MLT 2.2Hematological Cell Identification 07010
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The Cell | Smallest unit of a living structure capable of independence existence
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Plasma Membrane | Outer limit, boundary, maintains integrity of interior cell; Contains pore for substance transport
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3 layers of Plasma Membrane | 1. protein; 1. Phospholipid; 3. Protein
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Cytoplasm | Material inside plasma membrane; Contains organelles
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Mitochondrion | "Powerhouse"; Cellular respiration and energy requirement happens here; Site of protoporphyin production (Hem synthesis); contains cristae
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Golgi Apparatus | Granule production for granulocytes and monocytes
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Lysosome | Relaeses hydrolytic enzymes; Ammo for WBC to kill or destroy bacteria during phagocytosis
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Endoplasmic Recticulum | SMOOTH - no ribosomes; Produces lipids ROUGH - Has ribososomes (protein synthesis)
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Ribososomes | Made of RNA and granules of Ribonucleoprotein; Site of protein synthesis
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Nucleus | Round in normal, mature cells; Made of DNA; Pores for transport ; "Brain" or "Control Center"
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Nucleolus | in Immature cells there may be more than one; Site of Ribonucleoprotein synthesis (RNA); found in immature cells
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Red Blood Cells | aka "Erythrocytes"; Contains hgb- carries O2 and CO2; Biconcaved; Central Pallor- indentation in RBC
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White Blood Cells | aka "Leukocytes"; Defends against ( foreign substances, Microorganisms, Parasites)
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5 types of WBC's | 1. Neutrophil, 2. Basophil, 3. Eosinophil, 4. Lymphocytes, 5. Monocytes
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Granulocytes | Neutrophils, Basophils, eosinophils
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Platelets | Thrombocytes- Cytoplasmic fragments of Megakaryocytes; Stops bleeding
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Hematopoiesis | Proliferation, differation and maturation of blood cells; Hemato= blood, poiesis = formation
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3 stages of hematopoiesis | 1. In the fetus; 2. At birth; 3. As an adult
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Hematopoiesis occurs in the: | Yolk Sac, Liver, Spleen, Bone Marrow, Lymph Nodes
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Hematopoiesis during fetal development | 2nd week- Primitive RBC's, 2nd Month- Granulocytes and Megakaryocytes, 4th Month- Lymphocytes, 5th Month - Monocytes
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Hematopoiesis in Adults (18 and older) | Confined to flat bones, and the proximal ends of long bones (Femur, Humerus)
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Pluripotential Stem cell | Gives rise to 2 basic Stem Cells; 1. Lymphoid Stem Cell, 2. Myeloid Stem Cell
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Lymphoid Stem Cells | Gives rise to : T Lympohcytes and B Lymphocytes
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Myeloid Stem Cell | Give rise to: Erythrocytes, Granulocytes, Megakaryocytes, Monocytes
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Cell Maturation | Several stages of development; Each stage characterized by changes in: NUCLEUS, CYTOPLASM, CELL SIZE
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Immature Nucleus | 1. N/C (4:1); 2. Usually oval or round; 3. Chromatin fine and delicate; 4. Stains reddish purple; 5. Usually 1 or more nucleoli
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Mature Nucleus | 1. Smaller; 2. N/C low; 3. Chromatin coarse and clumped; 4. Stains blue-purple; 5. Nucleoli usually disappear; 6. Usually lobed
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Immature Cytoplasm | 1. Scanty, high amounts of RNA; 2. Dark blue; 3. Very few to no granules; 4. Granules azurophilic (reddish purple), primary or non-specific)
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Mature Cytoplasm | 1. Amount usually increases; 2. Gradual loss of RNA; 3. Less blue; 4. Specicfic or secondary granules appear
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Immature cell size | Usually large 10-20 um
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Mature Cell Size | Usuall smaller than immature cells
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Criteria for cell ID ( cell size) | Helps identify the stage of development; Classification- Large, Medium, or Small
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Criteria for cell ID (nucleus) | Shape; Relative size; Chromatin pattern; Presence of nucleoli
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Criteria for cell ID ( cytoplasm) | Granular vs. Non-granular; Specific or Non-specific granules; Color; Relative amount
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Granulopoiesis | Production of granulocytes
