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Hematology RBC

Description: Hema. RBC Morphology
Category: Laboratory Science
Created by: Ladybug9537 on 2009-05-08


 

 

Examination of RBCs

Examination of red blood cells is important to aid the physician in making a diagnosis. The features act as a QC guide for the red cell indices values for either manual or automatic evaluation. Compare visual and analytical results for report. The critical area of a smear is the thin area. If it is too thin it has a flat cobblestone appearance. It it is too thick, morphology features will not be distinguisable. A good smear has RBCs appear random, singly, with occasional doubles. Thick smears have stacks of red cells. Normal cells are round elastic, non-nucleated biconcave, and buff colored on Wrights stain. A central area of palor is 1/3 of the cell. Diameter is 6-9 micron, and averages 7.2 microns. A red blood cell is about the same size as the nucleus of a lymphocyte. RBCs are 2.1 microns thick. MCV (Mean Corpuscular Volume) normal is 87 cubic microns/femtoliter (fL). Artifactual morphology occurs when slide is too thick or too thin.

Abnormal RBCs

Microcytes, macrocytes, Pseudomacrocytes, Anisocytes Normal RBCs are 6-9 microns average of 7.2. MCV is 87 cubic microns/fL 1/3 area of central palor and 2.1 microns thick, & round

Microcytes are smaller than normal; less than 7 microns, and MCV < 80 cubic micron/fL, central area of palor is light or normal round. Macrocytes are larger than normal; between 9 & 14 microns, MCV is 100 or more cubic microns/ fL, no central palor, oval or round. Pseudomacrocytes are larger than normal; 9-14 microns, MCV normal (87), has central palor, flatend round oval. Anisocytes are an increase in size variation (RDW). MCV is normal (87), Occasionally 2 cell sizes are presented.



 

 

 
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