Blood, bone marrow, thymus, spleen, lymph Flashcards

1
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Proerythroblast

Large cell with a large and intesely stained nucleus

Sparse, thin rim of intensely stained cytoplasm (high content of RNA, lack of Hb)

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2
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Normoblast

Cell and nucleus shrunk

almost 100% Hb in cytoplasm

~eosinophilic

final stage befor extrusion of the nucleus

approx same size as RBCs

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3
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Myelocyte

Cytoplasm contains both azurophilic (nonspecific) granules and specific granules

basophilic cytoplasm + granules

large, eccentrically placed nucleus with finely dispersed chromatin

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4
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Metamyelocyte

Cells decreased in size

nucleus demonstrating signs of indentation

cytoplasm: non-specific and specific granules

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5
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Eosinophils

bi-lobed nucleus

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6
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Neutrophils

3-5 lobed nucleus

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7
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Basophils

Intensely basophilis/numerous granules that obstruct the nucleus

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8
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Monocyte

Cytoplasm contains granules but not readily seen

Eccentrically placed nucleus + indentation

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9
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Lymphocytes

Large nucleus

Thin rim of pale-staining cytoplasm

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10
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Bone marrow

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11
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Bone marrow

Bony trabeculae/spicules - pink/pale purple

Adipocytes

In between adipocytes: red bone marrow - purple

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12
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Red marrow

megakaryocytes - very large and purple

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13
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Lymph node

Capsule/trabeculae

Cortex: superficial cortex - primary/secondary nodules containing B lymphocytes

Paracortex - most T lymphocytes

Medulla: medullary cords + sinuses that contain reticular cells and lymphocytes (B) + macrophages, DCs, plasma cells

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14
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High endothelial venules

Lymphocytes enter lymph node via HEV

located in paracortex

lined with cuboidal/columnar epi

specific receptors for lymphocytes to facilitate migration of lymphocytes into lymph node

B and T cells move through by diapedesis

T cells remain in paracortex

B cells migrate to lymph nodules in the superficial cortex

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15
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HEV

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16
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lymphocyte traversing HEV in lymph node

17
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Reticular tissue with silver stain

reticular fibers - type III collagen secreted by resident stellate reticular cells

reticular cells also coated with migration ligands that facilitate lymphocyte adhesion and migration within the lymph node

18
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Thymus

CT capsule giving rise to trabeculae

extend into the parenchyma, divides thyus into lobules

Supportive framework by epithelioreticular cells

19
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Thymic lobule

Darker peripheral zone - cortex

  • densely packed, small immature T cells
  • epithelioreticular cells - stellate with pale-staining nuclei
  • macrophages most abundant in corticomedullary region

lighter central zone - medulla

  • more mature T lymphocytes
  • also epithelioreticular cells, dendritic cells, B cells
  • T cells less numerous, larger, paler-staining than cortex
  • Hassall’s corpuscle (red): specific type of epithelioreticular cells belived to be involved in the removal of dead thymocytes
20
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Blood-thymus barrier

capillary endo + basal lamina

perivascular CT space (has macrophages)

epithelioreticular cells (= thymic nurse cells) + thick basal lamina

prevent exposuer of immature T cells to foreign & self Ag

21
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Epithelioreticular cell on top

Lymphocytes below (3)

Cortex of thymus

22
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Blood-thymic barrier

Macrophage on top

Endothelial cells surrounding lumen

Black arrow on left - epithelioreticular cells (pale: thick basal lamina)

23
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Mature thymus

Involutions (shrinkage) in lymphoid tissue as we age

Under control of several steroid hormones

Gradual replacement of parenchyma by adipose tissue

Loss of cortical tissue/lymphocytes

24
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Atrophic thymus

massive loss of thymocytes

adipose tissue dominates parenchyma

boundary between medulla and cortex indistinct

25
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Spleen

Green - white pulp

  • more basophilic because of the lymphocytes - arranged as PALS (T) around the central artey, or as lymphatic nodules (B)

Red - red pulp

  • filter that removes foreign material/damaged/old RBCs
  • also a storage site for iron, RBC, platelets
  • consists of splenic cords + splenic sinuses
  • splenic cord = meshwork of reticular cells, fibers and other cells
26
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Spleen

Red: PALS - T lymphocytes surrounding a central artery

Green: central artery

White pulp - primary or secondary B cells, secondary with germinal centres

27
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Spleen bloodflow overview =)