W3 Flashcards
PROCESS THAT INCLUDES
CELL RENEWAL
CELL PROLIFERATION, DIFFERENTIATION, MATURATION
HEMATOPOIESIS
STEM CELL THEORY
ALL BLOOD CELLS ARE DERIVED FROM A SINGLE PROGENITOR STEM CELL
MOST WIDELY ACCEPTED
MONOPHYLETIC THEORY
MONOPHYLETIC THEORY
STEM CELL CALLED
PLURIPOTENT HEMATOPOIETIC STEM CELL
STEM CELL THEORY
EACH BLOOD CELL LINEAGES DERIVED FROM ITS OWN UNIQUE STEM CELL
POLYPHYLETIC THEORY
PRENATAL HEMATOPOIESIS: - PERIOD
CHIEF SITE:
19 DAYS EMBRYOLOGIC DEVELOPMENT
MESOBLASTIC PERIOD
YOLK SAC
FOUND IN YOLK SAC OF MESODERMAL CELLS
PRIMITIVE ERYTHROBLAST
2ND WEEK OF FETAL LIFE FORMATION OF - IN YOLK SAC
BLOOD ISLANDS
9TH WEEK OF FETAL LIFE
DEVELOPMENT OF -
PRIMITIVE ERYTHROBLAST
EMRYONIC HEMOGLOBIN
2 ZETA
2 EPSILON
GOWER 1
EMRYONIC HEMOGLOBIN
2 ALPHA
2 EPSILON
GOWER 2
EMRYONIC HEMOGLOBIN
2 ZETA
2 GAMMA
PORTLAND
PRENATAL HEMATOPOIESIS: -PERIOD
BEGINS AT 4-5 GESTATIONAL WEEKS
STARTS ON 2ND MONTH
HEPATIC PERIOD
PRENATAL HEMATOPOIESIS: - PERIOD
CHIEF SITE:
3RD MONTH OF FETAL LIFE
LIVER
HEPATIC PERIOD
PRENATAL HEMATOPOIESIS: HEPATIC PERIOD
OTHER ORGANS
THYMUS
T CELL
PRENATAL HEMATOPOIESIS: HEPATIC PERIOD
OTHER ORGANS
KIDNEYS/SPLEEN
B CELL
ERYHTOPOIESIS IN THIS SITE UNTIL NORMAL GESTATION
SPLENIC
SPLEEN: BECOMES MINIMAL BY THE 5TH MONTH
MYELOPOIESIS
SPLEEN: LIFETIME
LYMPHOPOIESIS
FETAL HEMOGLOBIN
2 ALPHA
2 GAMMA
HB F
PRENATALL HEMATOPOIESIS: - PERIOD
HEMATOPOIESIS BEGINS TO DEVELOP IN BONE MARROW CAVITY
START 5MOS OF FETAL LIFE
MEDULLARY/MYELOID
MYELOID-TO-ERYTHROID RATIO
ADULT LEVEL
21 WEEKS OF GESTATION
3:1
BY THE END OF - MONTHS THE BM BECOMES THE PRIMARY SITE OF HEMATOPOIESIS
6 MOS
ADULT HEMOGLOBIN
2 ALPHA
2 BETA
HB A1
ADULT HEMOGLOBIN
2 ALPHA
2 DELTA
HB A2
PRIMITIVE , UNDIFFERENTIATED CELL
HEMOCYTOBLAST/ STEM CELLS
TISSUE LOCATED WITHIN THE CAVITIES OF THE CORTICAL BONES
BONE MARROW
BONE MARROW CAVITIES CONSIST OF - RESEMBLING A HONEYCOMB
TRABECULAR BONE
2 TYPES OF BM:
HEMATOPOIETICALLY ACTIVE MARROW
RED MARROW
2 TYPES OF BM:
HEMATOPOIETICALLY INACTIVE MARROW
PRIMARILY COMPOSED OF ADIPOCYTES
YELLOW MARROW
BONE MARROW REPRESENT -% TOTAL BODY WEIGHT
3.5-6%
