Hematology Flashcards
WBC
4,000-10,000/microL
Hemoglobin (male)
14-18 mg/dL
Hemoglobin (female)
12-16 mg/dL
Hemacrit (male)
42-52%
Hemacrit (female)
37-47%
MCV
80-96 fl
MCH
28-32 pg
MCHC
32-36%
Platelets
150,000-450,000
ANC
1.5-8.0
Neutrophils
Relative normal: 54-62%
Absolute normal: 2000-8000
Lymphocytes
Relative normal: 23-33%
Absolute normal: 1000-4000
Monocytes
Relative normal: 3-7%
Absolute normal: 200-800
Eosinophils
Relative normal: 1-3%
Absolute normal: 100-400
Basophils
Relative normal: 0-1%
Absolute normal: 0-400
Macrocytic anemias
Vitamin B12 deficiency
Folate deficiency
Megaloblastic anemia
Macrocytic with arrested nuclear development
Microcytic anemia
Iron deficiency anemia
Thalassemia
Anemia of chronic disease
Red blood cell maturation
Proerythroblast Basophilic erythroblast Polychromatic erythroblast Orthochromatic erythroblast Reticulocyte Mature RBC
WBC Maturation
Blast Myelocyte Metamyelocyte Band Neutrophil
Innate immune cells
Neutrophils mast cells monocytes basophils eosinophils
Adaptive immune cells
Natural killer cells
T-cells
B-cells (plasma cells)
Platelet maturation
Megakaryoblast
Megakaryocyte (stage I-IV)
Platelets
T-cell receptor
Recognizes properly presented peptide antigens from pathogens
CD4
(T-Helper Cells)
Recognize MHC-II
Trigger an immune response
CD8
(Cytotoxic T-Cells)
Recognize MHC I
Destroy cell displaying MHC I
CD28
Co-stimulator that binds to a protein called B7 found on antigen presenting cells
Required for full activation of T-helper cell
B7
Protein found on antigen presenting cells
Modulates T-helper cell response, as the infection develops, the amount of B7 expressed by APCs increases
CTLA4/PD-1
Bind to B7 and prevent CD28 from binding. When present in high levels, such as on T-regs, it will up B7 and prevent a T-cell from having a full response.
IgA
Glandular secretions (saliva, breast milk, semen, tears)
Destroy pathogen before it can get into internal tissues
IgE
Exposed on the surface of basophils and mast cells
Connected to allergies and asthma
Often involve a histamine release
Very good against parasitic worms
IgG
Responsible for resistance to bacteria, virus and bacterial toxins
IgM
The first type of antibody secreted after exposure to antigen.
Responsible for the anti-A and anti-B antibodies involved in blood type
Made by early B cells
IgD
Located on the surface of B cells
Can bind to antigens in the extracellular fluid
Binding can play a role in the sensitization of the B cell
Required for full T-helper cell activation
APC presents MHC-II with an antigen peptide to CD4
APCs has B7 that binds to T-helper cell’s CD28
Full T-cell activation triggers
Release of cytokines
Chemotaxis of B-cells and antibodies
Promotion of inflammation
Promotion of macrophages
Antigen presenting cells
Dendritic cells, macrophages, B-cells
Hematopoiesis (first location and time frame)
Yolk sac
Dominant from conception to 12 weeks fetal
Hematopoiesis (Second location and time frame)
Liver and Spleen
Dominant 12-20 weeks fetal
Hematopoiesis (Third location and time frame)
Bone marrow
Dominant by 20 weeks fetal then throughout life
Long bones in children
Flat bones in adult