Blood and Bone Marrow Flashcards

1
Q

What are the general functions of blood?

A

-Carries oxygen, nutrients, hormones, etc
◦ Helps eliminate CO2 & wastes
◦ Immune system

-WBCS use it as a transport system

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2
Q

What is the peripheral blood volume?

A

~ 9% of body weight

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3
Q

blood is considered a connective tissue

A
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4
Q

What is Plasma and what is it made up of? (high molecular weight molecules and high molecular weight molecules)

A

*90% water; 10% other things

Low molecular weight molecules

◦ Glucose, electrolytes (salts), urea

High molecular weight molecules
◦ Albumin
◦ Clotting factors
◦ Immunoglobulins (antibodies)
◦ Enzymes
◦ Hormones
◦ Lipoproteins

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5
Q

Low molecular weight substances in Plasma are in equilibrium with____________

A

interstitial fluids

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6
Q

What is the function of Albumin? and what happens when albumin decreases?

A

◦Holds fluid in vascular space (maintains oncotic pressure)
◦ Decreased albumin results in low
oncotic pressure and edema/ascites

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7
Q

What are the differences between Serum and plasma?

A

-Serum is liquid remaining after blood
has clotted
◦ Lacks most clotting factors
◦ Lower total protein level than plasma
Plasma is liquid in
unclotted blood
◦ In blood vessels
◦ In tubes containing anticoagulant
*good to do cell count

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8
Q

What is Hematopoesis?

A
  • Production of blood cells

-Primarily occurs in adult bone marrow
(medullary cavities of bones) - starts in spleen as baby

-Some extramedullary hematopoiesis in
spleen

◦ Esp. mouse, ferret, hedgehog

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9
Q

What is red Marrow?

A

Active bone marrow

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10
Q

What is the distribution of red marrow (active bone marrow)?

A
  • Proximal ends of long bones (in spongy bone)
  • Flat bones (e.g. vertebrae, sternum, ribs,
    iliac wings)

◦ Medullary cavity in diaphysis usually
contains yellow marrow

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11
Q

There is an Increased ________ in young growing animals and at times of increased demand

A

red marrow

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12
Q

Which is red marrow and yellow marrow in the images? how did you identify this?

A
  • Left-yellow marrow
  • Right- Red )active) marrow

*Innactive marrow is mainly FAT!!! hence all the gaps
*

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13
Q

Which type of connective tissue is red marrow supported by ?

A

-Reticular connective tissue

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14
Q

What type of cells tart hematopoiesis?

A

-Pluripotential stem cells

  • they have the capability of becoming any types of cells more of themselves
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15
Q

Where do b and T cells (precursors) originate?

A
  • bone marrow
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16
Q

Not all lymphocytes finalize their growth in the bone marrow ( other lymphoid tissues:T cells-thymus, ileocecal prayers patch, spleen)

A
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17
Q

Hematopoiesis involves both ______ and ________ of cells

A
  • amplification
    -differentiation of cells

*Differentiation – developing
features specific for a given cell type

*Terms for production of each cell
type (LEARN THESE WORDS)

◦ RBC’s - Erythropoiesis

◦ WBC’s – Granulopoiesis

◦ Platelets by megakaryocytes –
Megakaryopoiesis (or Thrombopoiesis)

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18
Q

what is the name of the hematopoiesis process of RBC’s?

A

Erythropoiesis

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19
Q

what is the name of the hematopoiesis process of WBC’s?

A

granulopoeises

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20
Q

what is the name of the hematopoiesis process of platelets?

A

Megakaryopoiesis

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21
Q

What are the differences bone marrow aspirate and core biopsy?

A

Aspirate
* Superior cell detail
* Better for detection of small numbers of tumor
cells
* Difficult to assess cellularity

Core Biopsy
* Better estimate of cellularity & architecture
Individual cell ID harder

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22
Q

How can blood cells be examined?

A

-blood counts (using purple top tube to count individual cells- CBC)
- blood smears (air dried and stained with romanovsky stain)

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23
Q

What are erythrocytes? and what is their composition?

