Week 2-5 Flashcards

(78 cards)

1
Q

CBC

A

Comprised of:

Packed cell volume (PCV)

Plasma protein concentration (TP)

Blood Smear

-WBC differential and morphology

  • Platelet clumping, morphology and estimate
  • RBC arrangement and morphology
  • Occasionally a reticulocyte count
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2
Q

PCV

A

Aka Hct
Percentage of total blood volume composed of RBCs
% and L/L

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3
Q

What is always in the buffy coat

A

WBC and platelet

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4
Q

What is sometimes there?

A

nRBC + heartworm microfilia

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5
Q

Plasma Protein units

A

g/dL

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6
Q

What are blood smears used for?

A

Performing a platelet count

Performing a differential WBC count

Evaluating the morphology of RBCs, WBCs and platelets (including looking for the presence of blood parasites)

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7
Q

Which tube is used for blood smears?

A

Purple top

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8
Q

Why should we make blood smears immediately?

A

Morphological changes will occur due to the EDTA

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9
Q

Size of drop?

A

3mm

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10
Q

Angle of spreader slide?

A

30 degrees

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11
Q

How much should the blood spread across the slide?

A

2/3

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12
Q

How to know if the blood smear was stained properly?

A

Even purple colour when viewing grossly

RBCs appear a pinkish colour

Platelets are purple

WBCs are properly coloured

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13
Q

Reticulocyte count

A

Not routine to complete with all CBCs

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14
Q

Immature RBCs formed where?

A

bone marrow

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15
Q

Are Immature vs mature RBCs bigger?

A

Immature

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16
Q

Immature RBCs N:C ratio

A

N < C

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17
Q

Chromatin

A

delicate, fine and reticulate (meshed network)

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18
Q

Immature RBCs nucleoli

A

found in nucleus and vary in size and number

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19
Q

Nuclear chromatin

A

composed of DNA and stains light purple

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20
Q

Cytoplasm

A

contains large amounts of RNA that stain blue
has tubular assembly of a golgi apparatus which shows as a light zone around the nucleus

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21
Q

Mature RBC size

A

Gets smaller as they mature

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22
Q

RBC nuclei and chromatin

A

gets smaller and chromatin becomes coarse, clumped and compact - becomes more blue

