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1
Squash- degenerated nucleus of WBCs
Smudge or basket cells
2
It is highly contagious viral disease caused by Epstein-Barr virus; excessive # of agranulocytes; fatigue, sore throat, recover in a few weeks
Mononucleosis
3
When there is fat-containing vacuoles in WBC cytoplasm, Ichthyosis
Jordan's anomaly
4
It refers to cancerous conditions involving WBCs and is named according to the abnormal WBC clone involved.
Leukemias
5
rod-like structure seen in the cytoplasm of myeloblasts, diagnostic for Acute myeloblastic leukemia (AML)
Auer rod
6
What are the diff kinds of Clonal(neoplastic) disorders of WBC?
Myeloproliferative disorders, Lymphoproliferative disorders, Immunoproliferative disorders
7
Abnormally low WBC count---- drug induced
Leukopenia
8
Giant platelets, Dohle-bodies like inclusions seen even in monocytes indicates what anomaly?
May-Hegglin anomaly
9
What are the Abnormal granulocyte morphology (acquired)?
-Toxic granulation, cytoplasmic vacuole -Dohle bodies (Amato bodies) -Azurophilic granules -Hypersegmentation
10
Dense azurophilic granules, mucopolysaccharidoses indicates what anomaly?
Alder-Reilly anomaly
11
Where is Chediak-Higashi Syndrome (Autosomal recessive disorder) found?
Anemia, Neutropenia, Thrombocytopenia
12
Failure of normal segmentation of nucleus, bi-lobed nucleus or stab forms only, "pince-nez nucleus" indicates what anomaly?
Pelger Huet anomaly
13
•Rare,fatal disorder found in children • Inherited as an autosomal recessive char. • Contain very large,reddish- purple or greenish-gray staining granules in the cytoplasm of granulocytes • In monocytes & lymphocytes, stain bluish-purple •These granules represent abnormal lysosomes Found in: -anemia -neutropenia -thrombocytopenia
Chediak-Higashi Syndrome (Autosomal recessive disorder)
14
•Heavy,coarse blue-black granules of BEN & sometimes lymphocytes & monocytes • Inherited condition • Associated with Hurler's syndrome & Hunter's syndrome
Alder-Reilly anomaly
15
•Degeneration of cytoplasm begins to acquire holes or as result of active phagocytosis •May reflect increased lysosomal activity •Found in: -septicemia -severe infection
Vacuolated neutrophil
16
Where is toxic granulation found?
Acute infection, Drug poisoning, Burns
17
Where is Vacuolated neutrophil found?
Septicemia, Severe infection
18
• Result from condensing of nuclear chromatin into a solid structure mass with no pattern • Not counted in differential cell count
Degenerated Neutrophil w/ pyknotic nucleus
19
• Dark blue-black cytoplasmic granules in neutrophil •Thought as primary granules • Show inc.alkaline phosphatase activity Found in: -acute infections -drug poisoning -burns
Toxic granulation
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-Sex chromatin -Represents the second X chromosome in females (2-3% of neutrophils in females) -Small, well-defined,round projection of nuclear chromatin -These cells are not found in normal males
Barr body
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• Can be seen occasionally in normal peripheral blood smear Larger than normal neutrophils and generally hyperlobulated • Found in frequency of 1 in every 20,000 neutrophils but increase in disease states
Giant Neutrophils
22
Where are Hypersegmented Neutrophils found?
Pernicious anemia, Folic acid deficiency, Chronic infections
23
•Disintegrating nucleus of ruptured WBC
Smudge or Basket cells
24
-Neutrophils with six or more lobed nucleus -Represents an abnormality in maturation of neutrophil -Acquired (in megaloblastic erythropoiesis) or inherited (Undritz anomaly) • Found in: pernicious anemia
Hypersegmented Neutrophils
25
• Autosomal dominant trait •m, blue-gray Döhle bodies •Aggregates of mRNA •Leukopenia •Thrombocytopenia •Giant platelets
May-Hegglin anomaly
26
•Large azurophilic granules •Caused by: -Infections -Serious burns -Septicemia -drug poisoning
Toxic granule
27
-Indicates failure of neutrophil to segment properly -Bi-lobed nucleus; chromatin is coarsely clumped -May be inherited or acquired (as in leukemias) -Heterozygous for this char.shows numerous bi- lobed (dumbell shape); homozygous-round neutrophil
Pelget-Huet Anomaly
28
Class I and II are interpreted as what?
