L.1 Introduction Flashcards

1
Q

What is haematology?

A

The study of diseases and disorders of blood and blood forming organs

Involves diagnosis and monitoring of diseases of the blood and blood-forming organs.

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2
Q

Where are blood cells manufactured?

A

In the bone marrow (BM)

Blood cells are released into the peripheral blood (PB).

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3
Q

What percentage of blood is composed of plasma?

A

55%

Plasma is the liquid component of blood.

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4
Q

What percentage of blood is composed of red blood cells (RBCs)?

A

41%

RBCs are responsible for oxygen transport.

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5
Q

What percentage of blood is composed of white blood cells (WBCs)?

A

4%

WBCs are involved in immune response.

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6
Q

What percentage of blood is composed of platelets?

A

0.01%

Platelets are essential for blood clotting.

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7
Q

What does the blue cap vacutainer contain?

A

Whole blood or plasma sample

Contains buffered sodium citrate as a reversible anticoagulant.

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8
Q

What is the function of buffered sodium citrate in the blue cap vacutainer?

A

Acts by binding to calcium ions in the blood and disrupting the clotting cascade

Used for coagulation screens.

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9
Q

What tests are performed using the blue cap vacutainer?

A

Coagulation screens including:
* Platelet function
* PT
* APTT
* TT
* Fibrinogen assay
* D-dimers

Important for assessing blood clotting.

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10
Q

What does the purple cap vacutainer contain?

A

Whole blood

Contains EDTA, a potent anticoagulant.

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11
Q

What is the function of EDTA in the purple cap vacutainer?

A

Acts as a potent anticoagulant by binding to calcium in the blood

Prevents blood clotting.

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12
Q

What tests are performed using the purple cap vacutainer?

A

Tests including:
* FBC
* Blood film
* Malaria parasites
* Reticulocytes
* Red cell folate
* Monospot

Commonly used for hematological assessments.

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13
Q

What is bone marrow aspiration?

A

Push a heavy-duty needle into a particular bone, e.g., pelvis

Used to obtain a sample of bone marrow.

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14
Q

What is bone marrow trephine?

A

Obtain a larger sample of bone that includes bone tissue as well as bone marrow

Also referred to as a biopsy of tissue from the hip.

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15
Q

What type of analyser is typically used for FBC in labs?

A

Sysmex

Commonly used automated hematology analyzers.

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16
Q

What is spectrometry used for?

A

To obtain Hb result

Involves the destruction of RBC membrane and the release of Hb.

17
Q

What happens when Drabkin’s solution is added in spectrometry?

A

Forms cyanmethaemoglobin

This allows for the assessment of hemoglobin concentration.

18
Q

What does Beer-Lambert’s Law state?

A

Density of red/pink colour is proportional to the Hb present in sample

This law is fundamental in spectrometry for relating concentration to absorbance.

19
Q

What principle does impedance rely on?

A

Ability of an ionic fluid to assist the passage of electricity

Electrolytes play a crucial role in this measurement technique.

20
Q

How does the presence of blood cells affect impedance?

A

Interrupts the passage of electricity

More cells lead to greater disturbances in electrical flow.

21
Q

What can sophisticated software do in impedance analysis?

A

Convert number of disturbances to number and size of cells

This allows for detailed analysis of blood components.

22
Q

What parameters can be provided by impedance method?

A
  • RCC
  • WBC
  • Platelets
  • MCV

These are essential blood counts in hematology.

23
Q

What does flow cytometry rely on?

A

Disruption of a laser

This technique measures various properties of cells as they pass through a laser beam.

24
Q

What does the degree of forward scattered light indicate in flow cytometry?

A

Proportional to size of cell

This measurement helps in cell size analysis.

25
What does side scattered light indicate in flow cytometry?
Proportional to cell granularity ## Footnote This aids in differentiating between cell types.
26
What is the primary use of flow cytometry?
Differentiate and count WBCs ## Footnote It is crucial for diagnosing various blood disorders.
27
What is used to quantify cell subtypes in flow cytometry?
Antibodies conjugated to a fluorochrome ## Footnote This enhances specificity in identifying cell types.
28
What diseases can flow cytometry help diagnose?
* White cell malignancies * PNH * Platelet disorders ## Footnote These include a range of hematological conditions.
29
What does light microscopy allow for?
Examination of blood cell morphology ## Footnote It is important for quality checks in FBC results.
30
What are the uses of light microscopy?
* Manual differential counts * Identify parasites * Identify disease ## Footnote It serves multiple diagnostic roles in hematology.
31
What are immunoassays commonly used for?
Follow up tests ## Footnote They are not part of routine screening but provide valuable diagnostic information.
32
What do immunoassays measure?
Plasma concentrations of various proteins ## Footnote This includes proteins involved in coagulation and those related to iron and vitamins.
33
What are some methods in common use for immunoassays?
* ELISA * Latex immunoassays * Immunophelometry ## Footnote These techniques are widely adopted in laboratory settings.
34
What technologies are used in genetic/molecular biology for monitoring?
* NGS * Whole genome amplification ## Footnote These methods are essential for tracking molecular residual disease.
35
What conditions can be identified in RBCs using genetic/molecular biology?
* SCD * Hereditary spherocytosis ## Footnote These are genetic disorders affecting red blood cells.
36
What conditions can be identified in WBCs using genetic/molecular biology?
* HCL (Braf) * CLL * CML (BCR-ABL) ## Footnote These are various leukemias and related disorders.