MODULE 4 RBC MORPHOLOGY Flashcards
Qualitative assessment of RBC morphology includes:
Size
Shape
Examination and grading of abnormalities
Red cell distribution
Staining
Inclusions
What is RBC Morphology
used in diagnostic considerations for anemia and other systematic diseases.
Include in CBC or requested as PBS
Nomenclature of Erythrocytic Stage of Maturation in NORMOBLASTIC
Pronormoblas
Basophilic Normoblast
Polychromatophilic Normoblast
Orthochromic Normoblast
Reticulocyte
Erythrocyte
Nomenclature of Erythrocytic Stage of Maturation in RUBRIBLASTIC
Rubriblast
Prorubricyte
Rubricyte
Metarubricyte
Reticulocyte
Erythrocyte
Nomenclature of Erythrocytic Stage of Maturation in ERYTHROBLASTIC
Proerythroblast
Basophilic Erhtroblast
Polychromatophic Erythroblast
Orthochromic Erythroblast
Reticulocyte
Erythrocyte
Stages of RBC Maturation Cell Stage, Diameter, N/C Ratio and Length of Time
Pronormoblast- 12-20 um(micrometer)- 8:1 -24 hrs.
Basophilic Normoblast- 10-15 um- 6:1- 24 hrs.
Polychromatophic Normoblast- 10-12 um- 4:1- 30 hrs.
Orthochromic Normoblasy- 8-10 um- 1:2- 48 hrs.
Reticulocyte- 8-10 um- no nucleus- 24-48 hrs. 2-3 days in BM and 1 day in Peripheral Blood
Erthrocytes- 7-8 um- no nucleus- 120 days.
Explain PRONORMOBLAST
Nucleus
Chromatin
Cytoplasm
Nucleus: 1-3 nucleoli
Chromatin: Fine and Uniform
Cytoplasm: Deep blue with no granules
Explain BASOPHILIC NORMOBLAST
Nucleus
Chromatin
Cytoplasm
Nucleus: Centrally located with 0-1 nucleoli
Chromatin: Coarsening “wheel spoke pattern of chromatin”
Cytoplasm: Less blue but intensely basophilic
Detected in Hb synthesis occurs
Explain POLYCHROMATOPHILIC NORMOBLAST
Nucleus
Chromatin
Cytoplasm
Nucleus: Eccentric with no nucleoli
Chromatin: Show significant clumping
Cytoplasm: “polychromasia” gray-blue or violet-blue cytoplasm
Last stage capable of cell division
Can be seen in circulation
Start of Hb production
Explain ORTHOCHROMIC NORMOBLAST
Nucleus
Chromatin
Cytoplasm
Nucleus: Eccentric, full condense no nucleoli
Cytoplasm: Pale blue to Salmon Pink
Last nucleated stage, extruded nucleus, engulfed by BM macrophages
Explain RETICULOCYTES
Nucleus
Chromatin
Cytoplasm
Stays 2-3 days in BM and 1 day in the circulation
Nucleus: None
Cytoplasm: Contain basophilic reticulum of RNA on supravital stains
Mixed pink and blue staining on Wright’s stain
Polychromatophilic in Supravital Stain
End of Hb production
Explain ERYTHROCYTES
Nucleus
Chromatin
Cytoplasm