Lab Exam 1 Flashcards
hematocrit formula
(RBC/total vol) *100
MCV formula
(hematocrit/ RBC count) *10
MCH formula
(Hb/ RBC count) *10
MCHC formula
(Hb/hematocrit) *100
% retics formula
(# of retics/ 1000 RBC) *100
retic index corrected formula
% retics * pt’s hematocrit/ hematocrit of 45 (M) or 42 (F)
retic production index
retic index/ maturation time
what does it mean if RPI is less than 3
BM is not responding
what does it mean if RPI is greater than 3
BM is responding
normal range of WBC
4500 to 11000
normal range of plt
150000 to 450000
disease:
- thrombocytopenia
- schistocytes
- nRBCs
- anisocytosis
- polychromasia
MAHA
MAHA PBS findings (5)
- thrombocytopenia
- schistocytes
- nRBCs
- anisocytosis
- polychromasia
disease?
- abnormal RBCs (stomatocytes)
- Howell-jolly bodies
- hyperseg neutrophils
- increased plt count
splenectomy
splenectomy PBS findings (4)
- abnormal RBCs (stomatocytes)
- Howell-jolly bodies
- hyperseg neutrophils
- increased plt count
disease?
- spherocytes
- retics
hereditary spherocytosis
spherocytosis PBS findings
- spherocytes
- retics
disease?
- 100% elliptocytes
hereditary elliptocytosis
hereditary elliptocytosis PBS findings
- 100% elliptocytes
disease ?
- dacryocytes
- nRBCs
- normocytic
- normochromic
myelophthisic anemia
myelophthisic anemia PBS findings. (4)
- dacryocytes
- nRBCs
- normocytic
- normochromic
what are the 4 types of MAHA
- TTP
- HUS
- HELLP
- DIC
what is the problem in TTP
ADAMTS13 mutation
What is the problem with HUS
blood clots in the kidney
who is most likely to develop HELLP
Pregnancy
why do stomatocytes form
ion imbalance in RBC mmb
what causes spherocytes
mutation in vertical protein
disease?
- hyperseg neutrophils
- ovalocytes
- macrocytic
- pancytopenia
megaloblastic anemia
megaloblastic anemia PBS findings (4)
- hyperseg neutrophils
- ovalocytes
- macrocytic
- pancytopenia
megaloblastic anemia: _____ hemocytstine,
increased
what happens to MMA during b12 diffiencey
increases
what vit deficiency causes megaloblastic anemia
B12 or B9
disease?
- geometric crystals
- target cells
Hb C
Hb C PBS findings (2)
- geometric crystals
- target cells
what gene is mutated with Hb C disease
beta gene
what does glutamic acid turn into (hb C disease)
lysine
disease?
- amporphous crystals
-target cells
- nRBCs
- polychromsia
Hb SC
Hb SC disease PBS findings (4)
- amporphous crystals
- target cells
- nRBCs
- polychromsia
what does thymine turn into (sickle cell disease)
adenine
what does glutamic acid turn into (sickle cell disease)
valine
heterozygous for Hb S and they are referred to as _____
sickle cell trait
homozygous for Hb S are referred to as
sickle cell disease
disease?
- sickle cells
- target cells
- polychromsia (depending on the stage)
sickle cell disease
sickle cell disease PBS findings (3)
- sickle cells
- target cells
- polychromsia (depending on the stage)
disease?
- microcytic
- hypo chromic
- poikilocytosis (target cells mostly)
- basophilic stippling
beta-thalassemia minor
PBS findings of beta-thalassemia minor. (4)
- microcytic
- hypo chromic
- poikilocytosis (target cells mostly)
- basophilic stippling
T or F: beta-thalassemia minor will have a normal RDW
T
disease?
- microcytic
- hypo chromic
- poikilocytosis
- basophilic stippling
- nRBCs
beta thalassemia major
PBS finding of beta thalassemia major (5)
- microcytic
- hypo chromic
- poikilocytosis
- basophilic stippling
- nRBCs
disease?
- microcytic
- hypo chromic
- high thrombocytoosis
IDA
PBS findings of IDA (3)
- microcytic
- hypo chromic
- high thrombocytoosis
disease?
- low ferritin
- high transferrin
- high TIBC
IDA
disease?
- diff stages of nRBCs
- hyperbilirubinemia
hemolytic disease of the newborn
PBS findings of hemolytic disease of the newborn (2)
- diff stages of nRBCs
- hyperbilirubinemia
disease?
- rouleaux
- increased M protein
multiple myeloma
multiple myeloma PBS findings. (2)
- rouleaux
- increased m protein
disease?
- microcytic spherocytes
- fragments
- 2 populations of cells
- thrombocyteosis
burns
PBS finding of burn pt (4)
- microcytic spherocytes
- fragments
- 2 populations of cells
- thrombocyteosis
what are the 4 stages of malaria
ring, trophozoite, schizont, and gametocyte
what infectious agent has Maltese crosses in RBCs
babesia microti
what stage of malaria looks like little balls in in RBCs
schizont
what is happening in the schizont stage of malaria
parasite is making more of itself
Disease?
- echinocytes
- polychromsia
- codocytes
- schizont/ring stage
malaria
PBS finding of malaria (4)?
- echinocytes
- polychromsia
- codocytes
- schizont/ring stage
what is the deadliest malaria species
P. falciparum
what is the most common malaria species
P. vivax
decribe what ring stage malaria looks like
small ring
decribe what trophozoite stage malaria looks like
larger ring
decribe what gametocyte stage malaria looks like
crescent moon
disease?
- thrombocytosis
- plt clumps
- large plts
essential thrombocythemia
PBS findings of essential thrombocythemia (3)
- thrombocytosis
- plt clumps
- large plts
what is the normal range of monocytes
2- 8%
what do you call an increased amount of immature cells (band neutrophils).
left shift
disease?
- nRBCs
- increased band neutrophils
- codocytes
- microcytes
left shift
left shift PBS findings (4)
- nRBCs
- increased band neutrophils
- codocytes
- microcytes
what magnification is used for hemocytometer
10x
dilution factor formula
(reagent + sample)/ sample
WBC / microL formula
cell count * DF/ vol (# of squares)
set up the vol equation for 8 squares
8 ( 110.1)
maturation time for Hct 40-45
1
maturation time for Hct 35-39
1.5
maturation time for Hct 25-34
2
maturation time for Hct 15-24
2.5
maturation time for Hct < 15
3
normal range of MCV
80-100 fL
normal range of MCH
26-34 pg
normal range of MCHC
32-36 g/dL