RBC Morphology Flashcards

1
Q

Erythropoiesis

A

Production of RBCs

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2
Q

Erythropoiesis

Where is Happens

A

Occurs in the bone marrow with aid of erythropoietin
* stored in kidneys

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3
Q

Erythropoiesis

Cellular Changes

A
  • Cytoplasm size decreases
  • Nucleus size decreases
  • Chromatin clumps
  • Basophilic –> Eosinophilic
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4
Q

RBC Cell Stages
(5)

A
  • Rubriblast
  • Prorubricyte
  • Rubricyte
  • Metarubricyte
  • Reticulocyte
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5
Q

Reticulocyte

A
  • Cytoplasm stains bluish-buff (ribosomes)
  • No central pallor
  • Only 50% will carry oxygen
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6
Q

Cat RBC

A
  • 90 day lifespan
  • Round shape
  • Little to no central pallor
  • Smaller than dogs
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7
Q

Dog RBC

A
  • 100-110 day lifespan
  • Biconcave shape (discocyte)
  • Larger than cats
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8
Q

Anisocytosis

A
  • Abnormal variation in RBC size
  • Slight, Moderate, or Marked
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9
Q

Polychromasia

A
  • Variation in cell colors
  • Immature RBC stains blue
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10
Q

Howell-Jolly Bodies

A
  • Nuclear remnant material inside RBC
  • Sign of regeneration
  • If no reticulocytes seen - sign of macrophage dysfunction (spleen supposed to filter out)
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11
Q
A

Howell-Jolly Bodies

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12
Q

Nucleated RBC

A
  • Counted as WBC on cell counter
  • May be seen in regeneration, CHF, IMHA, lead poisoning, hemangiosarcoma, liver disease
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13
Q

Poikilocytosis

A
  • Abnormally shaped RBCs
  • Exact shape should be used for specific diseases
  • Don’t report on lab forms
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14
Q

Leptocytes

A
  • Large cells with thin membrane and fold easily
  • Target cells - codocytes
  • Barr cells - knizocytes
  • Sign of liver disease
  • Report as either target or barr cells
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15
Q
A

Barr Cell - Knizocytes

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16
Q

Acanthocytes

A
  • Multiple, irregular, thorny projections
  • Seen with hemolytic anemia, liver disease, and hemangiosarcoma
  • Typically see with DIC
17
Q
A

Acanthocytes

18
Q

Spherocytes

A
  • Lack central pallor
  • Formed by macrophages partially eating antibody-coating on cell
  • Easier to recognize in dogs
  • Seen only in IMHA
  • Quantitate with a percentage
19
Q
A

Spherocytes

20
Q

Heinz Bodies

A
  • Oxidation and denaturation of hemoglobin in RBC
  • Most common in cats
  • Causes: ingestion of onions, acetaminophen, drugs
  • Quantitate with a percentage
21
Q
A

Heinz Bodies

22
Q

Echinocytes

A
  • Multiple, small evenly distributed projections
  • Common cause due to crenation
  • Sign of renal disease
23
Q
A

Echinocytes

24
Q

Schistocytes

A
  • Fragments of RBCs
  • RBC sheared from intravascular trauma
  • Seen in disseminated intravascular coagulation (DIC)
  • Quantitate with a percentage
25
Q
A

Schistocytes

26
Q

Signs of Regeneration

A
  • Nucleated RBCs
  • Anisocytosis
  • Polychromasia
  • HJB
27
Q

Rouleaux

A
  • Stacked RBCs
  • Common in cats
  • Will separate with saline
28
Q

Rouleaux Cause

A
  • Increases with increased globulin concentation (inflammation)
  • Artifact with older blood before smear or if refrigerated
29
Q

Agglutination

A
  • Clumping of cells
  • Will not separate with saline
  • Seen in cases of autoimmune disease
  • Form due to excess antibodies on cell surface
30
Q

Keratocytes

A
  • Blister cells
  • Oxidative injury to RBC
  • Intravascular trauma
  • Liver disease
31
Q
A

Keratocyte

32
Q

Eccentrocyte

A
  • Hemoglobin concentrated to one side of the cell
  • Oxidative injury of RBC
  • Dog: zinc or onion toxicity
  • Cat: Tylenol, lymphoma, diabetes, hyperthyroid
33
Q
A

Eccentrocyte

34
Q

Basophilic Stippling

A
  • Small, dark basophilic granules scattered within RBC
  • Lead poisoning (dogs), regenerative anemia, bone marrow disorders
35
Q

Dacrocyte

A
  • Teardrop shaped RBC
  • May represent fragmentation
  • Artifact if tails pointing same direction
36
Q

Metarubricyte

A
  • Will need to correct WBC for these
  • Called NRBCs in circulation
37
Q

Stomatocyte

A
  • Coffee bean look
  • Cell folded
  • Usually seen with hypochromasia