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Heme Midterm Practical
N/a
95
Biology
Undergraduate 3
03/07/2015

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Term
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Definition
Myeloblast
(Earliest stage RBC. Found in myeloblastic leukemia.)
4:1 N-C
Can see 2 nucleoli
Term
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Definition
Promyelocyte (Larger than myelocyte. Coarse granules)
3:1 N-C
Term
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Definition
Myelocyte (Round or oval. May see goli body which is white clearing outside of nucleus)
2:1 N-C
Term
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Definition
Metamyelocyte (Kidney bean shaped nucleus)
1.5:1 N-C
Term
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Definition
Neutrophilic band (C-shaped)
0-5% in peripheral blood
Term
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Definition
Neutrophil (Segmented nucleus) Most common wbc in peripheral blood (50-70%)
Term
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Definition
Lymphocyte (Dark nucleus) 20-40% of cells in the peripheral
Term
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Definition
Reactive lymphocyte (Has irregularly shaped huge cytoplasm. Darker than monocyte. Irregular elongated and occasionally round nucleus) Seen commonly in viral infections and organ transplantation
Term
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Definition
Term
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Definition
Monocyte (Round, horshoe or kidney shaped nucleus. Lacy chromatin compared to dense reactive lymph chromatin. Fine granules in cytoplasm giving the appearance of ground glass)
3-11% of peripheral blood cells
Term
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Definition
Eosinophil (Red cytoplasm) 0-5% of peripheral blood
Seen in allergic and parasitic reactions
Term
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Definition
Basophil (Purple/dark blue lumps in a circular shape) 0-1% of peripheral blood
Term
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Definition
Toxic Granulation (Dark granules in cytoplasm of WBC) Seen in patients with bacterial infections, sepsis
Term
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Definition
Dohle Bodies (Small RNA clump in the cytoplasm of a granulocyte. Often seen with toxic granulation)
Associated with bacterial infection, pregnancy and sepsis
Term
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Definition
Reticulocyte (Immature RBC. May have polychromasia or blue RNA clumps)
Released into the peripheral blood in diseases in which the mature rbc count is low. Seen in haemolytic anemia.
Term
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Definition
Nucleated red blood cell (Look similar to lymphocyte)
May be seen in thalassemias, uremia, sepsis, liver diease, sickle cell, post splenectomy and hemolytic anemia
Term
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Definition
Basophilic stippling (RNA deposits in the cell cytoplasm)
Associated with lead poisoning, thalassemia
Term
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Definition
Siderotic granules (Iron deposits in a cluster in the rbc cytoplasm)
Associated with splenectomy, hemolytic anemia and sideroblastic anemia
Term
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Definition
Howell-Jolly Bodies (DNA spot in the rbc cytoplasm)
Associated with splenectomy, hemolytic anemia and megaloblastic anemia
Term
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Definition
Cabot rings (Remnants of mitotic spindle in the cytoplasm. Look like rings)
Associated with myelodysplatic syndrome and megaloblastic anemia
Term
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Definition
Microcytes (Small rbcs)
Associated with iron deficiency, thalassemias, b12 deficiency
Term
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Definition
Macrocytes (Large rbcs)
Associated with newborns, liver diease, chronic alcoholism, vitamin b12 deficiency, folate deficiency and myelodysplastic
Term
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Definition
Hypochromia (RBC lacking hemoglobin)
Associated with
Term
