6: Haematology 4 Flashcards
Which cytokines stimulate myeloblast production?
IL-1 and IL-6
When are IL-1 and IL-6 produced?
Inflammation
In which pool do myeloblasts become myelocytes?
Proliferative
In which pool do metamyelocytes become mature cells?
Maturational pool
Which pool are myeloid cells released from during inflammation?
Storage
What is the half life of a lecuocyte?
6-14 hours
In health, where are lecocytes lost?
Across mucosa or phagocytosed in liver/spleen
Which are the two leucocyte pools in the blood?
Circulating and marginating (on endothelium)
Which leucocyte pool is measured?
Circulating
Which conditions can decrease leucocyte adhesion?
Endotoxaemia, steroids, glucocorticoids
What is the usual marginating:circulating leucocyte ratio?
1:1
What is the marginating:circulating leucocyte ratio in cats?
3:1
How do cytokines affect marginating pool?
Increase
How many lobules does the neutrophil nucleus have?
3-5
Does acute or chronic inflammation cause neutrophilia?
Both
Which pool are neutrophils released from following inflammatory mediators in acute inflammation?
Storage or maturational
Which kind of inflammation causes granulocytic hyperplasia?
Chronic
Why do you only see mature neutrophils in chronic inflammation?
Although proliferative and maturational pool size increase, neutrophil must be mature before release
Which cells can show left shift and toxic changes?
Neutrophils, lymphocytes, eosinophils
What does the nucleus look like in left shift?
Non-lobulated
What kind of neutrophils are released in left shift?
Band
Where are band neutrophils released from?
Bone marrow
Which kind of diseases cause toxic changes?
Infectious (severe)
In which species are Dohle bodies normal?
Cats
What do toxic changes look like?
Basophilia, vacuolation, doughnut nuclei, giant cells
What is the leukaemoid response?
Marked neutrophilia from severe inflammation
What neoplastic condition resembles the leukaemoid response?
Chronic granulocytic leukaemia
When may chronic inflammatory neutrophilia show left shift?
If inflammatory stimulus is large
Which cell number changes do you also see in chronic inflammatory neutrophilia?
Monocytosis, lymphocytosis, eosinophilia
Which shift can you get in chronic inflammatory neutrophilia?
Right or left - but usually mature
What do right shift neutrophils look like?
Hypersegmented older cells
What normally causes right shift?
Steroid therapy or chronic inflammation
What does bone marrow show in chronic inflammatory neutrophilia?
Granulocytic hyperplasia
Why do cattle not show neutrophilia in infection?
Limited storage pool
Why do cows get neutropenic in infection?
Cells move into tissues
What 3 conditions can cause stress-induced neutrophilia?
Stress, steroids, Cushings
What two processes cause the neutrophilia following stress?
Lose endothelium adhesion, more released from marrow storage pool
Which species gets marked stress-induced neutrophilia?
Cats
Why is stress-induced neutrophilia only 2-4x the reference interval?
Limited number in marginating pool
What does a stress leukogram look like?
Neutrophilia, monocytosis, lymphopenia, eosinopenia
What happens during excitement neutrophilia?
Redistribution to circulating pool
How fast does excitement neutrophilia normalise?
Quickly, esp healthy animals