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Granulocytes originates in: | Bone Marrow form pluripotential stem cell (Colony Forming Unit- Granulocyte-Monocyte; CFU-GM)
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Growth factors for CFU-GM | Granulocyte-Monocyte colony Stimulating Factor (GM-CSF); interleukin 3
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3 types of Granulocytes (B. E. N.) | Basophils; Eosinophils; Neutrophils
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6 Stages of differentation of Granulocytes | 1. Myeloblast; 2. Promyelocyte; 3. Myelocyte; 4. Metamyelocyte; 5. Band/Stab; 6. Segmented
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Myeloblast | 10-20 um; small basophilic cytoplasm; Nucleus round and reddish purple with fine and delicate chromatin. Nucleus also has 1-3 nucleoli
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Promyelocyte | 10-20 um; Cytoplasm has azurophilic granules; non-specific or Primary granules; Nucleus round, light reddish blue with 1-2 nucleoli; N/C 3:1
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what is the Last stage granulocyte differentation capable of cell division | Myelocyte
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Myelocyte | 10-18 um; cytoplasm has specifec or secondary granules; Nucleus round or oval with no nucleoli, and is reddish blue with coarse chromatin
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Basophil Myelocyte | Violet blue specific granules; few but coarse; not uniform in size
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Eosinophilic Myelocyte | specific granules reddish orange; large; uniform in size
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Neutrophil myelocyte | specific granules are pinkish and very fine; "Dawn of neutrophilia"
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Metamyelocyte | 10-18 um; Cytoplasm is moderate with increased number of specific granules; nucleus kidney shaped or indented with clumped chromatin; N/C 1:1
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Band/Stab | 10-16 um; Cytoplasm same as Metamyelocyte; Nucleus rod or band shaped with clumped coarses chromatin; N/C 1:1
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Segmented | 10-16 um; cytoplasm abundant with full compliment of specific granules; Nucleus 2-5 lobes connected by filament; chromatin coarse and clumped
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Most frequently occuring cell in peripheral blood | Neutrophil
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Regulation of Neutrophil | Cells sequestered by RE system( Reticulum cells of spleen, Kupffer's Cells of liver
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Main function of Neutrophil | Phagocytosis (also capable of pinocytosis)
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Phase 1 of Phagocytosis | Migration and Diapeddesis (Neutrophils move into tissues thru narrow junctions between endothelial cells of blood vessels)
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Phase 2 of Phagocytosis | Opsonization and Recognition; Marking and recognizing bacteria and foreign bodies for ingestion)
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Substances used in opsonization | Antibodies and Complements
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Opsonins | Bacteria marked by Ab or complement
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Phase 3 of Phagocytosis | Ingestion, Killing and Digestion
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Ingestion | Neutrophil invaginates around opsonin; Opsonin engulfed to form a phagosome (phagocytic Vacuole)
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Killing and Digestion | Lysosomes fuse with Phagosomes to form Phagolysomes; Enzymes from granules emptied into Phagolysomes (degranulation); Enzymes kill and digest bacteria
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which granulocyte is primarily in tissues exposed to the environment | Eosinophils (in lungs nasal membrane and GI tract)
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Life span of eosinophil | 12 days
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Function of Eosinophil | Allergic reactions; Fights Parasites
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Physiology of eosinophils | Granules contain Histaminase, which inactivate histamine; Attaches to parasites and release toxic substances into parasite; Capable of phagocytosis of antigen antibody complex
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Eosinophil | Nucleus usually has 2 lobes with coarse and clumped chromati; Cytoplasm is reddish orange (specific granules); granules distinct and even in size
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Basophil | 10-16 um; Cytoplasm slightly pink to corlorless with dark violet specific granules; granules are uneven and very in size; Nucleus has 2-4 lobes and is deep blue purple wiht coarse granular chromatin
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Mast cell | Basophils in tissue, such as connective tissue, mucosal areas of serous membrane and bone marrow
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Physiology of Basophil | Functions with eosinophils in immediates delayed hypersensitivity reactions ( Ige binds to surface receptors, reacts with specific antigens; Degranulation occurs, Enzymes [heparin and histamine] released in area)
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