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hemo 10-25
16,17,18,19,Mergey
Question | Answer |
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AML,MO | ACUTE MYELOGENOUS WITHOUT MATURATION, UNDIFFERENTIATED BLASTS |
AML,M1 | ACUTE, MYELOGENOUS WITH MINIMAL MATURATION,PRODOMINANCE OF MYELOBLASTS,AUER ACUTE MYELOGENOUS WITH MINIMAL MATURATION,PROMINANCE OF MYEOBLASTS,WITH MINIMAL MATURATION. AUER RODS,SOME PROMYELOCYTES AND PSEUDO |
AML,M2 | ACUTE MYELOGENOUS WITH MATURATION,MYEOBLASTS PREDOMINATE.SOME NMATURE BEYOND PROMYELOCYTE. AUER RODS MOST COMMON TYPE OF AML, MYEOBLAST PROMINANT |
AML,M3 | ACUTEN PROMYELOCYTE IS PREDOMINANT CELL. MYELOBLASTS AND MYELOCYTES PRESENT.AUER RODS &DIC. UNCOMMON |
AML,M4 | ACUTE MYELOMONOCYTIC,EARLY MYELOGENOUS CELLS AND 20% MONOCYTIC. BLASTS HAVE INDENTED AND CONVULUTED NUCLEI.AUER RODS % PSEUDO PELGER HUET.SECOND MOST COMMON GRANULOCYTES. ADULTS OVER 50 |
AML,M5 | ACUTE MONOCYTIC, A TYPE : PREDOMINATELY MONOBLASTS. b types: PROMONOCYTES AND MONOCYTES. UNCOMMON |
EL,M6 | ACUTE ERYTHOLEUKEMIA, ERYTHROBLASTS WITH MEGALOBLASTOID CHANGES & OTHER DYSPLASTIC FEATURES,MYEOBLASTS AND PROMYELOCYTES. AUER RODS ARE PRESENT. GRANULOCYTES,MONOCYTES |
MegL,M7 | ACUTE MEGAKARYOBLASTIC, PROLIFERATION OF MEGAKARYOBLASTS AND ATYPICAL MEGAKARYOCYTES.MEGAKARYOCYTES FRAGMENTS MAY BE SEEN IN PERIPHERAL BLOOD. UNCOMMON |
L1 | SMALL CELL HOMOGENOUS,SMALL LYMPHOBLASTS WITH SCANTY CYTOPLASM. ROUND NUCLEI WITH OCCASIONAL CLEFTING,HOMOGENOUS CHROMATIN, INCONSPICUOUS NUCLEOLI, MOST COMMON IN CHILDREN |
L2 | LARGE CELL HETEROGENOUS, HETROGENOUS LARGE LYMPHOBLASTS WITH NUCLEAR CLEFTING AND INDENTATION. FOUND IN OLDER CHILREN AND ADULTS |
L3 | BURKITT TYPE,L3N SECONDARY TO BURKITT. UNIFORM POPULATION OF LARGE LYMPHOBLASTS WITH DEEPLY,BAOSOPHILIC CYTOPLASM,VACUOLES, AND ROUND TO OVAL NUCLEI WITHOUT INDENTATIONS. |
T lymphocytes | SURVIVE MONTHS TO YEARS |
B-LYMPHOCYTES | SURVIVE A FEW DAYS |
Lymphopoiesis | BONE MARROW AND THYMUS |
SECONDARY TISSUE | Lymphs, spleen and Peyer’s patch in the intestine |
LYMPHOCYTE RECIRCULATION | Lymphs move between the blood and lymphoid tissue |
SUBGROUPS OF LYMPHOCYTES | T CELLS,B CELLS |
LYMPHOCYTES ARE PRODUCED IN THE | Lymphopoiesis: Bone Marrow and ThymusSecondary Tissue: Lymphs, spleen and Peyer’s patch in the intestine |
LYMPHOBLASTS | Size: 15-20microns N:C: 4:1 Shape: round or ovalNucleoli: 1-2 Chromatin: delicateCytoplasm: medium blue, dark rim, no granules |
