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Peripheral & Central Blood, Hematopoiesis
Peripheral & Central Blood, Hematopoiesis
41
Medical
Graduate
10/22/2009

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Term
PERIPHERAL BLOOD
Definition

1. Formed elements: RBCs, WBCs, platelets

2. Fluid component: plasma

3. Smaller cells, mostly RBCs

Term
PLASMA
Definition

1. Mostly water (90%)

2. Yellowish fluid component of peripheral blood in which the formed elements and numerous organic and inorganic components are suspended or solubilized

3. Leaves capillaries and small venules to enter CT or interstitium as ECF

Term
SERUM
Definition

1. Fluid remaining after coagulation

2. Similar to plasma but lacks fibrinogen and clotting factors

Term
PLASMA PROTEINS
Definition

1. Albumins

2. Globulins

3. Fibronogen

4. Regulatory proteins

Term
ALBUMINS
Definition

1. Major contributors to colloidal osmotic pressure of plasma(force that maintains normal volumes of blood and interstitial fluid)

2. Transports lipids and steroid hormones

Term
GLOBULINS
Definition

1. Important for immune function

2. Transport ions, hormones, lipids

Term
FIBRINOGEN
Definition

1. Essential component of clotting system

2. Can be converted to insoluble fibrin

Term
REGULATORY PROTEINS
Definition

Enzymes, proenzymes, hormones

Term
COMPLEMENT PROTEINS
Definition

 Serve as chemoattractants

1. Stimulates inflammation (enhances histamine release from basophils and mast cells)

2. Attracts phagocytes (attract neutrophils and macrophages to area via chemotaxis)

3. Enhances phagocytosis (antibodies and complement proteins act as opsonins)

4. Destroy target cell membranes (forma  membrane attack complex, MAC) 

Term
CLOTTING CASCADE
Definition

1. Sequential cascade of inactive fibers

2. Form a fibrin matrix

Term
ERYTHROCYTES (RBCs)
Definition

1. In peripheral blood

2. Biconcave disc with thin cytoplasmic region in center

3. High surface area to volume ratio to optimize gas exchange

4. Designed to absorb oxygen in lung in exchange for bound carbon dioxide

5. Arrangement of cytoskeleton allows passage through vessels

6. Mature RBCs lack a nucleus and organelles

7. Must use anaerobic glycolysis

8. Immature RBCs released into peripheral blood as reticulocytes

9. Number and morphology of RBCs used for diagnoses

Term
HEMOGLOBIN
Definition

1. Most prominent protein in RBC cytoplasm

2. 4 polypeptides bound to heme

3. Iron containing heme moieties bind oxygen and globin portion releases carbon dioxide

Term
SICKLE CELL ANEMIA
Definition

1. Results from single point mutation where Glu is exchanged for Val

2. Reduces oxygen tension

3. Shape of Hb changes, and thus shape of RBC

4. Becomes less pliant and more likely to lyse or block capillaries to cause ischemia

Term
LEUKOCYTES
Definition

Granulocytes

1. Neutrophils

2. Eosinophils

3. Basophils

Agranulocytes

4. Lymphocytes

5. Monocytes

Term
DIAPEDESIS
Definition

1. Leukocyte extravasation

2. Movement of leukocytes out of circulatory system, towards damaged tissue or infection (innate immune response)

Term
GRANULOCYTES
Definition

1. Multilobed nucleus

2. Characteristic granules

Term
AGRANULOCYTES
Definition

1. Rounded, indented nucleus

2. Lack prominent granules

Term
NEUTROPHILS
Definition

1. Released from central blood  to peripheral blood, to connective tissue

2. Contains 2-5 nuclear lobes

3. Abundant cytoplasm (salmon pink color)

4. Specific granules: lysozyme, lactoferrin, alkaline phosphatase and collagenase

5. Azurophilic granules: myeloperoxidase, acid phosphatase, collagenase, elastase (destroy CT)

Term
EOSINOPHILS
Definition

1. Round in peripheral blood

2. Have bilobed nucleus

3. Mature in bone marrow, released into peripheral blood, undergo diapedesis to enter CT

4. Immediately under the epithelium in loose areolar CT

5. Involved in helminthic diseases

6. Specific granules: crystal like appearance, myelin basic protein

7. Azurophilic granules (lysosomes)

Term
BASOPHILS
Definition

1. Nucleus may be bilobed, but obscured by prominent basophilic granules

2. Specific granules exhibit metachromasia

3. Azurophilic granules (lysosomes)

3. Functionally similar to mast cells-release histamine

4. Distinguished from mast cells by the prominent round nucleus of mast cell surrounded by granules in the cytoplasm, while basophil has bilobed nucleus obscured by granules

