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Clin Path Quiz 6/7

Lecture 7: Manual WBC Counts

QuestionAnswer
what is a white blood cell? a cell that acts as a part of the immune response and travels through the blood
5 different types of WBCs: neutrophils, lymphocytes, monocytes, eosinophils, basophils
purpose of a WBC count: to determine the number of leukocytes in the circulating blood
normal canine WBC count: 6000-17000/uL
normal feline WBC count: 5500-19500/uL
-penia: decreased number of cells in the blood (leukopenia, neutropenia, etc.)
-philia or -cytosis: increased number of cells in the blood (leukocytosis, neutrophilia, etc.)
leukocytosis: increased WBC count
causes of leukocytosis: infection, inflammation, stress, steroids
leukopenia: decreased WBC count
causes of leukopenia: overwhelming disease, problem with production in the bone marrow
how to measure a WBC count: manually (rarely used in practice) or automated (rapid results, but errors may occur if abnormal cells are present)
nucleated erythrocytes (nRBCs): presences of these indicates the release of immature erythrocytes into circulation (aka metarubicytes); can falsely elevated the automated leukocyte count
calculation of corrected WBC/uL: for every 100 leukocytes, determine how many nRBCs are rpresent
methods for manual WBC count: hematology pipettes (not used due to easier methods being available) and Leuko-Tic Bioanalytic System
Leuko-Tic Bioanalytic System: ready to use test kit that uses a 1:20 dilution
what is used to actually count WBCs? hemocytometer (same one used to count RBCs)
in what section of the grid do you count WBCs? the 4x4 sections of the hemocytometer, count of 10x magnification
1 cubic centimeter (cm3) equals: 1 mL (1 cc = 1 mL)
1 cubic millimeter (mm3) equals: 1 microliter (uL)
1 mL equals: 1000 uL
what is the volume factor? the grid in which WBCs are counted is 1mm long by 1mm wide by .1mm DEEP; you are counting all the WBCs in .4 uL of blood
calculation for total WBC count: (WBCs counted x 20)/.4 uL = WBC counted x 50 = WBCs/uL
sources for error when performing a WBC count: incorrect technique when pipetting, incorrect amounts of blood and reagent, double counting cells, not mixing well enough to lyse RBCs, charging hemocytometer incorrectly
if cells fall on a grid line, count only the cells are are: on the TOP line or on the LEFT line
downside of the WBC count: the total WBC count does not tell you which leukocytes are increased, decreased or normal
resolution to the downside: differential WBC count
Created by: mkroon26
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