PROLYMPHOCYTE | Size: 15-18microns N:C: 4or3:1 Shape: oval & may be indentedNucleoli: 0-1 Chromatin: Sl. condensedCytoplasm: medium blue with thin dark rim |
MATURE LYMPHOCYTE | Size: 6-9 17-20 N:C: 2:1 Shape: round/ovalNucleoli: 0 Chromatin: dense/clumpedCytoplasm: may have granules |
VARIANT OR REACTIVE LYMPHOCYTE | ATYPICAL LYMPHOCYTES. DOWNEY CELLS,REACTIVE OR TRANSFORMED LYMPHOCYTES,LYMPHOCYTOID OR PLASMACYTOID LYMPHOCYTES AND VIROCYTES.THESE CELLS MAY BE FOUND IN INFEC MONO, VIRAL PONEUMONIA, AND VIRAL HEPITITIS. |
CHARACTERISTICS OF VARIANT LYMPHOCYTES | Increased sizeNucleus enlargedLobulated, clefts, notches, foldsFine to granular chromatin1-3 nucleoliFoamy or vacuolated cytoplasmGray to light blue to dark cytoplasm colorGranules present |
CYTOKINE | CHEMICAL MESSANGER/MIF migration inhibition factorMigration in delayed type hypersensitivity reactionIL-2 T cell growth factorStimulates T cell proliferationChemotactic FactorAttracts granulocytes to the affected areasIL-1 Activates T cel |
WHAT CELL IN THE LYMPHOCYTIC SERIES RELEASES ANTIBODIES | B CELL |
WHAT IS WHOOPING COUGH | B. PERTUSIS: INFLAMMATION OF THE ENTIRE REPIRATORY TRACT(COLD AND COUGH WITH NECK AND BACK PAIN) TOTAL WBC COUNT INCREASED AND SMALL MATURE LYMPHS-CHARACTERISTIC COUGH |
DESCRIBE HIV | HIV/AIDS- LASTS MAY MONTHS TO YEARS- S&S- MILD CHRONIC LYMPHADENOPATHY-FLU LIKE SYMPTOMS, NEUROLOGICAL COMPLAINTS/EXTREME WEIGHT LOSS-MALIGNANT KAPOSI SARCOMA- HERPES VIRUSES-PNEUMOCYSTIS-CRYPTOSPORIDIA,H. capsulatum |
CHARACTERISTICS OF SLE | CLASSIC MODEL OF AN AUTOIMMUNE DISORDER- INVOLVES JOINTS,CONNECTIVE TISSUE,COLLAGEN VASCULAR TISSUE DISORDERS |
SIGNS AND SYMPTOMS OF SLE | WEIGHT LOSS-FEVER-MALAISE-ARTHRALGIA AND ERYTHEATOSUS-EVENTUALLY KIDNEY INVOLVEMENT |
LAB TESTS FOR SLE | ANTIBODIES-LE PREP, ANA |
INFECTIOUS MONONUCLEOSIS | SIGNS AND SYMPTOMS-USUALLY ASYMPTOMATIC-EXTREME FATIGUE- SORE THROAT-FEVER-CHILLS-MALAISE-CERVICAL LYMPHADENOPATHY |
HOW IS INFEC MONO DIAGNOSED | ANTIBODY OR AGGLUTINATION(horse erythrocytes) |
LAB CHARACTERISTICS OF INFEC MONO | MONONUCLEAR CELLS; TYPICAL RELATIVE LYMPHOCYTOSIS FROM 60-90% VARIANT 5-30%- ANTI- i CLINICALLY SIGNIFICANT ANTIBODY ASSOCIATTED WITH INFEC MONO |
CMV IS | MEMBER OF THE HERPES VIRUS FAMILY-TRANSMITTED ORAL, RESPIRATORY, AND VENEREAL ROUTES- ORGAN AND BLOOD TRANSPLANTS(IN UTERO) |
