Hematology

Methodologies In Hematology

HEMATOCRIT  Aka Packed Cell Volume  Layers of anticoagulated whole blood (top to bottom) Plasma Platelets White blood cells Red blood cells MICROHEMATOCRIT METHOD  Capillary tube  Length – 7cm (70mm) Bore – 0.1cm (1mm)  Blood should fill – ¾ or at least 5cm (50mm)  Sealing clay – 4 – 6mm  Types:  Red tip – with 1IU …

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Leukopoiesis

Overall function – mediates immunity Granulocytes  WBCs whose cytoplasm is filled  with granules different staining characteristics  nuclei are lobulated and segmented. Eosinophil  Granules – basic proteins  Stains with acid stain Basophil  Granules – acidic  Stains with basic stain Neutrophil  React with both acidic and basic stain o Gives them pink to lavender color. Mononuclear cells  …

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Erythropoiesis

Typically occurs in erythroid island Nomenclature System Normoblastic(United States) Rubriblastic Erythroblastic(Europe) Pronormoblast Rubriblast Proerythroblast Basophilic Normoblast Prorubricyte Basophilic erythroblast Polychromaticnormoblast Rubricyte Polychromaticerythroblast Orthochromicnormoblast Metarubricyte Orthochromic erythroblast Polychromatic erythrocyte Polychromatic erythrocyte Polychromatic erythrocyte Erythrocyte BFU-E (Burst-forming unit- erythroid)  Erythroid progenitor  1 week to mature to CFU-E  18 – 21 days from BFU-E to mature RBC CFU-E …

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Stem Cell Theory

Monophyletic theory – all blood cells are derived from a single progenitor stem cell called Pluripotent Hematopoietic Stem Cell.  Most widely accepted theory among experimental hematologists today.  Polyphyletic theory – each blood cell lineages is derived from its own unique stem. HEMATOPOIETIC STEM CELLS and CYTOKINES  Common Lymphoid Progenitor – differentiates into T, B, and …

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Hematopoiesis

Continuous and regulated process of blood cell production that includes:  Cell renewal  Proliferation  Differentiation  Maturation MESOBLASTIC PHASE  Cells from mesoderm migrates to YOLK SAC  Hematopoiesis begins at 19TH DAY OF EMBRYONIC DEVELOPMENT (occurs intravascularly)  PRIMITIVE ERYTHROBLAST produces:  Gower -1 (2 epsilon; 2 zeta)  Gower – 2 (2 alpha; 2 epsilon)  Portland – 1 (2 zeta; …

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Introduction To Hematology

Blood:  Red color is attributed to hemoglobin  pH: 7.35 – 7.45  Specific gravity: 1.055  Composition  Liquid portion (plasma – in unclotted blood; serum – in clotted blood)  Solid portion (RBCs, WBCs and platelets)  Gaseous portion (oxygen and carbon dioxide)  Collection  Most critical step in blood collection – PATIENT IDENTIFICATION SKIN PUNCTURE  Used when there is …

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