A

-RED BLOOD CELLS

-Most common cell type in blood

Histologic appearance
◦ Homogeneous orange to pink due to hemoglobin

Composition of hemoglobin
◦ Globin (2 alpha & 1 beta molecules)
◦ Heme (contains Fe - iron)

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24
Q

What do RBCs do?

A

Carry oxygen to the tissues and carry carbon dioxide to the lungs

-hemoglobin helps regulate blood acid/base balance

-blood viscosity

-can live for 1-2 Mts (have no nucleus, ribosomes, etc)

25
Q

What is biconcave disk shape (observed in some species)?

A

-High surface area to volume
ratio
◦ Optimal gas exchange
- Allows for deformability (flexibility)
during circulation

26
Q

Which erythrocytes (RBCs) do this belong to?

A
  • dogs have biconcave disk shape

-birds, reptile, amphibians don get rid of their nucleus

27
Q

what do RBCS outside of the blood vessel indicate?

A

-hemorrhage (in real/ not just incidental hemorrhage marcophages are present cleaning the area up)

28
Q

What is polychromasia?

A

-presence of more immature red blood cells than what is considered normal

-Immature RBCs (polychromatophils)
Larger
*Cytoplasm has blue-grey tinge (ribosomes present)

-More easily visualized with New Methylene Blue or other vital dye
*Clumps ribosomes
*Cells called reticulocytes

29
Q

What are senescent RBC’s, and what happens to them?

A
  • process by which cell ages

RBC’s circulate for several months

-Worn out or damaged RBC’s are eliminated by macrophages in spleen & bone marrow

-Escaped RBCs (hemorrhage) are phagocytosed by macrophages

30
Q

what eliminates worn out or damaged RBC’s ?

A

macrophages in spleen & bone marrow

31
Q

What are leukocytes?

A

-WHITE BLOOD CELLS

  • 6-16 x 103/μl of blood (much less than RBCS)

Motile cells – function in connective tissue

   *Body’s defense against infection

   *Huge number produced but they quickly move out of blood stream into tissues
32
Q

What are the classifications of leukocytes?

A

Granulocytes: neutrophils, eosinophils, & basophils

Agranulocytes: lymphocytes & monocytes

33
Q

What are granulocytes in leukocytes (WBC’s) and what do each one of them look like?

A

-Neutrophils - “neutral” staining granules
*Indistinct and almost colorless
*Sometimes pale pink to pale lilac
Eosinophils – “eosinophilic” granules
*Orange to pink (similar to RBCs)
Basophils
*Granules are either dark purple or a pale lavender color (dogs & cats)

34
Q

Which species do each of these neutrophils look like?

A
35
Q

Rabbits, avians, and birds have HETEROPHILS instead of neutrophils

A
36
Q

What is granulopoiesis?

A

As the nucleus becomes more lobular, with tight heterochromatin, these cells lose their ability to undergo mitosis.

Cells develop lineage specific secondary granules

37
Q

What do neutrophils look like? what is their life span?

A

Usually the most numerous WBC

Duration in blood: 6-10 hrs

Lifespan in tissue: 1-2 days (few seen in healthy tissues)

Typical Appearance
*Multilobed (ribbon shaped or segmented) nucleus (segs)
*Tightly clumped chromatin
*2o granules usually indistinct or fine

38
Q

What are the functions of neutrophils?

A
  • first cell type found in any inflammatory rxn

-Essential for defense against bacterial infection

39
Q

What is the bactereiostatic function of neutrophils?

A

-Phagocytize and kill bacteria

-Myeloperoxidase (H2O2 to HOCl)

-Respiratory burst - free radical formation (deadly to whatever they ingest)

-Lysozyme – degrades cell walls

-Low pH in phagosomes

40
Q

What is the role of neutrophils in inflammation?

A

-First responders to any inflammation rxn

-Synthesize and release immunoregulatory molecules (esp. 2o granules)
*Pro-inflammatory factors
*Anti-inflammatory factors

-Anaerobic metabolism: survive in necrotic tissues
-Release of degradative enzymes leads to tissue damage

41
Q

what are the characteristics of eosinphils?