Term
LYMPHOCYTE
Definition

1. Round cells with large round intensely staining nucleus with a thin rim of clear blue cytoplasm

2. Mediator of humoral and cellular-mediated immunity (T-lymphocytes, B-lymphocytes, Null cells)

Term
MONOCYTES
Definition

1. Possess more cytoplasm, which tends to stain grayish blue (not clear blue)

2. Nucleus less intensely stained than lymphocyte and oval or slightly indented

3. Azurophilic granules

4. Differentiate into macrophages

Term
PLATELETS
Definition

1. Small disc-like fragments derived from megakaryocyte

2. Prominent glycocalyx

3. Small aggregates between cells in peripheral blood

4. Peripheral hyalomere

5. Two tubular system

6. Granulomere (organelle dense center with mitochondria, glycogen granules, peroxisomes, and varioius purple granules-delta, alpha, lambda)

7. Plug lesions in blood vessels

Term
MEGAKARYOCYTES
Definition

1. Very large cells located in bone marrow

2. Multilobed nucleus

3. Pieces of processes form platelets

4. Closely resemble osteoclasts (osteoclasts multinucleated though)

Term
CENTRAL BLOOD
Definition

1. In bone marrow

2. Pluripotential hematopoietic stem cell (PHSC) and colony-forming units (CFUs)

3. Cells are larger and more immature-many nucleated cells

Term
RED MARROW
Definition

Large numbers of RBCs in marrow (newborn marrow)

Term
YELLOW MARROW
Definition

1. Characterized by abundance of adipose cells

2. Hematopoiesis is restricted

3. In adults

Term
PLURIPOTENTIAL HEMATOPOIETIC STEM CELLS (PHSC)
Definition

1. Cell from which all blood cells arise

2. Give rise to 2 types of multipotential hematopoietic stem cells (MHSC): colony forming spleen cell (CFU-S) and colony forming unit lymphocyte (CFU-Ly)

Term
CFU-S
Definition

Serves as predecessor for the myeloid cell lines (erythrocytes, granulocytes, monocytes, megakaryocytes, eosinophils)

Term
CFU-Ly
Definition

Gives rise to only B and T lymphocytes

Term
CHANGES IN PRECURSOR CELLS AS THEY PROGRESS TO MATURITY
Definition

1. Decrease in cell size

2. Nuclei become progressively more heterochromatic

3. Specific granules increase as the synthetic apparatus decreases

Term
CELLS OF HEMOPOIESIS: ERYTHROCYTE
Definition

1. CFU-S

2. Proerythroblast

3. Basophilic erythroblast

4. Polychromatic erythroblast

5. Orthocrhomatophilic erythroblast

6. Reticulocyte

7. Erythrocyte

Term
CELLS OF HEMOPOIESIS: MEGAKARYOCYTE
Definition

1. CFU-S

2. Megakaryoblast

3. Megakaryocyte

Term
CELLS OF HEMOPOIESIS: EOSINOPHIL
Definition

1. CFU-S

2. Myeloblast

3. Promyelocyte

4. Eosinophilic myelocyte

5. Eosinophilic metamyelocyte

6. Eosinophilic stab (band) cell

7. Eosinophil

Term
CELLS OF HEMOPOIESIS: BASOPHIL
Definition

1. CFU-S

2. Myeloblast

3. Promyelocyte

4. Basophilic myelocyte

5. Basophilic metamyelocyte

6. Basophilic band cell

7. Basophil

Term
CELLS OF HEMOPOIESIS: NEUTROPHIL
Definition

1. CFU-S

2. Myeloblast

3. Promyelocyte

4. Neutrophilic myelocyte

5. Neutrophilic metamyelocyte

6. Neutrophilic band cell

7. Neutrophil

Term
CELLS OF HEMOPOIESIS: MONOCYTE
Definition

1. CFU-S

2. Promonocyte

3. Monocyte

Term
CELLS OF HEMOPOIESIS: LYMPHOCYTES
Definition

1. CFU-Ly

2. T-lymphocyte/B-lymphocyte

3. T-lymphoblast/B-lymphoblast

4. T-lymphocyte/B-lymphocyte

Term
ANEMIA
Definition

1. Exists if there is an abnormal decrease in the number of erythrocytes or a decrease in the amount of hemoglobin

2. A decrease in hemoglobin is the cause of most anemias, resulting from a lack of iron (essential for Hb formation)

 

Term
HEMOLYTIC ANEMIA
Definition

1. Results from hemolysis of erythrocytes

2. May be congenital (sickle cell anemia, thalassemia) or acquired

Term
APLASTIC ANEMIA
Definition

Due to either the failure of bone marrow to develop erythrocytes or a destruction of the marrow by X-rays, toxic chemicals, etc.

 

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