RBC Maturation Flashcards
What is hematopoiesis?
production of all blood cells and platelets
In a fetus where does hematopoiesis take place?
liver and spleen
What is red bone marrow?
active, where cells are being made
What is yellow bone marrow?
inactive, (as an animal gets older the red marrow is replaced by fat cells giving it yellow color)
When cells are produced, what are the two types of cells they can develop into?
myeloid or lymphoid
What are all blood cells produced from?
PPSC/common ancestor cell
If a cell develops into a myeloid, can it change into a lymphoid, and vise versa?
no, its path cannot be reversed
What is erythropoietin?
hormone that is responsible for RBC production
What is erythropoiesis?
production of RBCs
What are the stages of erythropoiesis?
Rubriblast, Prorubricyte, Rubricyte, Metarubricyte, Reticulocyte, RBC
What is a Rubriblast?
most immature RBC (only one with a nucleolus)
% of Rubriblasts in bone marrow
~1%
What is the nucleus to cytoplasm ratio in a Rubriblast?
7:1
% of Prorubricytes in bone marrow
3-4%
% of Rubricyte in bone marrow
35%
What is polychromatic?
many color
What is polychromatic?
many colors
If reticulocytes are seen in a horse, is that good or bad?
bad
If reticulocytes are seen in dogs/cats, is that good or bad?
good, this means the patient has regenerative anemia
Reticulocytes do not have a ___________.
nucleus
A RBC has a __________ shape.
biconcave shape
What is the average size of a canine RBC?
7 microns
What is the average life span of a RBC?
120 days
What abnormality is normal to see on feline RBC?
Howell-Jolly bodies
Feline RBCs have a ___________________.
less distinct central pallor
What is aggultination?
bridging and clumping of RBC
In what patients is agglutination sometimes seen in?
patients with immune mediated disorders
What is rouleaux?
grouping of erythrocytes in stacks
Rouleaux in a normal finding in what species?
horses
How can you tell the difference between agglutination and rouleaux?
saline test; add a drop of saline to a drop of blood, rouleaux formations will disperse whereas agglutination will not
What are poikilocytes?
erythrocytes with abnormal shapes for the species at hand
What is a spherocyte?
sphere shaped with little to no central pallor
In what patients are spherocytes typically seen in?
patients with IMHA
What are ghost cells?
ruptured RBCs that lose their hemoglobin
What are eccentrocytes?
RBC with peripheral clear areas and displaced hemoglobin
What are echinocytes also called?
crenations
What are echinocytes?
spiculated RBCs, have evenly spaced surface projections
When are echinocytes seen?
in patients with renal disease
What are burr cells?
appear similar to echinocytes in canine, but elongated in felines
What are acanthocytes also called?
spur cells?
What are acanthocytes?
RBCs with 2-10 irregularly shaped blunt surface projections
When are acanthocytes seen?
in patients with liver disease or hemangio sarcoma
What are “blister” cells?
rupture to form the keratocyte
What are keratocytes?
RBCs with two uniform horn-like projections due to areas of damage
What are hypochromic cells?
color variation of the cell
What are torocytes?
color variation, aka punched out cell
What are stomotocytes?
have elongated “mouth-like” area of central pallor
What species are ovalocytes normal in?
camels, goats, and sheep
What are codocytes?
has an extra round membrane in the middle of the cell giving a target-like appearance
What are knizocytes?
bar cells, central bar shaped outfolding of the membrane
What are Schistocytes?
fragments of RBCs
What is DIC?
disseminated intravascular coagulation
When are Schistocytes seen?
in patients with DIC
What are Dacrocytes?
tear shaped cell
When are Dacrocytes seen?
may be seen in patients with myelofibrosis
What are Howell Jolly Bodies?
basophilic nuclear remnants; small fragment of non-functional nucleus left behind by spleen when RBC left bone marrow
What is basophilic stippling?
presence of small. round, dark blue granules within the erythrocyte
When is basophilic stippling seen?
patients with lead poisoning
When are Distemper Viral Inclusion Bodies seen?
often present during the acute phase of infection with Canine Distemper
What are Heinz Bodies?
round structures often projecting from surface of RBC
When do Heinz Bodies form?
form when hemoglobin change in usual shape
What species is it normal to see some Heinz Bodies?
healthy cats can have Heinz Bodies present in up to 5% of RBC
The erythrocyte precursor that has a round, dense to completely pyknotic nucleus is known as a ____________.
metarubricyte
In a normal marrow sample, which cell should be least commonly found?
prorubricyte
At what stage does an immature RBC have enough HgB to carry O2?
reticulocyte
What species has the smallest normal RBC?
caprine
Erythrocytes that are elliptical and anucleated and lack central pallor?
llama
A discocyte is a __________.
biconcave disc-shaped cell
What occurs most frequently in dogs with iron deficiency anemia?
hypochromic cells
An increased amount of which one of the following is a sign of RBC regeneration?
Howell-Jolly Bodies
Distemper Viral inclusions can form in which cells?
RBCs, WBCs, and epithelial cells