[1S] UNIT 1 Overview of Hematology Flashcards
SCIENTIST
worms in the blood
Athanasius Kircher (1657)
SCIENTIST
RBCs
Anton van Leeuwenhook (1674)
4 RBC Indices
MCV - mean cell volume
MCH – mean cell hemoglobin
MCHC – mean cell hemoglobin concentration
RDW – red cell distribution and width
SCIENTIST
Wrights stain
James Homer Wright (1902)
SCIENTIST
Platelets (petites plaques)
Giulio Bizzozero (1800)
4 RBC Parameters
- Hemoglobin (hb, hgb)
- Hematocrit ( hct)/PCV (pack cell volume)
- RBC count
- RBC Indices
to detect and diagnose the disease
RBC Parameters
to assess and monitor the disease
RBC Parameters
to differentiate anemia, polycythemia, and systemic
conditions that affects red blood cells
RBC Parameters
polychromatophilic erythrocytes
Reticulocytes
- Indicative of bone marrow regeneration during blood loss and certain anemias
- Supravital staining (BCB, NMB)
Reticulocytes
Counting of WBCs
Hemocytometry – 5,000-10,000/cumm
- Function mainly to protect us from infection /injury
- Differential count = Wright’s staining
White Blood Cells
WBCs low count
Leukopenia
3 Granular WBCs
Neutrophils
Eosinophils
Basophils
(NEB - Never Eat Banana)
WBCs high count
Leukocytosis
2 Agranular WBCs
Lymphocytes
Monocytes
(LM - Let Monkey)
- Maintains vascular integrity
- Controls hemostasis
Platelets / Thrombocytes
- 2-4mu , round, anucleated, slightly granular
- ability to aggregate and adhere
Platelets / Thrombocytes
Types of specimen
- capillary blood
- venous blood
Phlebotomist
Specimen quality
Specimen accession
Complete Blood Count
- Maintenance of normal blood flow
- Storage site of some cytokines involved in hemostasis
Endothelial cells
- Smear preparation/ characteristics
- Staining procedures
- Examine the morphology of the red blood cells
- WBC - percent distribution is obtained (differential count)
Blood Film Examination
Coagulation laboratory tests
PT, APTT, Fibrinogen Assay, D-dimer
ADVANCE HEMATOLOGY PROCEDURES
Identifies and quantifies populations of cells in a heterogeneous sample - usually blood, bone marrow or lymph.
Flow Cytometry
ADVANCE HEMATOLOGY PROCEDURES
Bone marrow aspirate / bone marrow biopsy
Bone Marrow Examination
ADVANCE HEMATOLOGY PROCEDURES
Types of antigens present on the cell’s surface, nucleus, or cytoplasm that helps identify the lineage of cells using antibodies
Immunophenotyping
ADVANCE HEMATOLOGY PROCEDURES
Primarily defines a large set of the techniques that operate either with the entire genome or with specific targeted DNA sequences.
Molecular Cytogenetics
ADVANCE HEMATOLOGY PROCEDURES
Deals with chromosomes also known as karyotyping used for diagnosis of oncologic and hematologic
disorders
Cytogenetics
- Specimen integrity
- Responsibility for accuracy
- Proper judgement
- Timeliness
- Internal controls
Quality Control
Factors involve: platelets, coagulation factors
Coagulation
Hemostasis
Primary & Secondary