BASIC HEMATOLOGICAL METHODS OF EXAMINATION Flashcards
Basic screening test and most frequently ordered laboratory procedure
CBC or Complete Blood Count
Measurement of the concentration of Hgb in the blood
Hemoglobin Determination
Used to screen for disease associated with anemia and to evaluate polycythemia
Hemoglobin Determination
test indirectly measures
the RBC mass
Hematocrit Determination
Results are expressed as the percentage by volume of packed RBCs
Hematocrit Determination
series of test that determines number , variety, percentage concentration and quality of blood cells
CBC
valuable diagnostic information about the hematologic and other body system , prognosis response to treatment and recovery
CBC
Hgb, Hct, RBC and WBC count , Differential Count
CBC
Important buffer in the extracellular fluid
Hemoglobin
–main component of erythrocytes
Hemoglobin
–serves as the vehicle for the transportation of oxygen and carbon dioxide
Hemoglobin
Ratio of the volume of packed RBCs to the volume of whole blood
Hematocrit or Packed Cell Volume
blood test used to find out how many RBCs
RBC COUNT or Erythrocyte Count
Increase RBC
Polycythemia Vera
Decrease RBC
Anemia
measures the number of WBC and may serve as guide to the severity of the disease process that detects hidden infection
WBC Count or Leukocyte Count
WBCs may be counted visually using a microscope and ____________
HEMACYTOMETER
WBC COUNT
dilution is _______ and the diluent is a dilute _______
1:20—acid solution
detect immature WBC and abnormalities
DIFFERENTIAL COUNT
total count of circulating WBC is differentiated according to the five types of leukocytes
NEBLM
pyogenic infection
neutrophils
Parasitic infection
Eosinophils and Basophils
allergic disorder
Eosinophils
Viral infection
Lymphocytes
severe infection by phagocytosis
Monocytes
Use to assess the erythropoietic activity of the bone marrow
Reticulocyte count
Reticulocyte Count
–whole blood, anticoagulated with EDTA is stained with a supravital stain such as __________ or __________
new methylene blue—brilliant cresyl blue
Rate at which red blood cells sediment in a period of one hour
Erythrocyte Sedimentation Rate (ESR)
Common hematology test and nonspecific measure of inflammation
Erythrocyte Sedimentation Rate (ESR)
___________ is one of the oldest hematology tests and detects inflammation and roughly estimates its intensity
ERYTHROCYTE SEDIMENTATION RATE (ESR)
What test uses graduated concentrations of saline solutions to detect SPHEROCYTES (RBCs with proportionally reduced surface membrane area) in hereditary SPHEROCYTOSIS or WARM AUTOIMMUNE HEMOLYTIC ANEMIA?
OSMOTIC FRAGILITY TEST
Osmotic fragility test uses graduated concentrations of saline solutions to detect ___________ (RBCs with proportionally reduced surface membrane area) in hereditary ___________
SPHEROCYTES—SPHEROCYTOSIS or WARM AUTOIMMUNE HEMOLYTIC ANEMIA.
phenotypically detects an inherited RBC enzyme deficiency causing severe episodic hemolytic anemia
GLUCOSE-6-PHOSPHATE DEHYDROGENASE ASSAY
Sickle cell solubility screening assay confirmatory TESTs
- HEMOGLOBIN ELECTROPHORESIS
- HIGH PERFORMANCE LIQUID CHROMATOGRAPHY
Detect and diagnose sickle cell anemia and other inherited qualitative hemoglobin abnormalities and thalassemia’s
SICKLE CELL SOLUBILITY SCREENING ASSAY or HEMOGLOBIN ELECTROPHORESIS and HIGH PERFORMANCE LIQUID CHROMATOGRAPHY
Platelet Parameters included in the complete blood count (CBC)
Platelet Count and Mean Platelet Volume MPV
High WBC
leukocytosis
Low WBC
Leukopenia
increased RBC count
polycythemia vera
decreased RBC and cause of malfunction in the bone marrow
ANEMIA
2 Methods of Hgb for manual counting
- Cyanmethemoglobin method (HiCn)
- Sahli’s acid-hematin method
True or False
Differential count can be done with chemotherapy patients
False—Can’t be done with chemotherapy patients since the treatment destroys their cells → 100 cells can’t be identified
Healthy individuals WBC Count
100 or 5.75 x 10^9/L
Whole blood, anticoagulated with EDTA is stained with a _________ that stains the living cells.
supravital stain
Supravital stains used:
- New methylene blue
- Brilliant cresyl blue
- Pure azure blue
disposable and most common method to measure the ESR
Westergren method
Method used to measure the ESR and HCT
Wintrobe method
Also known as sedrate
Erythrocyte Sedimentation Rate (ESR)
Erythrocyte Sedimentation Rate (ESR) unit of measurement
mm/hr