A

-Ribbon shaped nucleus

-distinguished by SUPER ORANGE granules

-Defense against parasites

   *Not very phagocytic 
    *Granule contents (e.g. eosinophil peroxidase) dumped onto parasite

-Regulation of allergic reactions
-Survive several wks in tissues (after originating in blood)

42
Q

eosinphil variations in different breeds

A
43
Q

what is the least commonly found leukocyte, that is not easily found in tissue? and wha tis their

A

BASOPHILS

-Function – promote inflammation
*Heparin & histamine affect smooth muscle; make capillaries leaky
*Hypersensitivity reactions (e.g. allergic rx to wasp stings)

VERY granulated (cytoplasm looks purplish, ribbon snapper nucleus/ grey in cats)

44
Q

typical appearance of basophils

A
45
Q

What is the difference between basophils and Mast cells (don’t have to identify mast cells on exam) ?

A

-Similar metachromatic granules & functions
*Mast cell – round to oval nucleus (connective tissue cell) DARK PURPLE GRANULES-

      *Basophil – bilobed to ribbon shaped nucleus (BLOOD)

Arise from different precursors in marrow.
*Basophil leaves marrow already mature
*Mast cell is a tissue cell
-Circulates in immature form; matures in tissue
-Important cause of allergic reactions

-If its in the blood, its more likely to be a basophil
-If its in the tissues, its more likely to be a mast cell

46
Q

MAST cells are seen with TOLUIDINE BLUE

A
47
Q

What are Agranulocytes, and what define them?

A

-Monocytes & Lymphocytes

-Have lysosomes, but lack the specific/secondary granules found in granulocytes

48
Q

What are the characteristics of lymphocytes?

A

-MOST PREDOMINANT agranulocyte

-Predominant WBC in some species

-Precursors produced in marrow but then “seed” lymphoid tissue where new cells are produced

Thymus
Lymph node
Spleen, etc.

**CYTOPLASM IS OVER TO ONE SIDE

49
Q

what are the functions of lymphocytes?

A

-Important for protection against microbes (esp viruses) and neoplasia

   *Production of antibodies (B lymphocytes)- LONGEST LIVED CELLS 
    *Destruction of infected or neoplastic cells (T lymphocytes)

Variable life span; some live for years

Most time spent in the lymphoid tissues

Recirculate, moving from lymph node to lymph node via lymphatics and blood stream looking for “invaders”

50
Q

Monocytes are in _______, macrophages are in ______ (macrophages are adult monocytes)

A
  • blood

-tissues

*have blue grey cytoplasm, c shaped nucleus (sometimes has vacuoles)

51
Q

What are the characteristics of monocytes?

A

-THEY ARE NOT GRANULATED

Precursors for long lived macrophages (live for months in tissue)

Variably sized-usually the largest WBC

Nucleus is round to lobulated with loose “stretched out”

chromatin
Cytoplasm

Grainy, blue to blue-grey
+/- vacuoles

52
Q

Monocytes are in blood, macrophages are in tissues

A
53
Q

what are the Monocyte/macrophage Function?

A

-Phagocytosis-large particulate debris

-Antigen processing

-Cytotoxicity

-Production of monokines
-Interleukins
-Tumor necrosis factor
-Factors that promote tissue repair & angiogenesis

Production of Tissue Factor procoagulant
-Link between inflammation and coagulation (accelerate clotting)

-induce inflammation

54
Q

what do macrophages look like under the microscope?

A

H&E

-Large with abundant eosinophilic cytoplasm
 -Round to oval to bean shaped euchromatic  nucleus

Romanovsky stained cytology smear

Large, round to oval
Basophilic cytoplasm, often with vacuoles

55
Q

Macrophages (histiocytes)

A

light bean shaped nucleus

56
Q

what do platelets look like in stain?

A

200,000-500,000/μl

Small cytoplasmic fragments
*Light stained periphery
*Central zone with granules
*NO nucleus
Survive 8-10 days

57
Q

What do platelets do?

A

-they form blood clots (patches/stick to each other)

-Role in stimulation & regulation of inflammation

-Platelet derived growth factor stimulates proliferation of smooth muscle, fibroblasts, etc

-Platelets stick to bacteria – facilitate phagocytosis

58
Q

What are megakaryocytes, and what do they look like?

A

Produce platelets

Huge

Multilobular nucleus

Eosinophilic in H&E

Basophilic with Romanowsky stain (e.g. Wright stain)