T8 - L1 introduction to haematology Flashcards

1
Q

what is Haemopoiesis?

A

physiological developmental process that gives rise to the cellular components of blood

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2
Q

what is the result of asymmetric self-renewal of a haemopoietic stem cell?

A

Maintain stem cell pool – generation of differentiated progeny

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3
Q

what is the result of symmetric self-renewal of a haemopoietic stem cell?

A

Increase stem cell pool – NO generation of differentiated progeny

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4
Q

what is the result of lack of self-renewal of a haemopoietic stem cell?

A

Deplete stem cell pool – generation of ONLY differentiated progeny or Maintain stem cell pool – NO differentiated progeny

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5
Q

what are features of a Haemopoietic Stem Cell?

A
  • self-renewal - High proliferative potential - Differentiation potential for all lineages - Long term activity throughout the lifespan of the individual
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6
Q

what are the two Haemopoietic Lineages a Haemopoietic Stem Cell could take?

A

myeloid e.g. - granulocytes - erythrocytes - platelets lymphoid e.g. - B-lymphocytes - T-lymphocytes

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7
Q

what are the functions of blood cells?

A
  • Oxygen transport - Coagulation (haemostasis) - Immune response to infection - Immune response to abnormal cells (senescent, malignant etc)
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8
Q

what are features of erythrocytes?

A
  • Bi-concave discs, 7.5 µM diameter - Lifespan 120 days in blood - Contain Haemoglobin - 333,200 x 106 red cells
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9
Q

what condition arises as a result of reduced red cells?

A

anaemia

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10
Q

what condition arises as a result of raised red cells?

A

polycythaemia

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11
Q

what is Relative polycythaemia?

A

when plasma volume is reduced NOT an increase in RBC

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12
Q

what are features of leukocytes?

A

(WBC) function: immunity - granulocytes - monocytes - lymphocytes

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13
Q

what are features of neutrophils?

A
  • Phagocytes - Most common white cell in adult blood - Live for only a few hours in blood
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14
Q

what condition arises as a result of raised neutrophils?

A

neutrophilia

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15
Q

what condition arises as a result of decreased neutrophils?

A

neutropenia

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16
Q

what are features of monocytes?

A

Phagocytic & antigen-presenting cells Migrate to tissues & are then identified as “macrophages” or “histiocytes”

17
Q

what is monocytosis?

A

increased monocytes e.g. occurs in tuberculosis

18
Q

what is lymphocytosis?

A

increased lymphocytes

19
Q

what is lymphopenia?

A

decreased lymphocytes e.g. post bone marrow transplant

20
Q

what is plasmacytosis?

A

increased B-lymphocytes e.g. infection, myeloma

21
Q

where do platelets derive from?

A

from bone marrow megakaryocytes

22
Q

what is a full blood count made up of?

A

Haemoglobin concentration Red cell parameters: MCV (mean cell volume) MCH (mean cell Hb) White Cell Count (WCC) Platelet Count

23
Q

where would you perform a bone marrow aspirate?

A

posterior iliac crest of the pelvis