Normal Hematopoiesis, Leukopenia/Leukocytosis Flashcards
What is the Cluster Designation (CD)?
Marker to allow identification of cell types
What can the Cluster Designation (CD) help diagnose?
Hematologic Malignancies
CD - TdT
Lymphoblasts (B and T cells)
CD19, CD20, PAX-5
B cells
CD16, CD56
NK cells
CD34
Myeloblasts (Neutrophils, basophils, eosinophils)
CD45
Leukocyte common antigen
Leukopenia
DECREASED WBCs
What are the WBCs?
Neutrophils Basophils Eosinophils Lymphocytes Monocytes
Decreased WBCs
Leukopenia
Neutropenia
Decreased Neutrophils
Decreased Neutrophils
Neutropenia
Agranulocytosis
Marked reduction in WBCs
What is a normal range for WBC?
4.5-11
Leukopenia should be considered if the WBC count is below?
4.1 X 10^3
What does the differential give?
% of each WBC type
How do you calculate Absolute Neutrophil Count (ANC)?
(% neutrophils + % bands) X WBC
ANC < _____ puts people at risk for deadly _____ infections
ANC < 500
= Risk for bacterial and fungal infections
Causes of Neutropenia?
Drug toxicity
Anemia
Hypersplenism
Immune destruction
Treatment for Neutropenia?
Antibiotics
G-CSF
Leukocytosis
INCREASED WBCs
Increased WBCs
Leukocytosis
4 causes of Leukocytosis
- Increased marrow production
- Increased release from marrow
- Decreased margination (adhesion to vessel walls)
- Decreased extravasation (leaving vessels)
What can cause Neutrophilic Leukocytosis?
Bacterial infections
What can cause Eosinophilic Leukocytosis?
Asthma
Parasitic infections
Drug reactions
What can cause Lymphocytosis? (increased lymphocytes)
Viral infections
With Leukocytosis, what portion of the lymph node often expands?
Germinal center
Describe Acute Suppurative Lymphadenitis
Painful, pus forming
- Neutrophilic infiltrates seen in lymph nodes
Most common form of Lymphadenitis?
Follicular Hyperplasia
Describe Sinus Histiocytosis
Increased Macrophages in the lymph node sinuses
Increased macrophages in the lymph node sinuses can be a sign of?
(Sinus Histiocytosis)
- Drainage of foreign material or malignancy
What is an example of when Sinus Histiocytosis can occur?
Persistent lymphadenopathy after a tattoo!
Germinal center expansion in the lymph nodes can indicate?
Leukocytosis (increased WBCs)