1500G
SITE OF B CELL MATURATION
BONE MARROW
RATIO OF RED MARROW TO YELLOW MARROW
MARROW CELLULARITY
MARROW CELLLULARITY
MARROW HAS 30-70% HSCS
NORMOCELLULAR
MARROW CELLLULARITY
MARROW HAS >70% HSCS
HYPERCELLULAR/HYPERPLASTIC
MARROW CELLLULARITY
MARROW HAS <30% HSCS
HYPOCELLULAR/HYPOPLASTIC
MARROW CELLLULARITY
MARROW HAS FEW OR NO HSCS
APLASTIC
FIRST PRECURSON IN EACH CELL LINE
BLAST
BONE MARROW EXAMINATION: ASPIRATION
ML
30-35ML
ASPIRATE 1-3ML
BONE MARROW EXAMINATION: ASPIRATION
COMMON SITE FOR APPREHENSIVE PATIENTS
ILIAC CREST
BONE MARROW EXAMINATION: ASPIRATION
USUAL SITE PUNCTURE IN ADULTS
2ND AND 3RD RIBS
STERNUM
BONE MARROW EXAMINATION: ASPIRATION
FOR CHILDREN UNDER 2 YEARS OF AGE
TIBIA
BIOPSY
USES NEEDLE AND CORE SAMPLE
NEEDLE BIOPSY
BIOPSY
USED TO REMOBE CIRCULAR SECTION
TREPHINE
BONE MARROW SMEAR
ML OF SPECIMEN
ADDITIVE
0.3-0.5ML, EDTA
MARROW SMEARS W/O ANTICOAGULANT
- TYPE: MINUTE DROP OF SPX
WEDGE TYPE
MARROW SMEARS W/O ANTICOAGULANT
- TYPE: SEVERAL MARROW PARTICLES
PARTICLE SMEAR
MARROW SMEARS W/O ANTICOAGULANT
- TYPE: SQUASHING PARTICLE BETWEEN 2 SLIDES
CRUSHED PARTICLE SMEAR
MARROW SMEARS W/O ANTICOAGULANT
- TYPE: IMPRINT OF SPX + ZENKER
TOUCH PREP
M:E RATIO
6:1
INCREASE
INFECTION
M:E RATIO
25:1
INCREASE
LEUKEMIA
M:E RATIO
20:1
INCREASE
MYELOID HYPERPLASIA
M:E RATIO
3:20
DECREASE
MYELOID HYPOPLASIA
M:E RATIO
1:20
DECREASE
ERYTHROID HYPERPLASIA
M:E RATIO
5:1
INCREASE
ERYTHOID HYPOPLASIA
BONE MARROW DIFFERENTIAL
CELLS COUNTED: -
500-1000CELLS
MOST MATURE CELL OF PHAGOCYTIC SYSTEM
LARGE 30 UM
IRREGULARLY SHAPED WITH PSEUDOPODS
MACROPHAGES
NORMAL
12-25UM
BLUE BLACK GRANULES
MAST CELLS
NORMAL
SYNTHESIZE NEW BONE MATRIX
WATERBUG/ COMET APPEARANCE
OSTEOBLASTS
NORMAL
INVOLVED IN BONE DEMINERALIZATION AND RESORPTION
100UM
OSTEOCLASTS
NORMAL
MACROPHAGES IN LIVER CELLS
KUPFFER CELLS
RETICULOENDOTHELIAL ORGAN
FUNCTION: LYMPHOPOIESIS AND PHAGOCYTOSIS
SPLEEN
SITE OF EXTRAMEDULLARY HEMATOPOIESIS
STORES 30% OF PLATELETS (1/3 OF PLATELETS)
SPLEEN
SPLEEN PULP
CONTAINS LYMPHOID TISSUE
WHITE PULP
SPLEEN: WHITE PULP
COTAINS MAINLY T CELLS
PALS
PERIARTERIOLAR LYMPHOID SHEATHS
