Haematology Flashcards
Hematocrit
Vol of RBC
Leukocyte function
Destroys microorganism at site of infection, found in buffy coat
Leukocytosis
Increase WBC count, normal response to stressor and can also occurs in leukaemia
Leukopenia
Decrease number of WBC, caused by radiation, chemo, SLE
decrease in response to infection as they are all in the same place
Eosinophil function
Destroys parasites in GI, ovary, uterus, spleen
For allergy, eczema, asthma
Eosinopenia
Decrease in Eosinophils in blood usually caused by stress, steroids, Cushing’s syndrome, shock, trauma, burns
Eosinophilia
High number of eosinophils in blood eg allergies, asthma, hay fever, drug allergies, dermatitis, HIV, parasitic infection, blood cancers
Basophil function
Involved in allergic reaction and inflammation
Release of histamine, large granules
1-2 days
Heparin function
Prevents clotting
Basopenia
Decrease basophils, seen in hives anaphylaxis, hyperthyroidism
Elements of blood (3)
Plasma 55%- water, proteins, salts
Buffy coat- wbc, platelets
Erythrocytes- RBC
Mast cell function
Found in tissue
Ige Receptor
Similar to basophils
Antibodies attach to mast cells release histamine when allergen encountered
Mastocytosis
Too many
Excessive histamine release
Increase itching, anaphylactic shock, pigmentosa
Neutrophil function
4-5 days 50-70% of WBC Phagocytic Destroys harmful microorganism, foreign material Acute inflammation- pus Antibacterial
Neutropenia
Decrease in neutrophil
Causes: cancer, radiation, haemodialysis
Neutrophilia
Increase neutrophils, occurs in first stage of infection if demand is high, immature ones will be released, maybe be because of appendicitis, malignancy and splenectomy
Monocyte function
Largest WBC
Phagocytic
Can change into dendritic/macrophages these cells then stimulate lymphocytes
Monocytosis
Increased monocytes caused by infection e.g leukaemia
Monocytopenia
Decreased monocytes Rare E.g Acute infection Drugs
Dendritic cell function
Stimulates lymphocytes
Resides in lymph nodes, nose, lungs, stomach, intestines
Erythropoiesis
Production of RBC
starts as a stem cell
B2,9,12 cause cell maturity
The hormone EPO CONTROLS this process and produced mainly in kidney
It boost RBC
Delays fatigue
Increase aerobic capacity
Polycythemia
Increase in RBC due to drug doping or physiological factors such as altitude, hypoxic disease( COPD, hypoxic sleep apnoea) or genetics
Ss -headache Vertigo Enlarged spleen Liver Itchiness Red skin Ringing in ears
What is anemia
Reduction in total number of erythrocytes
Decrease in quality and quantity of haemoglobin
decrease blood vol
Causes of Anaemia
Blood loss Altered haemoglobin Stem cell dysfunction Renal disease Altered DNA synthesis Increase RBC destruction Bone marrow infiltration
Iron deficiency anaemia
Most common
Common in women
Impairs o2 carriage
Due to haemorrhage, chronic infection, diet, diarrhoea, vomitting
Ss of Fe deficiency anaemia
Fatigue Lethargy Sob Pale earlobes Impaired capillary circulation Difficulty in swallowing Enzyme changes Mental confusion
Pernicious anaemia
-Caused by B12 deficiency, impaired uptake
Maybe be genetic, autoimmune factors, gastrectomy, pancreatitis
Due to lack of intrinsic factor in gastric mucosa
Cannot bind to B12 to protect it
DNA synthesis impaired