Chapter 19 Flashcards
Variations in size
Anisocytosis
Parameter that measures single cell size
Mean Cell Volume (MCV)
Parameter that measures variations in cell size
RBS distribution width (RDW)
Parameters used to identify the presence of anisocytosis
RDW & MCV
RBC that is less than 6 micrometer
Microcytic
Rbc that is greater than 8 micrometer
Macrocytic
Rbc that ranges from 6-8 micrometer
Normocytic
Disease associated with microcytic
SITA Sideroblastic Iron deficiency Thalassemja Anemia of chronic dse
Disease associated with macrocytic
VFMAC Vit B12 def Folate def Megaloblastic anemia Aplastic Chronic liver dse
Disease associated with normocytic
AHA
Acute post hemorrhagic anemia
Hemolytic anemia
Aplastic anemia
Microystis is due to?
Decreased hgb synthesis
Alteration in color
Anisochromia
It is the result of a defect in either nuclear maturation or stimulated erythropoiesis
Macrocystis
What are the three types of anisochromia
Hypochromia, normochromic, polychromatophilia
Disease assoc with normochromic
AHA
This stage of RBC maturation exhibits polychromatophilia
Polychromatophilic erythrocyte (Reticulocyte)
It has large, pale overall appearance and large central palloa
Hyprochromia
Disease associated with hypochromia
TIA
Thalassemia
Iron def anemia
Acute blood loss
General term for cells with different shape
Poikilocytes
Will you pas this sem?
Absolutely indeed
Variation in shape
Poikilocytosis
Poikilocyte that is evenly spaced pointed projection
With central pallor
Echinocyte
Other name for echinocyte
Burr cell
Other name for acanthocyte
Spurr cell
Poikilocyte that is small and round. Sphere shape
Spherocyte
Disease associated with Burr cell
PUG
Pyruvate kinase def
Uremia
Gastric carcinoma
Artifact in drying smear
Burr cell
Irregulary spaced projections
With no central pallow
Acanthocyte (spur cell)
Associated diseases of acanthocyte
HACS Hemolytic Abetalipoproteinemia Cirrhosis Splenectomy
Disease associated with spherocyte
HBHD Hereditary spherocytosis Burns Hemolytic Disseminated intravascular coagulation
These are group of fragmented erythrocytes
Schistocyte
3 types of schistocyte
Schizocyte
Bite cells /keratocyte / helmet cell
Blister cell
Associated diseases with schistocyte
MSR
Microangiopathic hemolytic anemia
Severe burns
Renal graft rejection
Poikilocyte result of splenic pitting of heinz bodies
Bite and blister cells
Also known as target cell
Codocyte
Has one blunt projection
Dacryocyte
Central concentration of hemoglobin surrounded by colorless area with peripheral ring of hemoglobin
TAHOP Thalassemia Artifact Hemoglobinopathies Obstructive liver disease Post splenectomy
Slit like central pallor
Stomatocyte
Disease associated with dacryocyte
PPBMM primary myelofibrosis Pernicious anemia Beta thalassemia Myelophthisic anemia Megaloblastic anemia
Elongated cell with point on each end
S shaped
No central pallow
Sickle cell (drepanocyte)
Composition of HB C crystal
Hemoglobin C
Disease associated with mouth cell
HARE hereditary stomatocytosis Acquired stomatocytosis Rh null syndrome Electrolyte imbalance
Cigar shaped cell
Elliptocyte
Egg shaped
Ovalocyte
Disease associated with elliptocyte
MITH Myelophthisic anemia Iron deficiency anemia Thalassemia major Hereditary elliptocytosis
Hexagonal structure of dense hb within the membrane
Very red
Hemoglobin C crystal
Disease associated with drepanocyte
Sickle cell anemia
Sickle cell b-thalassemia
Composition of sickle cell
Hemoglobin S
Poikilocyte with finger like projections and may appear folded
Hemoglobin SC crystal
Disease associated with hb sc crystal
Hemoglobin sc disease
Dense hb protruding from the membrane
Hb SC crystal
Hemoglobin sc crystal composition
Hemoglobin SC
Associated disease of hb C crystal
Homozygous hemoglobin C disease
What are the rbc inclusion normally stained with Wright stain?
Basophilic stippling, cabot rings, howell jolly bodies, pappenheimer bodies
Rbc inclusion normally stained with supravital stain
Heinz bodies and hemoglobin H
It appears fine or coarse punctate granules and contains rna and mitochondrial remnants
Basophilic stippling
Associated disease with fine granules. ( basophilic)
Increased polychromatophilia
Associated disease with coarse granules ( basophilic stipp)
MALT Megaloblastic anemia Abnormal heme synthesis Lead poisoning Thalassemia
Composed of DNA. State its number per cell
Howell jolly bodies
1-2
Associated disease of Cabot ring
MM
Megaloblastic anemia
Myelophthisic anemia
Has remnants of mitotic spindle and has an appearance of figure eight.
Cabot ring
Disease associated with howell jollybodies
PPHM Post splenectomy Pernicious anemia Hemolytic anemia Megaloblastic anemia
Howell jolly bodies are remnants of what rbc stage of maturation?
Orthochromic erythroblast
These are fine granules in clusters and is composed of iron
Pappenheimer bodies
pappenheimer stained with iron stain is called
Siderotic granules
Supravital stains
New methylene blue
Brillian cresyl blue
Methyl violet
Crystal violet
Results from cell shrinkage or crenation
Echinocyte
Disease associated with heinz bodies
GUC
G6PD def
Uneven hemoglobin
Congenital hemolytic anemia
Disease associated with hemoglobin H
Hb H disease
Disease associated with pappenheimer bodies
SSMHH Sideroblastic anemia Splenectomy Megaloblastic anemia Hemolytic anemia
Hemoglobin H composition
Hemoglobin beta-chains
Heinz bodies composition
Denatured hemoglobin