Leukocytes, Platelets, Hemostasis Flashcards

1
Q

How many leukocytes typically exist in a microliter of blood?

A

4,800 to 10,800 per 1 µl of blood

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2
Q

Define diapedesis and chemotaxis.

A

Positive Chemotaxis: phenomenon in which damaged/infected cells provide a chemical trail for leukocytes to follow

Diapedesis: how leukocytes cross blood vessel walls to travel to areas of need

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3
Q

What is the term for an elevated WBC count? A depleted WBC count?

A

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4
Q

Know the 5 types of leukocytes – which ones are granulocytes? Agranulocytes? What is their order of abundance? What are some specific functions of each type?

A

Granulocytes: leukocytes that contain membrane-bound granules in the cytoplasm

Neutrophils: most numerous WBCs, phagocytes that destroy acute infection

Eosinophils: fight parasitic worm infections

Basophils: rarest WBCs, contain the chemical Histamine

Agranulocytes: leukocytes that do not contain granules in the cytoplasm

Lymphocytes: live in lymphatic tissues, play an important role in immunity

Monocytes: largest WBCs, fight chronic infections

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5
Q

What stimulates the creation of leukocytes?

A

Chemical messengers called interleukins or colony-stimulating factors (CSFs) trigger the creation of leukocytes

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6
Q

What types of blood cells differentiate from the myeloid line? From the lymphoid?

A

Hemocytoblasts are quickly differentiated into lymphoid and myeloid stem cells

Myeloid stem cells give rise to erythrocytes, platelets, monocytes, and all the granulocytes

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7
Q

Be familiar the lineage lines of leukocytes – from slides 7 and 8.

A
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8
Q

Roughly define leukemia. What causes it? What are some symptoms?

A

Leukemia: overproduction of abnormal leukocytes

Typically, excessive leukocytes are descendants of a single cell undergoing un-regulated proliferation

Excessive leukocytes impair normal function of red bone marrow

Symptoms: severe anemia, bleeding, fever, weight loss, and bone pain

The fatality of leukemia is typically associated with internal hemorrhage or overwhelming infection

Types: acute, chronic, myeloid, and lymphocytic

The more serious, acute forms of leukemia primarily impact children

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9
Q

State the general premise of chemotherapy. How does it work?

A
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10
Q

Where do platelets come from? How long do they typically live? What is their essential function?

A

Like erythrocytes, platelets are NOT technically cells

Platelets are fragments of very large cells, called megakaryocytes

The granules contained in platelets play important roles in blood-clotting

Without platelets, blood loss from an injured or damaged blood vessel would continue indefinitely

Platelets age quickly and degenerate within ~10 days

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11
Q

What are the 3 steps hemostasis? What happens after blood successfully clots?

A

Three steps must occur in rapid sequence:

Vascular Spasm

Platelet Plug Formation

Coagulation

Following successful hemostasis, the blood clot will retract and dissolve

The clot is replaced by fibrous tissue, which more permanently prevents blood loss

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12
Q

Name two things that have anti-coagulant properties. Name a natural anticoagulant found in endothelial cells. Name two aggregating agents.

A

Adenosine Diphosphate (ADP): a potent aggregating agent

Serotonin and thromboxane A: messengers that enhance both vascular spasm and platelet aggregation

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13
Q

What works to stabilize a forming platelet plug? What works to reinforce a formed platelet plug?

A

The platelet plug is reinforced with fibrin threads

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14
Q

What mineral is essential to the formation of a blood clot?

A

Vitamin K is required for synthesizing 4 different clotting factors

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15
Q

Know the 3 steps of coagulation including what enzymes are involved.

A

slide 24

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16
Q

What two growth factors are involved in blood vessel repair.

A

Once activated, clotting factors initiate a 3-phase cascade that leads to coagulation and vessel repair via the active enzyme thrombin and the molecule fibrin ??

17
Q

What enzyme works to dissolve clots? How is this enzyme used medically?

A

Fibrinolysis

The process of removing unneeded clots when vessel healing has occurred

Plasmin: the natural “clot-buster” – a fibrin digesting enzyme

The presence of a clot, triggers endothelial cells to secrete tissue plasminogen activator (tPA)

Fibrinolysis begins within 2 days, continues until the clot is fully dissolved

18
Q

What’s the difference in a thrombus and an embolus?

A

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19
Q

Name two things that increase risk of blood clots.

A

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20
Q

Compare and contrast thrombocytopenia and hemophilia.

A

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