final Flashcards
(237 cards)
plasma
all parts of blood
serum
fluid remaining if blood is allowed to clot
CBC
complete blood count (total cells)
differential=shows different types of white blood cells
when is blood smear done?
when CBC and diff is abnormal
-pathologist examines blood smear
myeloid progenitors
lymphoid progenitors
give rise to erythrocytes, platelets, granulocytes, and monocytes
give rise to lymphocytes
4 myeloid cell lines
erythroid/megakaryocytic
macrophage/granulocytic
eosinophilic
mast cell/basophilic
how much blood is in the body?
5L (blood and plasma)
hematocrit
ratio of cells to total blood volume
abnormal blood cells
normal=biconcave disk
abnormal=smaller microcyte, target cell, macrocyte, sickle cell, fragments
-useful in diagnosing various disorders
hemoglobin
carries oxygen
- 4 chains, each with heme molecule (which contains iron)
- Fe, B12, B6, and folate needed to make Hb
how long do RBCs live?
120 days
-spleen removes old ones and recycles Hb
bilirubin
breakdown product of heme-goes to liver, then SI in bile, and the reabsorbed
why do bruises change color?
as heme is converted to bilirubin by macrophages, they change to yellow
types of anemias
iron deficient aplastic-no RBCs megaloblastic sickle cell hemolytic
leukopenia
decrease in WBCs
anemia definition
decrease in RBC (and therefore Hb) mass
- in females, Hb less than 115
- in males, less than 130
hemolysis
destruction of RBCs
- inherited
- or acquired-from immune, mechanical, or infections or chemicals
first sign of bone marrow failure
anemia
decreased RBC production mechanisms
- bone marrow failure (aplastic anemia)
- defective DNA synthesis (megaloblastic anemia)
- defective Hb synthesis (iron deficiency anemia)
Sxs of anemia
- pale skin and mucosa
- fatigue, dyspnea on exertion
- brittle nails
- koilonychia (spoon shaped nails)
- headache, decreased vision, drowsiness
- white creases in hands (vs. red normally)
- pale conjuctiva
iron deficiency anemia
- causes of iron deficiency are decreased intake, absorption, loss (eg chronic blood loss), or requirements (eg pregnancy)
- transported bound to transferrin and stored as ferritin
what type of anemia results from iron deficiency?
hypochromic microcytic anemia
low hematocrit and Hb
serum iron and ferritin low
aplastic anemia
loss of myeloid progenitor cells in bone marrow–>pancytopenia
- decreased WBCs in infections
- decreased platelets–>causes bleeding
- decreased hemoglobin causes anemia
causes of aplastic anemia
idiopathic-primary
- may be some autoimmune cause
- secondary-cytotoxic drugs, radiation, viral infection
- radiation and chemo attack dividing cells and there are lots in the bone marrow