Leukocyte Disorders # 2 Flashcards
Name the types of granulocytes
Neutrophils, Eosinophils, Basophils
Name the types of agranulocyes
Lymophocytes, Monocytes
*Define WBC count for leukocytosis
WBC count >11000/mm3
*Define WBC count for leukopenia
WBC count < 4000/mm3
infection risk
*What is the normal WBC count for adults?
- African American Adults: 3,200-10,000 cells/mm3
- Adults: 4,500-10,500 cells/mm3
*Define WBC count for Neutrophilia
> 7000/mm3
*What is neutrophilia associated with
Pyogenic or bacterial infection
*Define WBC count for Neutropenia
< 1800/mm3
*What disorders are associated with eosinophilia?
Allergic reactions and parasitic disease
*Define WBC count for Eosinophilia
> 500 eosinophils/mm3
What disorders are associated with eosinopenia
Hypercortisolism & steroid therapy
*Define WBC count for eosinopenia
<50 eosinophils/mm3
*What disorder is associated with large irregular atypical lymphocytes?
Mononucleosis
*What do blast cells with aure rods indicate?
Acute myelogenous Leukemia (AML)
*What disorder do “smudge” or “basket” cells indicate?
Chronic Lymphocytic Leukemia (CLL)
*What do Reed Sternberg cells indicate (cells look like 2 owls eyes)?
Hodgkin Lymphoma
*What disorder does a Philadelphia chromosome indicate?
Chronic Myelogenous Leukemia (CML)
What disorder is leukocytosis linked to?
Leukemoid reaction and leukemia
What disorder is linked to leukopenia?
serious risk for infection
- What percentage of WBCs do Polys or segs make up?
60% or 6000/mm2
- What percentage of WBCs do Lymphocytes make up?
30% or 3000/mm3
- What percentage of WBCs do monocytes make up?
5% or 500/mm3
- What percentage of WBCs do Eosinophils make up?
3% or 300/mm3
- What percentage of WBCs do Basophils make up?
1% or 100/mm3
- What percentage of WBCs do band cells make up?
1% or 100/mm3
What is one main cause of neutropenia?
Splenic sequestration
Define agranulocytosis
Marked neutropenia and leukopenia
Neutrophil count < 500/mm3
*Define WBC count for Basophilia
> 50 basophils/mm3
What disorders are associated with Basophilia
- parasitic infestations
- allergic reactions
- chronic granulocytic leukemia
*Define WBC count for Basopenia
<20 basophils/mm3
What disorders are associated with Basopenia?
- acute infection
- hyperthyroidism
- steroid therapy
*Define WBC count for Monocytosis
> 500 monocytes/mm3
What disorders are associated with Monocytosis?
- bacterial infections
- Chronic TB
- Symphilis
- Subacute bacterial endocarditis
*Define WBC count for Monocytopenia
<100 monocytes/mm3
What disorders are associated with Monocytopenia
- steriod therapy
- HIV
*Define WBC count for Lymphocytosis
> 4000 lymphocytes/mm3
What disorders are associated with lymphocytosis
-viral infections
*Define WBC count for lymohopenia
< 1000 lymphocytes/mm3
What disorders are associated with lymphopenia?
- chemotherapy
- steroid therapy
- HIV
Where do B lymphocytes mature?
Bone Marrow
Where do T lymphocytes mature?
Thymus gland
What is the difference between B lymphocytes and T lymphoctes?
- B lymphocytes control specific antigen-antibody response “memory cells”
- T lymphocytes involve cellular immunity
a) What is the normal CD4 range and
b) at which level do oportunistic infections present?
- NL 589-1505
- Abn < 200
- What disorders are Dohle bodies found in?
- Infection/Inflammation
- Burns
- Pregnancy
What is a Pleger Huet cell anomaly?
- Benign dominant inherited defect of terminal neutrophil differentiation.
- It is confused with a left shift b/c It can give rise to an increase in neutrophil band forms
What does a pseudo pleger-huet cell look like?
bi-lobed neutrophil with clumped chromatin
- What are the characteristics of Chediak-Higashi Anomaly?
- Recurrent infections
- Albinism
- Multiple neurologic abnormalities
What do WBCs of a pt. with Cehdiak-Higashi disease present with?
- Depressed neutrophil #
- Giant cytoplasmic granules
- Impaired chemotaxis, intracellular killing, and natural killer cell function of WBCs
Describe the type of cell that is associated with Lupus Erythematosus cell
LE cell with which a neutrophil has ingested nuclear material (nuclear debris)
*Which disorder does hypersegmented neutrophils indicate?
Myelodysplastic syndrome
- What disorder is associated with Lymphoblasts with no cytoplasmic ganules?
Acute lymphocytic Leukemia (ALL)
- What disorder is associated with Blast cells with Aure rods?
Acute Myelogenous Leukemia (AML)
*At what helper T lymphocye count is a person considered to haev AIDS?
<200/mm3
- What stain is used to differentiate between chronic granulocytic leukemia (CML) and leukemoid reactions?
Leukocyte Alkaline Phosphatase (LAP) stain
- What disorder presents with the Philidelphia Chromosome?
Chromic Myelogenous Leukemia (CML)
- What type of cells are linked to Hairy cell leukemia?
mononuclear cells with fried egg appearance