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Definition
Polychromia (RBC's that retained some RNA and appear grayish blue)
Term
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Definition
Echinocyte (Spikey rbc's)
Associated with uremia and pyruvate kinase deficiency
Term
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Definition
Spherocyte (Round with no central pallor zone)
Associated with hereditary spherocytosis, some hemolytic anemias and transfused cells
Term
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Definition
Schistocyte (Fragmented rbc's)
Associated with microangiopathic hemolytic anemia
Term
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Definition
Codocyte (Cell shaped like a target)
Associated with hemoglobinopathies, thalassemia, iron deficiency anemia and splenectomy
Term
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Definition
Drepanocyte (Sickle-shaped cell)
Associated with sickle cell diseases and sometimes hemoglobin SC
Term
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Definition
Elliptocyte/Ovalcyte (Cigar shaped and oval shaped rbc's)
Associated with hereditary elliptocytosis or ovalocytosis, thalassemia major, iron deficiency
Term
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Definition
Dacryocyte (Tear drop shaped rbc's)
Associated with thalassemia and vitamin B12 deficiency and iron deficiency
Term
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Definition
Stomatocytes (Rbc's with slitlike areas of central pallor
Associated with hereditary stomatocytosis and liver disease
Term
Iron deficiency anemia (WBC)
Definition
WBC count is normal with normal range of Segs and lymphs. Normal monocytes
Term
Iron deficiency anemia (RBC)
Definition
Hypochromia (2-4+)
Elliptocytes
Schistocytes
Dacrocytes
Microcytosis (2-3+)
Term
Iron deficiency tests
Definition
Serum Iron test
Term
Lead poisoning (WBC)
Definition
Normal neutrophils
Normal lymphs
Bands increased
Term
Lead poisoning (RBC)
Definition
Microcytosis
Hypochromia
Basophilic stippling
Term
Lead poisoning tests
Definition
Blood lead test
Term
Beta Thalassemia (WBC)
Definition
Normal segs
Normal lymphs
Normal monocytes
Reactive lymphs
Term
Beta Thalassemia (RBC)
Definition
Hypochromia (1-3+)
Mircocytosis (2+)
Target cells
Schistocytes
Elliptocytes
Dacrocytes
Basophilic stippling
polychromasia
Term
Beta Thalassemia tests
Definition
Iron, ferritin levels, CBC
Term
Alpha Thalassemia (WBC)
Definition
Normal segs
Normal lymphs
Normal monocytes
Term
Alpha Thalassemia (RBC)
Definition
Microcytosis
Elliptocytes
Codocytes
Nucleated red blood cells
Term
Alpha Thalassemia tests
Definition
Iron, Ferritin levels, CBC
Term
Hereditary Spherocytosis (WBC)
Definition
Normal neutrophils
Normal lymphs
Normal monocytes
Term
Hereditary Spherocytosis (RBC)
Definition
Spherocytes
Polychromasia
Nucleated red blood cells
Term
Hereditary Spherocytosis tests
Definition
Reticulocyte count, physical examination, CBC
Term
Hereditary Elliptocytosis/Ovalocytosis (WBC)
Definition
Normal segs
Normal lymphs
Normal monos
Term
Hereditary Elliptocytosis/Ovalocytosis (RBC)
Definition
Elliptocytes
Schistocytes
Normochromic
Normocytic
Term
Hereditary Elliptocytosis/Ovalocytosis tests
Definition
Osmotic fragility test
Term
Post splenectomy (WBC)
Definition
Increased lymphs
Normal segs
Increased monos
Increased platelets
Term
Post splenectomy (RBC)
Definition
Target cells
Elliptocytes
Siderocytes
Howell-Jolly Bodies, Heinz Bodies
Term
Post splenectomy tests
Definition
Blood test
Term
Malaria (WBC)
Definition
Normal segs
Normal lymphs
Term
Malaria (RBC)
Definition
Hypochromia
Echinocytes
Dacryocytes
Cabot rings
Plasmodium falciparum
Term
Malaria test
Definition
Indirect Fluorescent Antibody Test, Microscopy test
Term
Vitamin B12 Deficiency (WBC)
Definition
Increased lymphs
Normal monos
Monocytes
Hypersegmented segs
Term
Vitamin B12 Deficiency (RBC)
Definition
Macrocytes (3+)
Elliptocytes (1+)
Microcytes
Dacryocytes
Stomatocytes
Echinocytes
Hypochromia
Term
Vitamin B12 Deficiency tests
Definition
Water-sucrose test, Ham test
Term
Uremia (WBC)
Definition
Normal segs
Normal lymphs
Normal monos
Term
Uremia (RBC)
Definition
Target cells
Spherocytes
Hypochromia
Microcytes
Macrocytes
Term