Young forms
29
Abnormal High count of WBC count may be due to:
Anemia, Certain drugs and medication, Cigarette smoking, Infections, Inflammatory disease, Leukemia, Severe mental or physical stress, Etc.
30
Class III are interpreted as what?
Mature forms
31
What are the functions of Monocytes and Macrophages?
-Defense against microorganisms -Role in antigen-induced blast transformation of lymphocytes -Destruction of aged blood cells, denatured plasma proteins and lipids -w/heme oxidase activity activity w/c enables tissue macrophage to break down RBC Hb and recycle it
32
Class IV and V are interpreted as what?
Old forms
33
What does monocytes secretes that activates helper cells?
Lymphokine activating factor
34
Describe the nucleus of Macrophages
Oblong/indented nucleus
35
What are the Classes under Arneths?
Class I to Class V
36
-The tissue component of the monocyte system -Larger than monocytes and measures 15-80um -Have irregular cell membrane, often with blebs and psuedopodia
Macrophages
37
One round or indented nucleus (blasts) =5%
CLASS I
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2 lobes of nucleus =35%
CLASS II
39
What are the stages of Monocyte production?
Monoblast, Promonocyte, Monocyte
40
3 lobes of nucleus=41%
CLASS III
41
A high number of WBCs is called as what?
Leukocytosis
42
4 lobes of nucleus=17%
CLASS IV
43
What are the stages of Plasma cells?
Plasmablast, Proplasmacyte, Plasmacyte/plasma cell
44
5 lobes or more of nucleus (oldest)- 2%
CLASS V
45
What are the stages of lymphocyte?
Lymphoblast, Prolymphoblast, Mature small lymphocyte, Medium lymphocyte, Large lymphocyte
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Lymphocyte with tumor host defense
Null lymphocytes
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•Increase in Classes IV and V or the mature and old forms -Congenital hypersegmentation, liver disease, pernicious anemia, sprue and steatorrhea
SHIFT TO THE RIGHT
48
Short-lived lymphocyte with humoral-mediated immunity
B lymphocyte
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•INCREASE- I & II OR YOUNG FORMS -acute infection, acidosis, leukemia, malignant tumor, MI, severe hemorrhage
SHIFT TO THE LEFT
50
What is the Normal Index of Arneths and how it is obtained?
60% obtained by adding the percentages of classes I and II and 1⁄2 of class |||.
51
Long lived lymphocyte (4-10 years) with cellular-mediated immunity
T lymphocyte
52
How are neutrophils classified according to their granulations?
1. Myeloblasts and promyelocytes -0 2. Myelocytes- 0 3. Metamyelocytes 0-1% 4. Stab- 3-5% 5. Segmented Neutrophils 51-67%
53
What makes up 10 percent of the lymphoid population?
Null lymphocyte
54
Increase in young forms
Shift to the left
55
What makes up 10-20 percent of the lymphoid population?
B lymphocytes
56
Increased in young forms with high WBC-acute infections like appendicitis and acute sepsis
Regenerative shift to the left
57
What makes up 60-80 percent of the lymphoid population?
T lymphocyte
58
What is Charcot-Leyden crystal made of?
Lysophospholipase
59
Increase in young forms accompanied by normal or low WBC-typhoid fever and TB
Degenerative shift to the left
60
It is formed from the disintegration of eosinophils and is made up of lysophospholipase found cytoplasm of eosinophils.
Charcot-Leyden Crystal
61
Increased in mature and old forms-pernicious anemia
Shift to the right
62
What are the Schillings normal values?
NEUTRO-51-67% LYMPHO-25-33% MONO-2-6% EOSINO-1-4% BASO-0-1%
63
Charcot-Leyden crystal are seen in what conditions?
Allergic asthma (nasal mucos), Pulmonary eosinophilic infiltrates (pleural fluid), Parasitic infection (stool)
64
It is the Major basic CHON -arginine- rich protein that plays a major role in killing parasites
Eosinophil
65
Its major function is to provide defense against helmenthic parasites and it has a role in allergic reactions by lessening hypersensitivity reactions through the release of an amine oxidase, which neutralizes histamine.
Eosinophil
66
It is the orderly production of mature granulocytes (N,E,B)
Granulocyte production
67
What is the maturation sequence of Granulocytes?
About 14 days
68
It refer to the detection of changes in numbers of circulating WBCs(percentage of each type). It indicates infection, poisoning, leukemia, chemotheraphy, parasites or allergy reactions.
Differential WBC counts