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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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