PATHO PEARLS Flashcards
Abnormally low white blood cell count
LEUKOPENIA
Reduction in number of neutrophils in blood
NEUTROPENIA
Clinically significant reduction in neutrophils wherein serious consequence of making individuals susceptible to bacterial and fungal infections
AGRANULOCYTOPENIA
Increase in number of white cells in blood
LEUKOCYTOSIS
Inflammation of lymph nodes
LYMPHADENITIS
Neoplasms in bone marrow in which tumor cells are found in the peripheral blood
LEUKEMIA
Malignant transformation of lymphoid cells residing primarily in lymphoid tissues especially in the lymph nodes
LYMPHOMA (Not necessarily on lymph nodes, can be seen in other immune cells)
Low platelet, leukopenia, anemia
PANCYTOPENIA
Characterized by increased marrow production of red cells, granulocytes and platelets
PANMYELOSIS
Elevated platelet count
THROMBOCYTOSIS
Platelet <150,000
THROMBOCYTOPENIA
Increase in WBC count with left shift (Eg. 80% bands) and high leukocyte alkaline phosphatase
LEUKEMOID REACTION (Paraneoplastic Conditions)
Solid focus of leukemia outside the bone marrow
CHLOROMA (like Metastatic Leukemia)
Differentiate Leukemoid reaction from CML
LEUKEMOID REACTION has high Leukocyte Alkaline Phosphatase; CML has very low Leukocyte Alkaline Phosphatase
Cause of Thrombocytopenia
HIT SHOC: HIT or HUS, ITP, TTP or treatment drugs, Splenomegaly, Hereditary, Others (Malignancy), Chemotherapy
Type of Leukocytosis in Acute conditions like Myocardial Infarction, Fracture and Ischemic Stroke
NEUTROPHILIA
Type of Leukocytosis in Viral Infections, TB
LYMPHOCYTES
Type of Leukocytosis in Neoplasms, Asthma, Collagen Vascular disease, ALLERGIC reaction, parasites
EOSINOPHILS
Type of Leukocytosis seen in Chronic Infections
MONOCYTES
Type of Leukocytosis in CML, Mast Cell degranulation
BASOPHILS
Abnormal azurophilic (primary) granules, HPx: Toxic granules
SEVERE INFECTIONS, SEPSIS
Patches of dilated ER that appear as Sky- Blue cytoplasmic PUDDLES, HPx: Dohle Bodies
SEVERE INFECTIONS, SEPSIS
Distinctive needle-like azurophilic granules found in myeloblasts, HPx: Auer Rods
AML
Scattered macrophage with abundant wrinkled Green blue cytoplasm, HPx: Sea Blue Histiocytes
CML
Small lymphocytes disrupted in the process of making smears, HPx: Smudge Cells
CLL
Large cells with multiple nuclei or a single nucleus with multiple nuclear lobes, HPx: Reed- Sternberg Cells
HODGKIN’S LYMPHOMA
Nuclear remnants are phagocytosed by interspersed macrophages (BURKITT CELLS) with abundant clear cytoplasm (lipid droplets), HPx: Starry Sky Pattern
BURKITT’s LYMPHOMA
Cells found in adult T-Cell lymphoma which appear to have multilobated nuclei, HPx: Clover Leaf or Flower Cells
ADULT T-CELL LYMPHOMA
Destructive plasma cell tumors involving axial skeleton, HPx: Plasmacytoma
MULTIPLE MYELOMA
Triad of Multiple Myeloma
BONE PAIN, ANEMIA, RENAL FAILURE
Multiple nuclei, prominent nucleoli, and cytoplasmic droplets containing Ig, HPx: Bizarre multinucleated cells