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23
Q

RBC cytoplasm

A

Gets more red

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24
Q

RBC lifespan

A

Canine 100-120 days
Feline 70-80 days

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25
RBC
aka erythrocyte
26
RBC functions
▪ Transports and protects hemoglobin (which carries oxygen to tissues) ▪ Homeostasis – water and electrolytes ▪ Antibody protection ▪ Temperature regulation ▪ Buffering system ▪ Hemostasis
27
Canine RBC
7.0 microns Biconcave disc with central pallor
28
Feline/Equine/Bovine RBC
5.8 microns Biconcave disc with no central pallor (due to small size)
29
Sheep RBC
4.5 microns Biconcave disc with no central pallor
30
Goat RBC
3.2 microns Biconcave disc with no cental pallor
31
Each species' RBC size from largest to smallest
Canine -> Feline/Equine/Bovine -> Sheep -> Goat
32
6 RBC maturation stages
Rubriblast Prorubricyte Rubricyte Metarubricyte Polychromatic RBC Erythrocyte
33
Rubriblast
Large, perfectly round cell with large, round nucleus and royal blue cytoplasm Light blue nucleoli Nuclear chromatin is stippled Perinuclear clear area
34
Prorubricyte
Similar to rubriblast but smaller No nucleoli present Round nucleus Chromatin more coarse (hard to tell) Royal blue cytoplasm Perinuclear clear zone
35
Rubricyte
Nuclear chromatin (spoked wheel pattern) Nucleus is round and dark purple with blue black chromatin Cytoplasm dark blue; lightens to pink as hemoglobin increases Divided into basophilic, polychromatic or normochromatic as presence of hemoglobin increases
36
Metarubricyte
Nucleus undergoes a pyknotic degeneration (shrinking, dense) Appears as dark blue mass with no distinct chromatin structure Cytoplasm is pink (due to hemoglobin) with a basophilic hue When seen in peripheral blood they are called nucleated RBCs
37
Polychromatophilic Erythrocyte
Anucleate erythrocyte with slight basophilia Larger than mature RBCs When stained with new methylene blue, some show a network of blue fibers - RNA - Cells are called reticulocytes
38
Erythrocyte
Mature RBC in peripheral blood Stain pink
39
Rouleaux
Stacked like coins
40
Agglutination
Clumping
41
Anisocytosis
No uniform size
42
Macrocytosis
Larger size
43
Normocytosis
Normal sized RBCs
44
Microcytosis
Smaller than usual
45
Hypochromasia
Decreased staining caused by reduced hemoglobin Most often are microcytes Decreased MCV (mean corpuscle value)
46
Hyperchromasia
Does not exist because each RBC has a limit of hemoglobin it can carry
47
Polychromasia
Polychromatophilic RBC These are reticulocytes when stained with new methylene blue
48
Poikilocytes
General term describing abnormally shaped RBCs
49
Schizocytes
RBC fragments Torn RBC
50
Why are there schizocytes?
Formed by intravascular trauma and mechanical injury which resulting in turbulent blood flow
51
Acanthocytes
Irregular blunt projection cells Few, unevenly distributed projections Variable length and diameter
52
Why are there acanthocytes?
Due to alternations in lipid composition of the RBCs Seen in hepatic diseases From cholesterol changes at cell membrane Seen in hemangiosarcoma (acanthocytes considered a blood biomarker for this condition)
53
Echinocytes
Numerous short, evenly spaced blunt to sharp projections of uniform shape and size
54
Why are there echinocytes?
Can be due to renal disease or an electrolyte imbalance but often due to faulty technique - Crenation caused by slow smear drying - Excessive anticoagulant may also cause
55
Spherocytes
Darkly stained cells with reduced or no central pallor Perfectly round sphere, no longer disk shaped Not easily detected in species other than dogs because other species lack central pallor Typically, the volume of cell is normal Normal MCV
56
Why are there spherocytes?
Seen in IMHA - macrophage bites the RBC
57
Leptocytes
General term referring to cells with increased membrane surface relative to cell volume - Can result to cell folding Cells take on a variety of shapes Includes target cells and stomatocytes
58
Target cells
aka Codocyte Type of leptocyte Bullseye appearance Central rounded area of Hb surrounded by a clear zone with a dense ring of Hb at the periphery
59
Why are target cells found?
Found in hepatic disorders, iron deficiency and IMHA
60
Stomatocyte
Type of leptocyte Cup shaped RBC with an oval, elongated mouth appearing in the central pallor Artifact due to thick blood smear
61
Why are there stomatocytes?
Non-specific finding seen in: - Hereditary condition in malamutes - Drug-induced - Regenerative anemia - Liver disease - Lead poisoning
62
Blister cell or pre-keratocyte
Blister on one side of RBC forming an area devoid of hemoglobin
63
Why are there blister cells?
Oxidative injury seen with iron deficiency
64
Keratocyte
Ruptured blister with two upright "cattle horn-like" projections Projections fragment from RBC to form schizocytes
65
Why are there keratocytes?
Can be seen in healthy cats with no clear significance Can be seen in DIC, hemangiosarcoma, iron deficiency anemia, liver disease
66
Dacryocyte
Tear drop shaped erythrocyte with a single elongated or pointed end
67
Why are there decryocytes?
May be found in bone marrow disorders of dogs and cats, iron deficiency in ruminants, kidney and splenic disorders in dogs Result of mechanical fragmentation
68
Drepanocyte
Sickle cell RBC changes to a spindle shape - Cell elongates and comes to a sharp or round point on both ends
69
Why are there drepanocytes?
Result of alteration of hemoglobin due to temperature, oxygen and pH changes (alkalosis) Seen in normal deer, angora goat and some sheep blood
70
Eccentrocyte
Red at one end and clear at the other end giving a half moon appearance
71
Why are there eccentrocytes?
Due to excess oxidant stress Found in hemolytic diseases seen in dogs with onion/acetaminophen ingestion Often see heinz bodies with them
72
Elliptocyte
Ovalocyte (previous name) Oval or elliptical RBC More flat than concave
73
Why are there elliptocytes?
Can be non-specific or due to smear making technique May be seen in iron deficiency anemia or liver disease
74
Ghost cells
Extremely pale to colourless Appearing round to smudge-like Devoid of hemoglobin in the cytoplasmW
75
Why are there ghost cells?
Can be due to intravascular hemolysis or blood film preparation
76
Torocyte
Punched out cell Abrupt change from dense red to white area giving a "punched out" apprearance
77
Why do we see torocytes?
Artifact of improper spreading of blood on slide
78
Basophilic