CMV IS FATAL TO | CHILDREN AND IMMUNOCOMPRIMISED PTS-ADULTS ARE ASYMPTOMATIC |
CMV CAN BE DIAGNOSED BY | URINE OR BLOOD:CHARACTERISTIC LEUKOCYTOSIS/SL. LYMPHOCYTOSIS AND ABNORMAL LIVER FUNCTION |
SIGNS AND SYMPTOMS OF CMV | SORE THROAT-FEVER CHILLS-PROFOUND MALAISE-MYALGIA |
TOXOPLASMOSIS gondii TISSUE COCCIDIA | HUMAN INFECTIONS ARE COMMON AROUND THE WORLD. DEFINITIE HOST-HOUSE CAT/TRANSFUSIOB ASSOCIATED TRANSMISSION: LEUKOCYTE CONCENTRATES/AT RISK- IMMUNOCOMPRIMISED AND CORTICOSTEROID USERS. IN UTERO TRANS= PROBLEMS. |
IF LEFT UNTREATED IN NEWBORNS T. GONDII | CAN CAUSE- CHORIORENTINITIS-UNILATERAL BLINDNESS AND NEURO PROBLEMS |
SYMPTOMS OF T. gondii | ASYMPTOMATIC OR CAN MIMIC INFEC MONO |
WHAT IS THE LAB DATA FOR T gondii | SEROLOGIC DIAGNOSIS OF ELEVATED ANTIBODIES,INCREASE VARIANT LYMPHS, IT IS DIFFICULT TO CULTURE |
INFECTIOUS MONO IS CAUSED BY | EBV AND BURKITT'S LYMPHOMA TUMOR OF THE LYMPHOID TISSUE |
HOW IS INFEC MONO TRANSMITTED | BY CLOSE OROPHARYNGEAL SECREATIONS |
WHEN DOES A PERSON BECOME IMMUNE TO INFEC MONO | AFTER PRIMARY EXPOSURE-90% OF ADULTS DEMONSTRATE ANTIBODIES |
INFECTIOUS MONO IS USUALLY A MINOR ILLNESS EXCEPT FOR | IMMUNOCOMPRIMISED PTS |
GENERAL CHARACTERISTICS OF LEUKEMIA | ANEMIA-BLEEDING, INFILTRATIOIBN BY CELLULAR ELEMENTS. TOTAL WBC COUNT- INCREASED AND DECREASED. THROMBOCYTOPENIA.70 % OF ADULT PTS DIE FROM INFECTION-DEATH OCCURS WITHIN 3MNTHS IF UNTREATED.REMISSION-90%CHILDREN, 70%ADULTS.BEST-HANCE-AGGR. TRTMNT 1ST DIAG |
CATAGORIES OF LEUKEMIA | ACUTE NONLYMPHOBLASTIC (MYELOGENOUS)LEUKEMIAS ANLL. ACUTE LYPHOBLASTIC LEUKEMIAS-ALL |
WHAT IS THE FAB CLASSIFICATION BASED ON | MORPHOLOGICAL CHARACTERISTICS,PERIPHERAL BLOOD SMEAR,CYTOCHEMICAL STAINING, MOLECULAR ANALYSIS AND FLOW CYTOMETRY |
GENERAL CHARACTERISTICS OF MYELOID NEOPLASMS | NEOPLASTIC DISEASES IN WHICH A CLONAL ABNORMAL STEM CELL OVERTAKES NORMAL MARROW ELEMENTS AND FILLS THE MARROW WITH ABNORMAL HEMATOPIOESIS-MAY BE EFFECTIVE,INEFFECTIVE-BLASTIC |
ACUTE NONLYMPHOBLASTIC LEUKEMIAS | AML-MO-NOT OTHERWISE CLASSIFIED IN OTHER GROUPS.INCREASE IN THE # OF CELLS IN THE BM AND ARREST IN MATURATION.UNDIFFERENTIATED BLASTS. |
AML-M1 | ACUTE MYELOBLASTIC LEUKEMIA W/O MATURATION-SYMPTOMS RESEMBLE INFECTION-ANEMIA AND THROMBOCYTOPENIA. PREDOMINANCE OF MYEOBLASTS. |
LEUKMIA VERSES LYMPHOMA | MYELOGENOUS OR LYMPHATIC CELLS. LYMPHOMA-LYMPHOCYTES ONLY-LYMPH NODES OR BONE TISSUE. |
