found in peripheral blood

A

Basophils & mast cells, Neutrophils, Eosinophils, Monocytes & macrophages, Lymphocytes & plasma cells

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6
Q

What does left shift mean?

A

Increased release of precursors from bone marrow

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7
Q

*What are the signs of infection in neutrophilia?

A

Dohle bodies & toxic granules

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8
Q

*What are the causes of leuknopenia and leukocytosis?

A

Infection

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9
Q

*How does a neutrophil work to fight infection?

A

Responds to CHEMOTATIC FACTORS released from damaged tissue
ROLLS AND ATTACHES to the endothelial cell wall
protein and carbohydrate interactions (selectins and their ligands).
Becomes ACTIVATED by chemotactic factors
TIGHTLY ADHERES through the integrin family of proteins.
MIGRATES across the endothelial cell wall.
PHAGOCYTIZES organisms so that they are contained within a vesicle or phagosome.
RELEASES GRANULE PRODUCTS and reduced oxygen species (e.g. hydrogen peroxide and superoxide) to kill organisms

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10
Q

Describe Chediak Higashi syndrome according to the description of disease

A

Disease in which there is an defect in granule formation; abn. LARGE irregular neutrophil granules do not break down into smaller ones

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11
Q

What are the signs, symptoms, and diagnosis of Chediak Higashi syndrome?

A

S/SX Albinism, photophobia, neuropathy, infections

TX: BMT

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12
Q

Describe chronic granulomatous disease

Go back to slide 42 for summarization

A

Disease in which neutrophilic function is not present because catalase is absent (basically, the bacteria can get away from neutrophilic fighting)

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13
Q

Describe eosinophils and their function

A
  • Bilobed nucleus

- Function in allergic reactions & parasitic reactions

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14
Q

*Which immunoglobin is utalized by eosinophils?

A

IgE

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15
Q

What are causes of Eosinophilis?

A
  • Neoplasm (Hodg,lymphoma)
  • Allergies, drugs, envt
  • Asthma
  • Colagen vascular diseases
  • Parasitic infection
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16
Q

Where are alveolar macrophages located?

A

Lung

17
Q

What are kupffer cells?

A

Macrophages found in the liver

18
Q

Describe lymphocytes

A

Nongranulated cells that

19
Q

*What are the types of lymphocytes and describe what part of immunity they are involves in

A
  • T cells: CMI (for VIRAL infections
  • B cells: humoral (antibody) (mainly bacterial infections)
  • Natural Killer Cells
20
Q

*What is the cause of lymphocytosis

A

Lymphomas

21
Q

*What is the function of T cells?

A

Medicate cellular immunity

22
Q

Define multiple myeloma

A

Too many plasma cells in the blood

23
Q

What are 2 types of Malignant neoplastic WBC disorders?

A

Leukemias & Lymphomas

24
Q

What are 2 types of Premalignant neoplastic WBC disorders?

A

Myeloproliferatice & Myelodysplastic

25
Q

What are the 4 types of leukemia?

A

AML, ALL, CML, and CLL

26
Q

Who is ALL (acute lymphoid leukemia) most common in?

A

Children

27
Q

Who is AML (acute myeloid leukemia) more common in?

A

Adults

28
Q

What lab values will present in a patient with leukemia?

A

Anemia, decreased platelets, variable WBC count

29
Q
  • Define acute leukemia
A

increase in the number of immature cells in the bone marrow > 20 % blast cells

30
Q

*Which type of leukemia is worse, APL or AML

A

APL because a person can die of bleeding if not immediately treated

31
Q

What is used to determine the classificationof AML?

A
  • Bone marrow blast morphology
  • Degree of cell maturation
  • Cytochemical stains
  • Immunophenotyping
32
Q

*What are the characteristics of a blast cell?

A
  • Huge nucleus
  • Nucleoli stain lighter, not darker
  • No cytoplasmic differentiation
33
Q

*What is a characteristic of AML cells

A

Auer Rods

34
Q
  • What type of blood smear presents in a patient with neutrophilia?
A

Dohle bodies and toxic granules