RBC Flashcards
Insufficient erythropoisis refers to the production of _____ RBC ______
Low number; RBC precursors
Term referring to the total mass of RBC in the blood and marrow
ERYTHRON
What type of abnormal eythropoeisis do thalassemia and sideroblastic anemia, vit b12/folate deficiency produce?
INEFFECTIVE erythropoeisis
3 conditions that result in the decrease in the production of RBC count (insufficient erythropoeisis)
- IDA
- RENAL DISEASE
- ACUTE LEUKEMIA
Colony Forming Unit- Erythroid is a type of what RBC cell
Progenitor = morphologically UNIDENTIFIABLE
Classical marker of HSC
CD 34
Earliest marker of erythroid differentiation is ______
It also functions as ______
- CD 71
2. Aka TRANSFERRIN RECEPTOR
The major mechanism of EPO that increases RBC mass is via
Prevention of apoptosis
Primary cell source of EPO is
Peritubular interstitial cell
Progenitor cells such as CFU-E is target by what hormone?
EPO
3 mechanisms why EPO can increase RBC count
- Decrease maturation time
- Early reticulocyte release
- Apoptosic Rescue
This is a non-dialyzable and thermos table hormone
EPO
What is labelled to RBC in order to determine survival time? This is reported in ___
- Chromium-51
2. 51Cr half survival time
What is the normal RBC survival time range
28-38 days
What hormone has an application in enabling autologous predonation
EPO
Hormone produced by the testes is ______
Action: ______
Affects what organ:______
- Testosterone
- Indirect stimulation of EPO
- Signals kidney to produce EPO
Which 2 hormones directly stimulate erythropoeisis. Which organs secrete/produce them?
GH (pituitary gland)
Prolactin (Ant. Pituitary gland)
Main reason why males have higher RBC mass than females
Hormones. Females have ESTROGEN = inhibits EPO (INDIRECTLY)
Estrogen mechanism of action
Inhibits EPO production by suppressing its production in kidney
Which hormone secreted by the pituitary gland that affects the BM
GH
Blood doping may result to what condition/s
Arterial and venous thrombosis
In order for HIV-anemic patients to use Zidovudine (AZT), what is needed?
EPO
One BFU-E matures, how long does it stay in the bone marrow being a recognizable precursor
6 days
How long does BFU-E mature?
18-21 days
Examples of supravital stains
- New methylene blue
2. Brilliant cresyl blue
Other names of EARLY NORMOBLAST
- Basophilic normoblast/ erythroblast
2. Prorubricyte
Metarubricyte is also known as
Orthochromatic normoblast/ erythroblast
When reticulocytes are Wright-stained, they are now termed as:
- Polychromatophilic erythrocytes
2. Diffusely basophilic erythrocytes
Which stage is the pink acidophilic stain visible on red cells
Rubricyte/ polychromatic normoblast
How many nucleolus can be seen in prorubricytes/ basophilic normoblasts
None to 1
It is in this stage that nuclear membrane becomes thick
Rubricyte/ polychromatic
Most helpful criteria to distinguish rubriblast from prorubricyte
PRORUBRICYTE:
- Coarser chromatin
- No nucleoli
Which RBC precursor is often confused with lymphocytes?
Rubricyte
Blueness/ basophilic intensity correlates with the _____
Amount of rRNA
Last stage capable of dividing
rubricyte
1st stage that Hb is produced
Prorubricyte
Earliest recognizable precursor ____ N:C ratio is ____
- Rubriblast
2. (8:1)
Checkered nucleus is a helpful distinguishing criteria of which precursor. This helps the RMT from confusing it from what cell
Rubricyte has checker nucleus; gray cytoplasm to differentiate it from LYMPHOCYTE
Appearance of lymphocyte to differentiate it from orthochromatic normoblast
Nucleus - crushed velvet
Cytoplasm - sky blue or robin egg
Which stage you begin to notice acidophilia/ pink color in cytoplasm
Polychromatophilic/ Rubricyte
Which RBC precursor cytoplasm has same color with a mature RBC
Late normoblast/ orthochromatic/ Metarubricyte
3 alternative name of Metarubricyte
- Acidophilic
- NRBC
- Pyknotic
The presence of _____may indicate that a patient has no spleen
Howell-Jolly bodies
Last stage with a nucleoli
Prorubricyte/ basophilic/early
Last stage with a nucleus
Metarubricyte/ orthochromatic/ late
_____ is an enveloped extruded nucleus
Pyrenocyte
Small DNA fragments left in a cell is called ____
Howell jolly body
A dense mass of degenerated chromatin is referred as
Pyknotic
Which part of ACIDOPHILIC erythroblast is seen as color salmon pink?
Cytoplasm
Before becoming a mature RBC, reticulocytes spend how many days in the peripheral blood
1 day
Reticulocytes spend ______ days in the bone marrow before maturing
2 to 3 days
Severe conditions such as hemolytic anemia cause the appearance of what type of reticulocytes??
Stress reticulocyte a.k.a MACROreticulocyte
Polychromatophilic macrocytes is also known as ______; this is seen in what cases?
- SHIFT retics
2. Seen in increased RBC production
What 3 components are still present in reticulocyte that enable the production of hemoglobin and aerobic metabolism
RNA, Golgi body, mitochondria remnants
1st stage of Hemoglobinization
Prorubricyte / basophilic / early
Last stage of hemoglobinization
Reticulocyte
Production of ____ WBC & ___ PLT = ____ RBC ____RBC, respectively
1 WBC = 600 RBC
1 PLT = 15 RBC
How many Metarubricyte is made from 1 rubricyte?
2
1 basophilic normoblast can produce ______
1 prorubricyte = 4 rubricyte
1 rubriblast can produce _____
2 prorubricyte
Color of cytoplasm in reticulocyte
Polychromatophilic since there are still small amounts of RNA left