Red and White Cells Flashcards

(37 cards)

1
Q

What value do you use to interpret the leukogram?

A

absolute count

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2
Q

When do you need to correct the white cell count due to nRBCs?

A

when nRBCs are > 10

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3
Q

Primary site for hematopoiesis after birth?

A

bone marrow

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4
Q

Release of white cells from the maturation/storage pool is ______

A

orderly

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5
Q

What “pool” are the majority of the white cells found in?

A

maturation/storage

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6
Q

Endothelial cells produce _____ while neutrophils produce ______?

A

1) selectins

2) integrins

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7
Q

Digestion by lysosomal enzyme is considered oxygen-________

A

independent

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8
Q

Neutrophils _____ reenter circulation while lymphocytes ______ reenter circulation

A

1) cannot

2) can

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9
Q

A stimulus for an increase in neutrophils usually leads to an increase in __________ as well. Why?

A

Monocytes; share a common stem cell

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10
Q

What mediates physiologic leukocytosis?

A

catecholamine release

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11
Q

What mediates stress leukograms?

A

corticosteroids

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12
Q

When is the left shift significant?

1) cats and dogs
2) cows and horses

A

1) >1000 bands

2) >300 bands

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13
Q

mild, moderate, marked, extreme leukocytosis in dogs and cats (ranges)

A

Mild– up to 25,000
moderate– 25,000-50,000
Marked– 50,000-70,000
extreme– >70,000

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14
Q

Mild, significant, marked leukocytosis in horses and cattle

A

mild– up to 15,000
significant– 15,000-25,000
marked– >25,000

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15
Q

What does the plasma protein: fibrinogen ratio correct for?

A

dehydration

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16
Q

major area of Epo production?

A

kidney peritubular cells

17
Q

What is the major determinant of blood viscosity?

A

Deformability

18
Q

What state does Fe need to be in to bind O2?

A

Fe2+ (ferrous)

19
Q

What enzyme keeps Fe in the reduced state for hgb synthesis?

A

Methemoglobin reductase

20
Q

Rate limiting step of heme synthesis?

A

Delta-ALA-synthase (1st enzyme)

21
Q

what molecule binds free iron in the blood

A

apotransferrin

22
Q

mutations of what two enzymes can alter RBC metabolism?

A

PK (pyruvate kinase)

PFK (phosphofructokinase)

23
Q

What are two damage control pathways for RBCs?

A

Methemoglobin reduction pathway (NADH)

Glutathione (NADPH)

24
Q

Two scavenger molecules of intravascular hemolysis?

A

Haptoglobin and hemopexin

25
What is MCV? What are it's descriptive terms?
mean corpuscular voume | micro, normo, macro, --CYTIC
26
What is MCHC? descriptive terms?
mean corpuscular hgb concentration | hypo, normo, hyper --CHROMIC
27
A regenerative anemia will often appear as ______ and ______
macrocytic | hypochromic
28
T/F: Polychromasia is usually seen in horses
False
29
What RBC measurement is the best way to evaluate bone marrow response to anemia?
reticulocyte count
30
Why do we use CRP?
to correct for the severity of anemia
31
In which spp. do we use RPI and why?
Dogs; corrects CRP for reticulocyte lifespan in circulation
32
What regulates Fe uptake from enterocytes?
Ferroportin
33
What molecule regulates iron uptake based on need?
Hepcidin
34
Which storage form of iron is most rapidly mobilized for use?
Ferritin
35
2 ways inflammatory cytokines suppress erythropoiesis
1) decrease Epo production and responsiveness | 2) reduce availability of Fe for Hgb synthesis
36
Two types of absolute erythrocytosis. Relation to Epo for each?
1) Primary-- independent of Epo | 2) secondary-- increased Epo
37
Appropriate vs. Inappropriate seconday absolute erythrocytosis?
Appropriate--in response to tissue hypoxia | Inappropriate--independent of tissue oxygenation