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CLLS-300
hemo final
Question | Answer |
---|---|
HCT | 42-52M/37-47W |
Hgb | 13-18g/dL M/ 11-16 g/dL W |
MCV | pts hct(L/L)/erythrocyte ct(X10^12/L)= FL 80-96fl |
MCHC | hgb(gm/dL)/HCT(L/L) = g/dL 32-36% |
ESR | Erythrocyte Sedimentation Rate 0-15mm/hr 0-20mm/hr |
retic count | to determine production rate of erythrocytes |
corrected retic | male 45L/L female 42 L/L |
fibrinogen | 200-400 mg/dL |
PT | 12-15.5 sec |
Thrombin | 15-20 sec |
aptt | 32-48 sec |
platelets | 150-400 X 10^9/L |
MPV | 7.4-10.4fL |
Bleeding time | vascularity and platelet function in response to injury |
Clot retraction | see if clot retracts fully within a 24hr period |
PT | extrinsic & common pathways |
PT | measures coagulation factors (I,II,VII,X & V) |
aptt | identify deficiencies in the intrinsic & commom pathways (I,V, IX, X, VIII, XI) |
Erythropoiesis | production of RBC |
mature erythrocytes | biconcave, 1/3 central pallor, 120 day life span |
heme | pigment portion, synthesized as RBC matures, responsible foe transport of oxygen and carbon dioxide |
vital substances to erythrocyte & hemoglobin production | amino acids, iron, vitamin B12, folic acid, erythropoeitin |
erythropoietin | produced by kidney, secreted by liver, stimulated by low tissue O2 levels |
reference range RBC | 4.6-6.2X10^12/L -M 4.2-5.4X10^12/L -F |
MCH | hgb (X10g/dL)/erythrocyte ct(X10^12/L)=pg |
anisocytosis | abnormal rbc variation in size/any severe anemia |
spherocyte | compact rbc, round, lost its central palor/hereditary spherocytosis, Coombs-positive hemolytic anemia |
stomatocyte | central slit-like opening resembling a mouth/ congenital hemolytic anemia, thalassemia, burns, lupus |
ovalocyte | oval or egg-like appearance/pernicious anemia |
poikilocytosis | abnotmal variation in shape/any severe anemia |
elliptocyte/pencil cell | narrow, elongated, resembling a rod or cigar/various anemia, HbC disease, Thalessemia, Hemolytic anemia |
codocyte/target cell | rbc with a dark center and periphery and clear ring in between "bull's eye"/ Thalessemia, liver disease, hemoglobinopathies |
basophillic stippling | multiple uniform dark dots distributed evenly throughout the cell/altered RNA |
Heinz bodies | small, round inclusions. denatured, precipitated hemoglobin |
Howell-Jolly Body | DNA: nuclear or chromosomal reminants |
Pappenheimer Body | clusters of small blue coccoid bodies in periphery of cell, non-heme iron |
neutrophil | immune defenses, engulf bacteria & cellular debris 40-77% |
eosinophil | defense against parasites, allergic response 1-4% |
basophil | inflammatory response, release histamine 0.5-1% |
monocyte | immune surveillance, engulf cellular debris 2-6% |
B-lymphocyte | antibody production |
T-lymphocyte | cellular immune response |
leukocyte differential | determine the % of each type of leukocyte present & to assess RBC & platelet morph. Can detect disorders or leukemias |
increase in band cells | shift to left/infection |
Myeloperoxidase (MPO) | differs Acute Monocytic (+)& Myelogenous from ALL |
Sudan Black B (SBB) | differs AML(+)from ALL\ |
Periodic Acid Schiff | myeloblastic & monoblastic from lymphoblastic (+) |
TdT | ALL (+) from AML |
responsible for regulating all of the clotting | Thrombin |
Stuart factor | X/both pathways |
Hageman factor | XII/Intrinsic |
IX | Christmas factor/intrinsic |
prekallikrein | fletcher factor/intrinsic |
human cell membrane is composed of | proteins, carbohydrates, lipids |
Phagocytosis & Pinocytosis are examples | Endocytosis |
deletion | an alteration in the nuclear DNA resulting from the loss of a section of chromatin |