CLASSIFICATION OF LEUKEMIAS | 1. ACUTE OR CHRONIC MYELOGENOUS 2. ACUTE OR CHRONIC MONOCYTIC 3.ACUTE OR CHRONIC MYELOCYTIC 4.ACUTE OR CHRONIC LYMPHOCYTIC.EOSINOPHILIC,BASOPHILIC,STEM CELL |
TREATMENT OPTIONS FOR LEUKEMIA | RADIATION-ADRENOGLUCOCORTICOSTEROIDS-ANTIFOLATE-OTHER DRUGS |
FACTORS OR CAUSES OF LEUKEMIAS | ONCOGENES-ENVIRONMENTAL EXPOSURE-CHEMICAL AND DRUG EXP-INFECTIOUS AGENTS |
ONCOGENE | SINGLE MUTATION,DAMAGE TO DNA OF CRITICAL GENE IN CELL-ALTERED VERSIONS OF NORMAL CELLS |
PROTO-ONCOGENES | REGULATE GROWTH IN NORMAL CELLS-PRECURSER OF ONCO GENES |
MOST COMMON TYPE OF LEUKEMIA IN CHILDREN | ACUTE LYMPHOBLASTIC LEUKEMIA-ALL |
LYMPHOMA | TUMOR OF THE LYMPHNODES |
LIFE THREATENING COMPLICATIONS OF CHEMO | INFECTION, BLEEDING, LEUKEMIC INFILTRATION OF ORGANS,METABOLIC ABNORMALITIES,HYPERLEUKOCYTOSIS |
ACUTE MYELOGENOUS LEUKEMIA FAB-1 | ALTHOUGH A TRANSLOCATION HAS BEEN OBSERVED IN AML(FAB-1)IT IS NOT A SPECIFIC MARKER.ERYTHROBLASTIC LEUKEMIA(FAB-6)A SPECIFIC MARKER HAS NOT BEEN IDENTIFIED |
ACUTE MYELOGENOUS LEUKEMIA FAB-2 | APPROX. 10% OF PATIENTS WITH FAB M2 HAVE TRANSLOCATION BTWEEN THE LONG ARMS OF CHROMOSOMES 8&21-ASSOCIATED WITH GOOD RESPONSE TO THERAPY AND IMPROVED SURV. . TRANSLOCATION THAT IS COUPLED WITH 1 SEX CHROMOSOME,PROGNOSIS POOR |
THEB 8;21 ABNORMALITY IS THE MOST FREQUENTLY CHROMOSOMAL ALTERATION FOUND IN | CHILDREN WITH AML FAB-2 |
ACUTE PROMYELOCYTE LEUKEMIA FAB-M3 | IN 40% OF PTS WITH APL FAB M3 A RECIPROCAL TRANSLOCATION OF 15&17 HAVE BEEN OBSERVED IN BM CELLS.ONLY SEEN IN PTS WHO HAVE FAB M3. |
ACUTE MYELOMONOCYTIC LEUKEMIA M4 | ALTERATION OF CHROMOSOME 16 HAS BEEN DETECTED IN PTS SUFFERING FROM ACUTE MYELOMONCYTIC LEUKEMIA.MAY BE A DELETION TYPE OF DEFECT. |
ACUTE MONOBLASTIC LEUKEMIA M5 | TRANSLOCATION OR DELETIONS OF THE LONG ARM OF CHROMOSOME 11 COMMON.REARRANGEMENT OF LONG ARMS OF CHROMOSOME 11 IS FREQ. ASSOC. WITH CHROMOSOME 9 OR 19. NO SPECIFIC MARKERS HAVE BEEN IDENTIFIED |
ACUTE LYMPHOBLASTIC LEUKEMIAS ARE | 90% OF LEUKEMIAS FOUND IN CHILDREN |
SIGNS AND SYMPTOMS OF ALL | FATIGUE,FEVER, INFEC,HEADACHE, NAUSEA, VOMITTING,BONE&JOINT PAIN, TISSUE INFILTRATION |
SIGNS AND SYMPTOMS OF ACUTE LYMPHOBLASTIC LEUKEMIA | LEUKOCYTE COUNT ELEVATED- MOSTLY BLASTS AS WELL AS LYMPHOCYTES AND SMUDGE CELLS-CURE RATE HAS GREATELY IMPROVED |
