Histology Flashcards

1
Q

what is haemopoeisis

A

production of blood cells

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2
Q

what are blood cells derived from

A

pluripotent stem cells

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3
Q

where is the sites of haematopoiesis at different ages

A

Embryo
- yolk sac then liver then spleen

Birth

  • bone marrow mostly
  • liver and spleen when needed

Birth to Maturity
- number of active sites in bone marrow decreases but retain ability for haematopoiesis

Adult
- bone marrow of skull, ribs sternum, pelvis, proximal ends of femur

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4
Q

in general, what are the sub-headings for division to a mature cell in the haemopoietic tree

A

Stem Cells&raquo_space; Multipoint progenitors&raquo_space; Oligolineage progenitors&raquo_space; Mature cells

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5
Q

what are the two Oligolineage progenitors

A

CMP = common myeloid progenitor

CLP = common lymphocyte progenitor

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6
Q

what is the progression of precursor to mature cell for neutrophils

A

myeloblast to promyelocyte to myelocyte through metamyelocyte forms eventually neutrophils

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7
Q

what is erythropoiesis

A

red blood cell production

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8
Q

what is the progression of precursor to mature cell for RBC/erythrocyte

A
1 - Pronormoblast
2 - Basophilic/early normoblast
3 - Polychromatophilic/ intermediate normoblast
4 - Orthochromatic/late normoblast
5 - Reticulocyte
6 - Mature red cell/erythrocyte
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9
Q

what happens during the different stages/cells of erythropoiesis

A
  • size drops as cell matures
  • once they have the haemoglobin in the cell they start oxygen carrying
  • reticulocytes are first cell to be seen in blood stream
  • all previous are in the bone marrow
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10
Q

what in the blood stream can show how active the bone marrow is

A

number of reticulocytes

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11
Q

what key step occurs between the Orthochromatic/late normoblast and reticulocyte

A

lose nucleus and RNA

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12
Q

how does a reticulocyte and a RBC differ in appear

A

reticulocyte stains slightly blue due to left over RNA still present

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13
Q

what is the precursor cell for platelets

A

megakaryocyte

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14
Q

what are the functions of the blood cells

A

Red cells
- Carry oxygen

Platelets
- Stop bleeding

White cells
- Fight infection

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15
Q

what are the different types of white cells

A

granulocytes

macrophages

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16
Q

what are granulocytes names the way they are

A

they contain granules

named according to their uptake of stains

17
Q

what are the 3 types of granulocytes

A

Eosinophils (red)

Basophils (blue-black)

Neutrophils (didn’t take up either of the colour dyes strongly i.e. neutral)

18
Q

what are graunlocytes derived from

19
Q

what is the structure of neutrophils

A
Segmented nucleus (polymorph)
Neutral staining granules
20
Q

what is the function of neutrophils

A

Short life in circulation – transit to tissues.

Phagocytose invaders

Kill with granule contents and die in the process

Attract other cells

Increased by body stress – infection, trauma, infarction

21
Q

what is the structure of eosinophils

A

Usually bi-lobed

Bright orange/red granules

22
Q

what is the function of eosinophils

A

Fight parasitic infections

Involved in hypersensitivity (allergic reactions)

Often elevated in patients with allergic conditions (e.g. asthma, atopic rhinitis)

23
Q

what is the structure of basophils

A

Infrequent in circulation

Large deep purple granules obscuring nucleus

24
Q

what is the function of basophils

A

Circulating version of tissue mast cell
Mediates hypersensitivity reactions
FcReceptors bind IgE
Granules contain histamine

25
what are monocytes precursors of
macrophages
26
what is the structure of monocytes
Large single nucleus
27
what is the function of monocytes
Circulate for a week and enter tissues to become macrophages Phagocyose invaders - Kill them/endocytose - Present antigen to lymphocytes Attract other cells More long lived than neutrophils
28
what is the structure of lymphocytes
small with condensed nucleus and rim of cytoplasm activated/atypical node = large with plentiful blue cytoplasm and the nucleus has a more "open" structure
29
what investigations can be done to assess the primitive precursors
Immunophenotyping - Expression profile of proteins (antigens) on the surface of cells Bio-assays - Culture in vitro and show lineage of progeny in different growth conditions
30
where is a common site for bone marrow biopsies because it is quite active
posterior iliac crests
31
what are causes of neutrophilia
``` bacterial infection inflammation e.g. RA trauma/post op corticosteroids myeloproliferative disease ```
32
what are causes of lymphocytosis
viral infection pertussis childhood response to infection CLL [smear cells]