Anat 0502FA Flashcards
chloride-bicarb antiport
on RBC membrane.
physiologic chloride shift.
allows RBC to transport CO2 from periphery to lungs for elimination.
anisocytosis
varying RBC sizes
poikilocytosis
varying RBC shapes
plt dense granules
contain ADP, calcium
plt alpha granules
contain vWF, fibrinogen
where is one-third of plt pool stored?
spleen
what prevents RBC leakage from damaged vessels?
plts
what results in petechiae?
thrombocytopenia or plt dysfunction
vWf receptor
GpIb
fibrinogen receptor
GpIIb/IIIa
hypersegmented neutrophils
vit B12 and folate deficiency
multilobed nucleus
neutrophils
neutrophil granule contents
hydrolytic enz
lysozyme
myeloperoxidase
lactoferrin
myeloperoxidase deficiency
can make bleach (hypochlorite) to kill phagocytosed organisms
monocytes
in blood
macrophage = in tissue
what activates macrophages?
gamma interferon
cell surf marker for macrophages
CD14
bilobed nucleus
eosinophils
major basic protein
part of eosinophil defense vs. helminthic infx
what are eosinophils highly phagocytic for?
Ab-Ag complexes
eosinophil products
histaminase, arylsulfatase - limit rxn that follow mast cell degranulation
causes of eosinophilia
"NAACP" Neoplastic Asthma Allergic process Collagen vasc dz Parasites (invasive)
basophil granule contents
heparin - anticoag
histamine - vasodilation
other vasoactive amines
leukotrienes (LTD4)
*mediates allergic rxn
where are Basophils found?
in Blood
mast cells found in tissue
other than basophils, what cell mediates allergic rxn?
mast cells
mast cell granule contents
histamine
heparin
eosinophil
chemotactic factors
what do mast cells bind?
Fc portion of IgE to mast cell memb
what hypersens rxn involves mast cells?
type I
what prevents mast cell degranulation?
cromolyn sodium
*used as asthma prophylaxis
what are the main inducers of primary Ab response?
dendritic cells (professional APCs)
what happens when B cell encounters Ag?
B cell differentiates into plasma cells and produce Abs
B cell markers
CD19, 20
Th cell markers
CD3, 4
cytotoxic T cell markers
CD3, 8
what is the costimulatory signal needed for T cell activation?
CD28
what cell comprises the majority of circulating lymphocytes?
T cells
erythroblastosis fetalis
hemolytic dz of newborn (Rh+ baby) due to anti-Rh IgG that Rh- mom formed when exposed to Rh+ bld in PREVIOUS preg. anti-Rh IgG can cross placenta.
prevention of erythroblastosis fetalis
Rho(D) immune globulin (rhogam) for mom at first delivery
erythroblastosis fetalis presentation
severe anemia
hepatosplenomegaly
jaundice
possible fetal or infant death
what class of Ig are anti-AB Ags (bld group)?
IgM - do NOT cross placenta