MULTIPLE MYELOMA
Fiery red cytoplasm, HPx: Flame cells
MULTIPLE MYELOMA
Pink globular cytoplasmic inclusions, HPx: Russel bodies
MULTIPLE MYELOMA
Blue globular, nuclear inclusions, HPx: Dutcher bodies
MULTIPLE MYELOMA
M protein causes RBCs to stick in Linear Arrays
Roleaux Conformation in MULTIPLE MYELOMA
Erythroblast with Iron-laden mitochondria visible as perinuclear granules
Ringed Sideroblasts in SIDEROBLASTIC ANEMIA
Neutrophil with ONLY 2 NUCLEAR LOBES
Pseudo Pelger-Huet Cells in MYELODYSPLASTIC SYNDROME
Megakaryocyte with SINGLE or MULTIPLE SEPARATE NUCLEI
Pawn-Ball Megakaryocyte in MYELODYSPLASTIC SYNDROME
Premature release of NUCLEATED ERYTHROID and EARLY GRANULOCYTE PROGENITORS
LeukoErythroBlastosis in PRIMARY MYELOFIBROSIS and MYELODYSPLASTIC SYNDROME
DAMAGED CELLS on birthing process in FIBROTIC MARROW
Tear Drop cells (Dacryocytes) in PRIMARY MYELOFIBROSIS
PENTALAMINAR TUBULES with DILATED TERMINAL ENDS (Tennis Racket-like)
Birbeck granules in LANGERHANS CELL HISTIOCYTOSIS
Small YELLOW-BROWN, BROWN, RUST- Coloured FOCI in SPLEEN
Gandy Gamna Nodules in SPLENIC CONGESTION, HEMOLYTIC ANEMIA, MALARIA & VISCERAL LEISHMANIASIS
Accumulation of Microbes, Cell Debris & Foreign material in LN
ACUTE LYMPHADENITIS
NONTENDER LN swelling containing B-CELLS
FOLLICULAR HYPERPLASIA (MC Benign Nontender Lymphadenopathy
NONTENDER LN swelling sec to EBV infection & PHENYTOIN with T-CELL stimulation
PARACORTICAL HYPERPLASIA
NONTENDER LN swelling in BREAST CANCER with MACROPHAGE stimulation
SINUS HISTIOCYTOSIS
Mediastinal Mass with BMA of HYPERCELLULAR MARROW packed with LYMPHOBLASTS
ACUTE LYMPHOBLASTIC LEUKEMIA (MC WBC malignancy in Children; Best prognosis: responsive to Chemo [Asparaginase])
HYPERCELLULAR MARROW packed with MYELOBLASTS & AUER RODS
ACUTE MYELOGENOUS LEUKEMIA
SEA-BLUE HISTIOCYTES; 3 Phases: Philadelphia chromosome, Leukocytosis, Low Alk. Phos.
CHRONIC MYELOGENOUS LEUKEMIA
SMUDGE cells and NUCLEATED RBCs
CHRONIC LYMPHOCYTIC LEUKEMIA (MC leukemia of ADULTS & ELDERLY)
MATURE B-CELL tumor in Elderly with fine HAIRLIKE PROJECTIONS
HAIRY CELL LEUKEMIA
REED- STERNBERG cells, EBV infection, benign symptoms, BIMODAL distribution
HODGKIN’s LYMPHOMA
Multiple Peripheral LN with CONTIGUOUS spread & EXTRANODAL involvement associated with HIV & IMMUNOSUPPRESSION
NON-HODGKIN’s LYMPHOMA
MC Form of Non Hodgkin’s Lymphoma
DIFFUSE LARGE B-CELL LYMPHOMA
CHROMOSOME 8 translocation; STARRY SKY pattern; C-MyC
BURKITT’s LYMPHOMA
Small lymphocytes with NO CENTROBLASTS & PROLIFERATION CENTERS
MANTLE CELL LYMPHOMA
COMPLETE Igs synthesized by NEOPLASTIC PLASMA cells
BENCE- JONES PROTEINS
Proliferation of DENDRITIC cells with BIRBECK GRANULES
LANGERHANS CELL HISTIOCYTOSIS
THYMUS tumor associated with MYASTHENIA GRAVIS & PURE RED CELL APLASIA
THYMOMA (ANTERIOR)
HYPERCHROMIC RBC lacking CENTRAL PALLOR
Spherocyte in HEREDITARY SPHEROCYTOSIS