SPLEEN: WHITE PULP
CONTAINS NAIVE B CELLS
PRIMARY FOLLICLES
SPLEEN: WHITE PULP
CONTAINS DENDRITIC CELLS
MARGINAL ZONE
SPLEEN PULP
CONTAINS SPECIALIZED MACROPHAGES FOR REMOBAL OF SENESCENT RBCS
RED PULP
SPLEEN: RED PULP
PROCESS OF DESTROYING SENESCENT RBCS
CULLING
SPLEEN: RED PULP
PROCESS OF REMOVING RBC INCLUSION
PITTING
SPLEEN: RED PULP
REMOBAL OF MATURE RBC, DEGRADATION OF CELL ORGANELLES
CULLING
ACTS AS A FILTER TO REMOVE FOREIGN BLOOD CONTAMINANTS
FOR BODYS INFECTION DEFENSE
LYMPH NODES
IMMATURE LYMPHOCYTES MATURE IN THE -
LYMPH NODES
LAYERS OF LYMPH NODES
CONTAINS MACROPHAGE, FOLLICULAR DENDRITIC CELLS
NAIVE OR RESTING B CELL
PRIMARY FOLLICLE-CORTEX
LAYERS OF LYMPH NODES
CONTAINS PROLIFERATING B CELLS AND PLASMA CELLLS
SECONDARY FOLLICLES-CORTEX
LAYERS OF LYMPH NODES
CONTAINS MAINLY T CELLS
PARACORTEX
LAYERS OF LYMPH NODES
CONTAINS T CELLS, B CELLS, PLASMA CELLS, MACROPHAGES
MEDULLA
RESPONSIBLE FOR NORMAL DEVELOPMENT OF LYMPHOCYTES
NECK AREA
THYMUS GLAND
FOUND IN BIRDS ANALOGOUS TISSUE IN MAN
FOR NORMAL ANTIBODY PRODUCTION
BURSA FABRICUS
MAJOR COMPARTMENT/ CELL TYPES
PRESENT IN THE FIRST FEW HOURS AFTER FERTILIZATION
MOST VERSATILE CAN DEVELOP IN ANY HUMAN CELL TYPE
EMBRYO TO FETUS
TOTIPOTENTIAL STEM CELLS
MAJOR COMPARTMENT/ CELL TYPES
PRESENT SEVERAL DAYS AFTER FERTILIZATION
CANNOT DEVELOP INTO FETUS
PLURIPOTENTIAL STEM CELLS
MAJOR COMPARTMENT/ CELL TYPES
FROM PLURIPOTENT STEM CELLS
LIMITED TO SPECIFIC TYPES
MULTLIPOTENTIAL STEM CELLS
CAN DIFFERENTIATE INTO ANY CELL LINE
STEM CELLS
STEM CELLS
MULTIPOTENTIAL STEM CELLS -> NON-LYMPHOCYTES
CFU-S
STEM CELLS
SECONDARY MULTIPOTENTIAL STEM CELLS ->LYMPHOCYTES
CFU-L
CAN DIFFERENTIATE INTO ONLY ONE CELL LINE
PROGENITOR CELLS
3RD MARROW COMPARTMENT= BLAST FORM
PRECURSOR CELLS
STIMULATES ERYTHROID CFU CELLS AND PROERYTHROBLASTS
EPO
STIMULATES MEGAKARYOCYTE CFU CELLS
TPO
STIMULATES GRANULOCYTE-MACROPHAGE CFU CELLS
G-CDF
STIMULATES B AND T CELL FORMATION
WITH G-CSG AND GM-CSF
INTERLEUKINS
GROWTH FACTOR
FROM PERITUBULAR CELLS OF THE KIDNEYS
ERYTHROPOIETIN
GROWTH FACTOR
FROM ACTIVATED T LYMPOHCYTES
TARGET: EO, MONO
IL-3