Peripheral blood Flashcards
What is serum?
Plasma minus the fibrinogen
What imparts the yellow color to plasma?
Bilirubin
Loss of albumin leads to what condition?
Edema
Gamma globulins are synthesized by what cell?
Plasma cell
What are the clotting factors?
- Prothrombin2. Fibrinogen3. Accelerator globulin (Factor VII)
What is polycythemia?
Elevated RBC levels
What are the major transmembrane proteins in RBCs?
Glycophorin and Band 3
What is the function of the Band 3 RBC transmembrane protein?
Transports HCO3- and Cl- across plasma membrane in order to increase the amount of CO2 in the blood
Band 4.1 is associated with what components of the RBC plasma membrane scaffold?
- Glycophorin2. Actin3. Spectrin
Band 4.2 is associated with what components of the RBC plasma membrane scaffold?
- Band 32. Ankyrin3. Spectrin
What protein promotes actin-spectrin association?
Adducin
What is the function of adducin?
Promotes actin-spectrin association
A mutation in band 3, ankyrin, spectrin, or band 4.2 lead to what condition?
Hereditary spherocytosis - spherical RBCs
A mutations in glycophorin, spectrin, or protein 4.1 lead to what condition?
Elliptocytosis - elliptical RBCs
Hereditary spherocytosis results from a mutation in any of which proteins?
Band 3, ankyrin, spectrin, band 4.2
Elliptocytosis results from a mutation in any of which proteins?
Glycophorin, spectrin, protein 4.1
What antigens are responsible for the malaria toxin?
Duffy system antigens
What are Howell-Jolly bodies?
Small basophilic nuclear fragments in the cytoplasm of RBCs
Howell-Jolly bodies are seen in which conditions?
- Severe hemolytic anemia2. Dysfunctional spleens3. Post-splenectomy
Which RBC inclusions are seen in severe hemolytic anemia, dysfunctional spleens, and following a splenectomy?
Howell-Jolly bodies
What are Heinz bodies?
Inclusions of damaged Hb
How are bite cells formed?
Macrophages take a chunk out of an RBC that has a Heinz body in it
What is the immediate precursor to the RBC?
Reticulocyte
What is indicated by an increase in reticulocyte values?
Body has an increased demand for oxygen that is not being met (e.g. hemorrhage, altitude)