Uremia tests
Definition
Urine tests, Serum potassium, blood tests
Term
Folate Deficiency (WBC)
Definition
Normal lymphs
Normal segs
Normal monos
Term
Folate Deficiency (RBC)
Definition
Megaloblasts
Drepanocytes
Macrocytes
Target cells
Sphereocytes
Term
Folate Deficiency Test
Definition
Water-sucrose test, Ham test
Term
Megaloblastic anemia
Definition
Hypersegmented neutrophils
Oval macrocytes
Associated with vitamin B12 deficiency, folate deficiency and myelodysplatic syndrome
Term
Pelger-Huet anomaly
Definition
Hyposegmented neutrophils (look like peanuts)
Associated with malignancy
Term
May Hegglin anomaly
Definition
Thrombocytopenia with large platelts and large basophilic inclusions resembling Dohle bodies in granulocytes and monocytes with the absence of toxic granulation
Term
Chediak Higashi anomaly
Definition
Granulocytes will have large gray-blue granules in the cytoplasm. Lymhs, monos and eos will have large red-purple granules
Term
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Definition
Pelger-Huet anomaly
Term
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Definition
May-Hegglin anomly
Term
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Definition
Chediak-Higashi anomaly
Term
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Definition
Hemoglobin SC (Has crystals that look like schistocytes)
Term
Tests for Hemoglobin SC
Definition
CBC, Peripheral blood smear, hemoglobin electophoresis and blood hemoglobin
Term
Tests for Hemoglobin SS
Definition
Osmotic fragility, serum iron test
Term
Tests for Hemoglobin AS
Definition
Term
AML1 (AML without maturation)
Definition
Mostly myeloblasts
Auer rods
Term
AML 2 (AML with maturation)
Definition
Myeloblasts
Promyelocytes
Myelocytes
Metamyelocytes
Auer Rods
Term
AML 3 (APL) (Acute promyelocytic leukemia)
Definition
Myeloblasts
Hypergranulated promyelocytes
Schistocytes
Bundles of Auer rods (faggot cells)
Term
AML 4 (AMML) (Acute myelomonocytic leukemia)
Definition
Myeloblasts
Promyelocytes
Monoblasts
Promonocytes
Monocytes
Term
AML 5 (Acute monoblastic and monocytic leukemia)
Definition
Mainly monoblasts and promonocytes
Moncytes
Myeloblasts
Promyelocytes
Term
AML 6a (Erythroid/myeloid) (Acute erythroid leukemia)
Definition
Mainly myeloblasts and erythroid precursors
Oval macrocytes
Microcytes
Basophilic stippling
Term
AML 6b (Pure erythroid leukemia) (Acute erythroid leukemia)
Definition
Mainly erythroid precursors
Oval macrocytes
basophilic stippling
Term
AML 7 (Acute megakaryocytic leukemia)
Definition
Mainly megakaryoblasts
Atypical platelets
Hypogranular neutrophils
Term
CML (Chronic myelogenous leukemia)
Definition
Mainly myelocytes and neutrophils
Myeloblasts (<5%)
Promyelocytes
Metamyelocytes
Bands
Monocytes
Basophil
Eosinophil
Echinocytes
Term
Tests associated with AML 1
Definition
Myeloperoxidase- Pos
Sudan Black B- Pos
Nonspecific esterase- Neg
Term
Tests associated with AML 2
Definition
Myeloperoxidase- Pos
Sudan Black B- Pos
Term
Tests associated with AML 3 (APL)
Definition
Myeloperoxidase- Strongly Pos
Sudan Black B- Strongly Pos
Term
Tests associated with AML 4 (AMML)
Definition
Myeloperoxidase- Pos
Specific Esterase- Napthol-AS-D chloroacetate esterase Pos in granulocytic cells and weak in monocytic cells
Term
Tests associated with AML 5
Definition
Myeloperoxidase- Neg
Nonspecific esterase- Pos
Term
Tests associated with AML 6a
Definition
Myeloperoxidase- Pos
Sudan Black B- Pos
Periodic Acid-Schiff- Block Positivity in erythroblasts
Iron stain: Positive or Negative for Ringed Sideroblasts
Term
Tests associated with AML 6b
Definition
Myeloperoxidase- Pos
Sudan Black B- Pos
Periodic Acid-Schiff- Block Positivity in erythroblasts
Iron stain: Positive or Negative for Ringed Sideroblasts
Nonspecific esterase: Pos or Neg
Term
Tests associated with AML 7
Definition
Myeloperoxidase: Neg
Sudan Black B: Neg
Nonspecific esterse: focal positivity
Specific esterase: Neg
Periodic Acid-Schiff: Pos or Neg
Term
Tests associated with CML
Definition
LAP: Decreased
Term
Polycythemia vera
Definition
Increased neutrophils with few metamyelocytes and rare myelocytes
Promyelocytes and myeloblasts extremely rare
Eosinophils possible
Basophils possible
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