METHODS OF CELLULAR IDENTIFICATION | SUDAN BLACK B-MYELOPEROXIDASE-PERIODIC ACID SCHIFF (PAS)- NAPHTHOL AS-D CHLOROACTE (NASDCA)ESTERASE,LAP,ACID PHOSPHOTASE WITH OR W/O TARTARIC ACID INHIB. |
SUDAN BLACK B STAIN | DETECT CELLULAR LIPIDS NOT IDENTIFIED BY WRIGHT STAIN- LIPIDS ABSORB THE PIGMENT-POSITIVE-GRANULOCYTIC LEUKEMIA-STAINING BETTER WITH MORE MATURE NEUTROPHILS-MONO VARIABLE-LTMPH-NEG/DIFF-ALL FR- AML |
MYELOPEROXIDASE STAIN | IS FOUND IN THE GRANULES OF MYELOID AND MONOCYTOID CELLS-POSITIVE REACTION PRODUCE BLACK PRECIPITATE-POS FOR MYELOID AND MONOCYTOID-PARALELLS SUDAN BLACK B REACTIONS-DIFF- AML AND ACUTE MONCYTIC FROM ALL |
PERIODIC ACID SCHIFF (PAS) | POS-GLYCOGEN AND GLYCOL CONTAINING CARB.(STAINS MAGENTA PURPLE)2 STEPS-1. OXIDATION(PERIOEDIC ACID)2.SCHIFF STAIN. POS-NEUTROPHILIC GRAN-MEGAKARYOCYTES/BLASTS,ERYTHROCYTES IN ERYTHROLEUKEMIA M6. FOUND IN NEUTROPHILS(HIGH ENERGY USE) |
ESTERASE STAIN | DIFF NEUTROPHILIC GRANULOCYTES AND MONOCYTIC CELL LINES-NASDCA POS IN GRANULOCYTIC LINEAGE-PROMONOS AND MATURE MONOS MAY BE POS-MONOBLAST-NEG/WEAKLY POS OR NEG FOR GRANULOCYTES/POS FOR ALL OTHER CELLS |
PHOSPHATE STAINS | ALKALINE PHOSPHATE/BLUE OR VIOLET ST REFLECT THE SITES OF GRANULOCYTIC ALK. PHOS ACT. DIFF CML FROM LEUKEMOID REAC-BACT INFECT-PREG |
PHOSPHATE STAINS 2 | ACID PHOSPHOTASE- MAROON PRECIPITATE AT CELLULAR SITES OF ACID PHOS. ACT./MONOS STAIN MORE INTENSE THAN NEUTROPHILS/DIFF ALL/T CELLS STAIN INTENSE/B CELLS POS OR NEG |
CYTOCHEMICAL STAIN DISTINGUISH CHEMICAL COMPOSITION OF CELLS | THROUGH THE USE OF COLOR REACTION |
ACUTE LYMPHOBLASTIC LEUKEMIAN IS CHARACTERIZED BY | by a proL. of immaT. lymphoid cells,lymphoblasts,which doN'T mat into normal lymphS. Mat. lymph help the body fight infec.Instead, the body manuf. large #'S of lymphoblasts that crowd out healthy white and RBC'S and plTS, making the body less able to fig |
SUBTYPE MO CCONSISTS OF | UNDIFF MYELOID BLASTS |
UNIQUE CHARACTERICS OF M1-M4 | THE POSSESION OF GRANULOCYTIC DIFFERENTIATION WITH VARYING DEGREES OF MATURATION |
M4 REPRESENTS | A COMBINATION OF MYELOGENOUS AND MONOCYTIC LEUKEMIAS |
M5 IS DESIGNATED CATAGORIES FOR | MONOCYTIC LEUKEMIAS WITH ADDITIONAL SUBCATAGORIES |
M6 CATAGORY IS RESERVED FOR | ERYTHROLEUKEMIAS AN ABNORMALITY OF BOTH ERYTHROCYTIC AND MYELOGENOUS CELL LINES |
M7 IS THE DESIGNATION FOR | MEGAKARYOCYTIC LEUKEMIAS |
NMONOCLONAL ANTIBODIES ARE HELPFU; IN | CLASSIFICATIONS OF ACUTE LEUKEMIAS |