Haematology 2 Flashcards

1
Q

What are leukocytes?

A

The different types of white blood cells (leukocytes) include neutrophils, basophils, eosinophils, lymphocytes, monocytes, and macrophages.

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2
Q

What do leukocytes use blood as?

A

Transport system

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3
Q

When is production/ release of leukocytes stimulated by?

A

inflammatory cytokines from injured/infected areas

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4
Q

Name the 5 major leukocytes and what mostly involved in

A

– Neutrophil - innate immunity, phagocytosis of microorganisms
– Monocyte - same as above
– Lymphocyte - adaptive immunity
– Eosinophil - defense against parasites; allergy
– Basophil- same as above

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5
Q

What are granulocytes?

A
Type of WBC
also known as polymorphonuclear
- have granules and polylobed nuclei
- neutrophil
- eosinophil
- basophil
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6
Q

How to tlel diff between dog and cat leukocytes

A

only significant morphological difference between dogs and cats is the appearance of granules in eosinophils (round in dogs, rod-shaped in cats) and basophils (subtle and few in dogs, more numerous rice-shaped and lavender looking in cats).

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7
Q

What is monocytosis?

A
  1. inc in monocytes, above upper reference limit
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8
Q

Causes of monocytosis

A

(monocyte count above upper reference limit)

  1. Acute and chronic inflammation/ tissue damage/ necrosis
  2. stress leucogram or steroid administration
  3. leukaemia
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9
Q

What is lymphocytosis

A
  1. inc lymphocytes above upper reference limit- usually due to chronic inflammation
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10
Q

causes of lymphocytosis

A
  1. chronic inflammation
  2. adrenalin release in cats results in splenic contraction which can inc circulating lymphocytes (may be 2-3 times URL)
  3. Leukaemia
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11
Q

Lymphopenia

A

decrease of lymphocytes. Stress leucogram or steroid drugs. Viral infection (FeLV, FIV, FIP, panleucopenia).

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12
Q

NEutrophilia

A

• neutrophil excess.
• Usually due to inflammation (chronic or acute).
• Many causes: infection, tissue damage, necrosis. Extreme neutrophilia can be due to severe ongoing inflammation, neoplasia, inability of neutrophils of exit the blood stream (leucocyte adhesion deficiency).
• Neutrophilic leukaemia (chronic myeloid leukaemia) is rare in animals and a diagnosis of exclusion.
• Banded neutrophils (immature) acute inflammation
• Stress leucogram (stress or steroid administration e.g. cortisol) in this case particularly combined with lymphopenia, monocytosis and eosinopenia. Neutrophilia not due to increase in production but due to getting rid of.
• Other  granulocytic leukaemia, neutrophil dysfunction
o Neutrophil cant exit blood and go into tissue. Neutrophil is really high but doesn’t fight infection in tissues. V rare and usually these animals don’t reach adulthood.

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13
Q

Neutropenia

A

neutrophil deficiency. Due to overwhelming tissue demand, reduced bone marrow production or increased destruction (immune-mediated neutropenia). It may be transient so always recheck.

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14
Q

Eosinophilia

A
  1. eosinophil XS above the URL
    Cause:
  2. Parasite disease, external or internal
  3. Allergy/ hypersensitivity
  4. OthersL paraneoplastic, inflammatory disease, rarer causes e.g. leukamia
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15
Q

What is “Left shift”

A

When the number of juvenile neutrophils (banded) are URL

  • usually due to severe acute inflammation
  • bacterial infection, immune mediated disease
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16
Q

How to do a leucocyte differential count

A
  1. Count 100 WBC

2. mono layer, avoid feathered edge and body

17
Q

What is platelet deficiency called

A

thrombocytopenia

18
Q

What are causes of thrombocytopenia

A

similar to those of anaemia:
 Increased destruction
 Increased consumption Redistrobution/ sequestration
 Decreased production (Marrow megakaryocytes decreased or absent):
 Distributional (Redistribution/sequestration):

19
Q

Clincial signs thrombocytopenia

A
  1. Petechiae (small pin point haemorrage, lips)
  2. Ecchymoses
  3. Epistaxis
  4. Melaena (digested blood in faeces)
  5. Haematochezia (blood in faeces)
  6. Haematuria
20
Q

Which tube do you use for haematology and why?

A
  1. Purple top as contains EDTA anticoagulant
  2. • EDTA contains K+  cant use plasma obtained for K+ biochem determination or Ca
    o K+ would be falsely marked as increased due to EDTA and Ca will be decreased as EDTA X ca which is how this anticoagulant stops blood frm clotting
21
Q

Automated PLT count reference interval

Breed species exceptions to platelet number

A

150-500X10^9/L in small animal

  1. Lower horses,
  2. higher sheep
  3. Cavvies lower and larger