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1
2 lobes of nucleus =35%
CLASS II
2
-The tissue component of the monocyte system -Larger than monocytes and measures 15-80um -Have irregular cell membrane, often with blebs and psuedopodia
Macrophages
3
Class IV and V are interpreted as what?
Old forms
4
Giant platelets, Dohle-bodies like inclusions seen even in monocytes indicates what anomaly?
May-Hegglin anomaly
5
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 |||.
6
Increase in young forms accompanied by normal or low WBC-typhoid fever and TB
Degenerative shift to the left
7
Where is toxic granulation found?
Acute infection, Drug poisoning, Burns
8
It refers to cancerous conditions involving WBCs and is named according to the abnormal WBC clone involved.
Leukemias
9
It is formed from the disintegration of eosinophils and is made up of lysophospholipase found cytoplasm of eosinophils.
Charcot-Leyden Crystal
10
Lymphocyte with tumor host defense
Null lymphocytes
11
What makes up 60-80 percent of the lymphoid population?
T lymphocyte
12
5 lobes or more of nucleus (oldest)- 2%
CLASS V
13
Describe the nucleus of Macrophages
Oblong/indented nucleus
14
What are the Abnormal granulocyte morphology (acquired)?
-Toxic granulation, cytoplasmic vacuole -Dohle bodies (Amato bodies) -Azurophilic granules -Hypersegmentation
15
What is Charcot-Leyden crystal made of?
Lysophospholipase
16
Squash- degenerated nucleus of WBCs
Smudge or basket cells
17
Dense azurophilic granules, mucopolysaccharidoses indicates what anomaly?
Alder-Reilly anomaly
18
Where are Hypersegmented Neutrophils found?
Pernicious anemia, Folic acid deficiency, Chronic infections
19
What are the Schillings normal values?
NEUTRO-51-67% LYMPHO-25-33% MONO-2-6% EOSINO-1-4% BASO-0-1%
20
Short-lived lymphocyte with humoral-mediated immunity
B lymphocyte
21
It is the orderly production of mature granulocytes (N,E,B)
Granulocyte production
22
Class III are interpreted as what?
Mature forms
23
Increased in young forms with high WBC-acute infections like appendicitis and acute sepsis
Regenerative shift to the left
24
•Heavy,coarse blue-black granules of BEN & sometimes lymphocytes & monocytes • Inherited condition • Associated with Hurler's syndrome & Hunter's syndrome
Alder-Reilly anomaly
25
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
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Class I and II are interpreted as what?
Young forms
27
What are the diff kinds of Clonal(neoplastic) disorders of WBC?
Myeloproliferative disorders, Lymphoproliferative disorders, Immunoproliferative disorders
28
Increase in young forms
Shift to the left
29
Charcot-Leyden crystal are seen in what conditions?
Allergic asthma (nasal mucos), Pulmonary eosinophilic infiltrates (pleural fluid), Parasitic infection (stool)
30
What does monocytes secretes that activates helper cells?
Lymphokine activating factor
31
rod-like structure seen in the cytoplasm of myeloblasts, diagnostic for Acute myeloblastic leukemia (AML)
Auer rod
32
What are the stages of Monocyte production?
Monoblast, Promonocyte, Monocyte
33
4 lobes of nucleus=17%
CLASS IV
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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
35
Abnormally low WBC count---- drug induced
Leukopenia
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•Large azurophilic granules •Caused by: -Infections -Serious burns -Septicemia -drug poisoning
Toxic granule
37
Where is Chediak-Higashi Syndrome (Autosomal recessive disorder) found?
Anemia, Neutropenia, Thrombocytopenia
38
What makes up 10-20 percent of the lymphoid population?
B lymphocytes
39
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.
40
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%
41
•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
42
-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
43
Failure of normal segmentation of nucleus, bi-lobed nucleus or stab forms only, "pince-nez nucleus" indicates what anomaly?
Pelger Huet anomaly
44
3 lobes of nucleus=41%
CLASS III
45
• 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
46
It is highly contagious viral disease caused by Epstein-Barr virus; excessive # of agranulocytes; fatigue, sore throat, recover in a few weeks
Mononucleosis
47
Where is Vacuolated neutrophil found?
Septicemia, Severe infection
48
What are the Classes under Arneths?
Class I to Class V
49
One round or indented nucleus (blasts) =5%
CLASS I
50
Long lived lymphocyte (4-10 years) with cellular-mediated immunity
T lymphocyte
51
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
52
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
53
What is the maturation sequence of Granulocytes?
About 14 days
54
What are the stages of lymphocyte?
Lymphoblast, Prolymphoblast, Mature small lymphocyte, Medium lymphocyte, Large lymphocyte
55
• 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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It is the Major basic CHON -arginine- rich protein that plays a major role in killing parasites
Eosinophil
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-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
58
When there is fat-containing vacuoles in WBC cytoplasm, Ichthyosis
Jordan's anomaly
59
A high number of WBCs is called as what?
Leukocytosis
60
What are the stages of Plasma cells?
Plasmablast, Proplasmacyte, Plasmacyte/plasma cell
61
•INCREASE- I & II OR YOUNG FORMS -acute infection, acidosis, leukemia, malignant tumor, MI, severe hemorrhage
SHIFT TO THE LEFT
62
•Disintegrating nucleus of ruptured WBC
Smudge or Basket cells
63
• Autosomal dominant trait •m, blue-gray Döhle bodies •Aggregates of mRNA •Leukopenia •Thrombocytopenia •Giant platelets
May-Hegglin anomaly
64
What makes up 10 percent of the lymphoid population?
Null lymphocyte
65
Increased in mature and old forms-pernicious anemia
Shift to the right
66
-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
67
•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)
68
• 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