Components Of Blood Flashcards

1
Q

What is contained in serum of the blood? (3)

A

• Glucose
• Electrolytes, such as sodium and potassium
• Proteins, such as immunoglobulins (antibodies) and hormones

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2
Q

Where is bone marrow most commonly found? (4)

A

Pelvis
Vertebrae
Ribs
Sternum

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3
Q

What is the name of the first undifferentiated stem cell of the haematological line? What 3 things can it differentiate into?

A

Pluripotent haematopoietic stem cells

• Myeloid stem cells
• Lymphoid stem cells
• Dendritic cells (via different intermediate stages)
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4
Q

What is the precursor to red blood cells?

A

Reticulocytes

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5
Q

Which stem cell line are RBCs from?

A

Myeloid stem cell

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6
Q

How long do RBCs survive?

A

4 months (120 days)

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7
Q

What is the precursor to platelets?

A

Megakaryocytes

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8
Q

What stem cell line are platelets from?

A

Myeloid stem cell

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9
Q

What is the lifespan of a platelet?

A

10 days

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10
Q

What is the precursor for all WBCs of the myeloid stem cell line?

A

Myeloblast

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11
Q

What can Myeloblasts differentiate into? (5)

A

• Monocytes then macrophages
• Neutrophils
• Eosinophils
• Mast cells
• Basophils

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12
Q

What cells are formed from the lymphoid stem cell line? (3)

A

B cell
T cell
NK cell

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13
Q

Where do b cells mature?

A

Bone marrow

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14
Q

Where do T cells mature?

A

Thymus gland

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15
Q

What are the 2 main types of T cell?

A

§ CD4 cells (T helper cells)
§ CD8 cells (cytotoxic T cells)

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16
Q

What is anisocytosis?

A

Variation of size of RBCs

17
Q

When is anisocytosis seen? (2)

A

Myelodysplasic syndrome
Anaemia (e.g. iron deficiency, pernicious, autoimmune )

18
Q

What are target cells?

A

RBCs with central pigmented area surrounded by a pale area, surrounded by a ring of thicker cytoplasm on the outside
Bulls eye target

19
Q

When are target cells seen? (2)

A

Iron deficiency anaemia
Post splenectomy

20
Q

What are Heinz bodies?

A

individual blobs (inclusions) seen inside red blood cells. These blobs are denatured (damaged) haemoglobin.

21
Q

When are Heinz bodies seen? (2)

A

G6PD deficiency
Alpha Thalassaemia

22
Q

What are Howell jolly bodies?

A

Individual blobs of DNA material seen inside red blood cells. The spleen would Normally remove red blood cells with this DNA material inside.

23
Q

When are Howell jolly bodies seen? (3)

A

Post splenectomy
Non-functioning spleen e.g. sickle cell
Severe anaemia when body is regenerating blood cells fast

24
Q

What are reticulocytes?
What is the thing they contain that makes them different to RBCs?

A

immature red blood cells. They are slightly larger than normal red blood cells (erythrocytes) and still have RNA material in them. The RNA has a reticular (“mesh-like”) appearance inside the cell

25
Where do you see a higher % of reticulocytes?
Haemolytic anaemia
26
What are schystocytes?
fragments of red blood cells. They indicate that red blood cells are being physically damaged during their journey through the circulation
27
What is microangiopathic haemolytic anaemia?
occurs when small blood clots (thrombi) obstruct small blood vessels. These obstructions churn the red blood cells, causing haemolysis (rupture)
28
When are schistocytes seen? (4)
Haemolytic uraemia syndrome DIC Thrombocytopenia purpura Metallic heart valves
29
What are sideroblasts?
immature red blood cells with a nucleus surrounded by iron blobs
30
What is sideroblastic anaemia?
occurs when the bone marrow cannot incorporate iron into the haemoglobin molecules
31
What are the 2 causes of sideroblastic anaemia?
Genetic defect Myelodysplasic syndrome
32
What are smudge cells?
ruptured white blood cells that occur while preparing the blood film when the cells are aged or fragile
33
What are smudge cells associated with?
Chronic lymphocytic leukaemia
34
What are spherocytes?
sphere-shaped red blood cells without the bi-concave disk shape.
35
When are spherocytes seen? (2)
Autoimmune haemolytic anaemia Hereditary spherocytosis
36
What are blast cells?
Large immature cells with a large nucleus
37
What are blast cells associated with?
Acute leukaemia