Peripheral Blood Flashcards
What is the average volume of blood for a 70 kg male
5.5 L
pH of arterial blood
7.4
pH of venous blood
7.35
If you centrifuge blood what is at the very bottom
heaviest elements - erythrocytes (RBCs)
If you centrifuge blood what is in the middle
buffy coat, made of leukocytes and platelets
If you centrifuge blood what is at the top
plasma that is straw colored
Hematocrit
percentage of blood that is RBCs
What is the normal hematocrit for an adult female
40
What is the normal hematocrit for an adult male
45
What is the normal hematocrit for a newborn
55, decreases to 35 at 2 months, then you get to adult values at puberty
Why is plasma straw colored during fasting.
bilirubin
What happens to plasma after a high fat meal
turns white
Albumin
important because of colloid osmotic pressure. Regulates pressure by pulling fluid back into blood out of tissue. Low albumin leads to edema.
How does liver failure affect albumin
decreases it
transferrin
carries iron
plasminogen
regulates clotting
Gamma-globulins
synthesized by plasma cells. Are antibodies
What are the clotting factors
prothrombin, fibrinogen, accelerator globin (aka factor VII)
Complement proteins
help with immunity and inflammation
Lipoporteins
transport cholesterol and triglycerides
RBCs
biconcave disc, which helps faciliatate gas exchange. Cytoskeletal components are pressent.
Polycythemia
too many RBCs
anemia
too little RBCs
Glycophorins
cytoskeleton proteins that are unique to RBCs. function unknown
Band 3
antiporter of Cl- and HCO3-
Band 4.1
anchors cytoskeletal components by complexing with spectrin, glycophorin, and actin
Adducin
a calmodulin binding protein. promotes an actin-spectin association
Hereditary spherocytosis
causes misshaped RBCs (turn round) these get eliminated by macrophages
Hereditary ellipotcytosis
elliptical shaped blood cells. Due to mutation in glycophorin protein, 4.1, or spectrin
How to tell which antigens are important or not
Kell - kills
Duffy - dies
Lewis -lives
Erythroblastosis fetalis
Rh neg mom, Rh pos fetus. Treat with RhoGAM
Howell-Jolly bodies
inclusion visible in RBC. Small basocphilic nuclear fragments in cytoplasm of erythrocytes. Present in pt’s with severe hemolytic anemia, dysfunctional spleens, or after splenectomy
Heinz body
cytoplasmic inclusion in RBCs seen in those with G6PD deficiency. Put ketchup on your fava beans
Reticulocyte
precursor to mature erythrocyte. Has specks of basophilia because of clusters of free polysomes. Increase if demand of O2 is not fully met
how abundant is Neutrophil
most abundant granulocyte
how abundant is Basophil
least abundant granulocyte
how abundant is Lymphocyte
2nd most abundant leukocyte
How to recognize neutrophil at LM level
much larger than RBCs
How to recognize neutrophil at EM level
uniform density of granules, relatively dark. lobes visible in nucleus
Neutrophil
phagocytic cell. elevated in bacterial infection
Azurophilic (primary) granule
found in every type of white blood cell. Always represent lysosomes
Specific (secondary) granule
light pink. Contain enzymes that are antimicrobial in function
Tertiary grandules
contain enzymes that allow neutrophil to degrade basal lamina
aid in migration to site of inflammation
Band neutrophil
precursor to neutrophil. increase in these signals infection
Neutrophilic changes in bacterial sepsis
abnormal inclusions. Dohle bodys
Eosinophils
nucleus is bilobed. Has azurophilic and specific granules. elevated in allergic reactions, IBD, and parasitic infection
How to tell if it’s a eosinophil at EM level
white strip going through granule
Basophils
S-shaped nucleus. Has azurophilc and specific granules. decreased in acute allergic reactions.
How to tell if it’s a basophil at EM level
specific granules with lighter center and darker halo
Lymphocyte
mostly small, but can come in medium or large. prominent nucleus which occupies most of cytoplasm. elevated in viral infections
B lymphocytes
humal-mediated immunity. differentiates into plasma cells
T lymphocytes
cells mediated immunity
Monocytes
one of the largest leukocytes. Has prominent, horseshoe or kidney shaped nucleus. Cytoplasm is dark. Has azurophilic granules. Migrates into tissues where they differentiate into macrophages
4 zones of platelets
peripheral, structural, membrane, and organelle
Peripheral zone of platelet contains
plasmalemma and glycocalyx
Structural zone of platelet contains
microtubules and actin/myosin. contractile in nature
membrane zone of platelet contains
open canalicular and dense tubular systems
organelle zone of platelet contains
mitochondria, glycogen, perozisomes, and three types of tranules
platelets
have fractured megakaryocytes and functions in blood clotting and tissue repair