module 4 CBC and INtro Anemia Flashcards
Normal RBC volume
80-100 fL
Acanthocyte
spur cell. irregular thorn like spikes. no central pallor. Cholesgerol preferentially trapped in outer leaflet.
codocytes
target cells. thin bell shaed increased surface area to volume.
Dacrocytes
teardrops. Round cell with a single elongated or pointed extremity; may be microcytic and/or hypochromic
McKenzie, Shirlyn B.; Williams, Lynne. Clinical Laboratory Hematology (3rd Edition) (Pearson Clinical Laboratory Science Series) (Page 166). Prentice Hall. Kindle Edition.
Drepanocyte
Round cell with a single elongated or pointed extremity; may be microcytic and/or hypochromic
McKenzie, Shirlyn B.; Williams, Lynne. Clinical Laboratory Hematology (3rd Edition) (Pearson Clinical Laboratory Science Series) (Page 166). Prentice Hall. Kindle Edition.
Echinochyte
sea urchin. Spiculated red cells with short equally spaced projections over the entire surface
elliptocyte
Spiculated red cells with short equally spaced projections over the entire surface
keratocyte
Helmet cells. Produced when a fibrin strand impales a RBC. Red cells with one or several notches with projections that look like horns on either end
McKenzie, Shirlyn B.; Williams, Lynne. Clinical Laboratory Hematology (3rd Edition) (Pearson Clinical Laboratory Science Series) (Page 166). Prentice Hall. Kindle Edition.
schistocyte
Fragments of red cells; variety of shapes including triangles, commas; microcytic
McKenzie, Shirlyn B.; Williams, Lynne. Clinical Laboratory Hematology (3rd Edition) (Pearson Clinical Laboratory Science Series) (Page 167). Prentice Hall. Kindle Edition.
spherocyte
—Spherocytic red cells with dense hemoglobin content (hyperchromatic); lack an area of central pallor
McKenzie, Shirlyn B.; Williams, Lynne. Clinical Laboratory Hematology (3rd Edition) (Pearson Clinical Laboratory Science Series) (Page 167). Prentice Hall. Kindle Edition.
stomatocyte
uniconcave red cells with the shape of a very thick cup; on stained blood smears cells have an oval or slitlike area of central pallor
McKenzie, Shirlyn B.; Williams, Lynne. Clinical Laboratory Hematology (3rd Edition) (Pearson Clinical Laboratory Science Series) (Page 167). Prentice Hall. Kindle Edition.
test for echinocyte artifact
use plastic slides as the glass releases chemicals which can cause echinocyte formation.
Normal RBC MCH
30 pg.
Only hyperchromic RBC
Spherocyte
Basophillic stipling
bluish black inclusions of ribosomes sometimes assoiaed with mitochondria. Artifact.
Cabot rings
Remnants of spindle fibers. Indicate dyserythropoesis.
hOWELL jOLLEY bODIES
Nuclear DNA suggest nucleaer maturation abnormalities. Individual chromosome fails to attach.
Heinz bodies
Denatured hemoglobin attached to band 3.
Sideroblasts
erythroblasts with stainabl iron granules
Siderocytes
non nucleated RBCS with stainable iron granules
Pappenheimer bodies
damages lysosomes and mitchondria
corrected reticulcute count
corrects for abnormally low or high hematocrit.
Patient hematocrit/ Normal hematocrit * % reticulocyte = Corrected reticulocyte count (%)
reticuocyte count HYPOPROLIFERATIVE ANEMIAS
62% or an absolute reticulocyte count 675 * 10 9 /L
McKenzie, Shirlyn B.; Williams, Lynne. Clinical Laboratory Hematology (3rd Edition) (Pearson Clinical Laboratory Science Series) (Page 184). Prentice Hall. Kindle Edition.
RETICULOCYTE COUNT HEMOLYTIC ANEMIA
corrected count 72% or an absolute count 7100 * 10 9 /L
McKenzie, Shirlyn B.; Williams, Lynne. Clinical Laboratory Hematology (3rd Edition) (Pearson Clinical Laboratory Science Series) (Page 184). Prentice Hall. Kindle Edition.