Hematopoiesis stops in the liver when | 1-2 wks after birth |
blood cells that normally display vaculozation of the cytoplasm | monocytes |
stimulate formation of megakaryoblasts to megakaryocytes | Thrombopoietin |
stimulates WBC formation | Leukopoietin |
Interleukins | Cytokine involved in development of T & B lymphocytes |
Interleukin -3 | works with erythropoietin to stimulate CFU-E formation from BFU-E |
apoptosis | cell death associated with normal physiology |
meiosis | process of cell division which results in ova & sperm with 1/2 norm number of chromosomes are produced |
mesoblastic phase | mesenchyme |
hepatic phase | liver |
medullary phase | liver & bone marrow |
reactive lymphocyte | variant lymphocyte |
which type of hemoglobin is not considered a variant form | Glycosylated hemoglobin |
what substance, when combined with iron forms a heme molecule | protoporphyrin |
cells with longstanding chronic anemias appear | hypochromic, microcytic |
What's the most common glycolytic enzyme deficiency associated with Pentose Phosphate pathway (aerobic) | G6PD deficiency |
what is the amino acid substitution found in sickle cell anemia | substitution of valine for glutamic acid in the 6th position of beta chain |
March anemia is an acquired for of which anemia | Hemolytic |
Thalassemia is best described as | abnormal rate of globin chain synthesis |
What manifestation of Alpha thalassemia is caused by 4 inactive genes that result in fetal death | Hydrops fetalis with Hb Bart's |
Manifestation of Alpha thalassemia is caused by 1 inactive alpha gene | silent carrier state |
lymphocytes | 10-40% |
cells that produce antibodies and lymphokines | lymphocytes |
Average life span of a neutrophil in the peripheral blood | 7-10hours |
NK cells | antibody dependant and independent cytoxicity |
Memory cells | antigen sensitization, quick response on re-exposure |
plasmacytes | production of immunoglobulins (antibodies) |
neutrophil description | segmented nucleus, granulocyte, blue/pink granules |
monophil description | mononucleus, lacy blue-gray cytoplasm, vacuoles |
lymphocytes | mononucleus, dense chromatin, sky blue, scant cytoplasm |
eosinophil | segmented nucleus, granulocyte, red/orange granules |
basophil | segmented nucleus, granulocyte, azo granules |
infectious mononucleosis (cell manifestation) | Atypical lymphocyte |
Niemann-Pick's disease (cell manifestation) | Pick cell |
Pelger-Huet anomaly (cell manifestation) | Hyposegmented, neutrophils (pince nez) |
Pernicious anemia (cell manifestation) | Hypersegmented neutrophils |
Human ehrlichiosis (cell manifestation) | Morulae |
severe decrease in the total number of lymphocytes in peripheral blood | lymphopenia |
Ameboid movement of neutrophils from the peripheral blood into the tissue | Diapedisis |
Release of substances that attract phagocytic cells as the result of traumatic or microbial damage | Chemotaxis |
Target cell destruction through extracellullar nonphagocytic mechanism | cytotoxic reaction |
hemoglobinopathies | inherited gene that affect amino acid residual sequence or production of hemoglobin |
PT time | 12-14 sec |
APTT | less than 35 sec |
bleeding time | 2-8 min |
thrombin clotting time | less than 20 sec |
Hemophilia A | Factor VIII deficiency |
HIT | detection of heparin antibodies |
Hypercoagulable state | detection of Factor V Leiden |
Vitamin K deiciency | prolonged PT |
coumadin/warfarin levels | PT |
heparin | APTT |
normal INR range | 2.0-3.0 |
what 3 components interact to produce hemostasis | vasoconstriction, temp platelet plug, blood coagulation |