Means of Evaluating Leukocytes Flashcards
What methods can be used to get a WBC count?
Manual diluting techniques can be used along with a hemacytometer, or an automatic cell counter can be used.
What is the margin of error when manually counting with a hemacytometer?
20% even with excellent technical skills
What factors can affect the WBC count?
All neutleated cells are counted - including NRBCs.
How can NRBCs be accounted for when using an automatic cell counter?
Count the number of NRBCs/100 WBCs on a blood smear, then corrected WBC count = initial WBC x 100 / (100+ NRBCs)
Define leukocytosis.
A white blood cell count greater then the upper normal values for species.
What is the usual cause of leukoytosis?
neutrophilia
Define leukopenia.
a WBC count less then the lower normal values for the species
Why does a leukopenia equate to a neutropenia?
lymphocytopenia and eosinopenia can’t cause a leukopenia if the nutrophil count is normal
What attributes are evaluated on a peripheral blood smear?
RBC rouleaux, RBC agglutination, platelet aggregation, relative number of leukocytes, examine RBC morphology, conduct differental WBC count, examine WBC morphology, estimate adequacy of platelet number and evaluate their morphology
What is normal segmented neutrophil morphology?
narrowing between nuclear lobes, cytoplasm pale pink
What is normal band neutrophil morphology?
nuclear membrane is smooth without indentations and has parallel sides
Define left shift.
a significant number of band neutrophils seen in peripheral blood smear
What is the cause of toxic neutrophils?
toxemia
What morphological features are seen in toxic neutrophils?
Doehle bodies, cytoplasmic basophillia/vacuolization, and/or prominent cytoplasmic granules
What do Doehle bodies indicate?
mild toxic change