WBC Flashcards
Predominant WBC in adults
Neutrophil
Predominant WBC in children <=4 year of age
Lymphocyte
On dtermining WBC maturity, MOST valuable and reliable criterion is
Nuclear chromatin patter
Earliest recognizable granulocytic precursor using light microscopy
Myeloblast
shows the presence of dispersed Primary Azurophilic granules in the cytoplasm, the number of granules does NOT exceed 20 per cell
Type II myeloblast
larger than Myeloblast, ‘‘hof’’ is usually seen in normal promyelocyte, full of primary azurophilic/nonspecific granules
Promyelocyte
Hollow in the cytoplasm of a cell that lodges the nucleus
Hof
LAst stage capable of mitosis; stage of synthesis of secondary granules (specific granules)
Myelocyte
may look very similar to the promyelocyte
Early myelocyte
patches of grainy pale pink cytoplasm representing secondary granules start to become obvious in the area of the Golgi apparatus
Dawn of Neutrophilia
Nucleoli are absent. Synthesis of Tertiary granules
Juvenile cell
First stage of Nuclear indentation
Metamyelocyte
Stab cell or Staff cell. Youngest granulocytic to normally appear in Per. Blood
Secretory granules may begin to form
Band cell
Tertiary granules is also known as
Gelatinase
usually caused by a shift of marginated cells to the circulatory pool
Pseudoneutrophilia
associated with drugs: amidopyrine and cephalosporin. aka. Extreme Neutropenia
Agranulocytosis
caused by T. spiralis, possibly produced the highest eosinophil count
Trichinosis
Associated conditions in Basophilia
‘’ I H U E’’
Immediate hypersensitivity rxn
Hypothyroidism
Ulcerative colitis
Estrogen theraphy
predominant type of Lymphocyte in normal adult blood
composed mostly of nucleus
scanty cytoplasm
Small lymphocyte
final maturation stage of B lymphocyte
‘‘tortoise shell’’, ‘‘cartwheel’’ or ‘‘clock-face’’
Plasma cell
may contain round discrete globules called Russel bodies
‘‘dark-blue’‘/sea-blue/ cornflower in color
Cytoplasm of Plasma cell
most common malignant disease of plasma cells
Plasma cell myeloma
Functions of macrophage
‘’ P S R P’’
Phagocytosis
Synthesis of Nitric oxide
Release of IL-1
Produce transcobalamin
Mesanglial cells (Renal macrophage)
Kidneys
Dendritic cells
Lymph nodes
Type A cells
Synovial tissue
Microglial cells
Brain
Most common WBC in the normal peripheral blood, first to reach the infected areas then Monocyte
Neutrophil
neutrophil move in what manner
Zigzag
Neutrophils share a common progenitor with monocytes
GMP (Granulocyte Monocyte Progenitor)
Major stimulatory cytokine for neutrophil production
G-CSF
Granulocyte-Colony Stimulating Factor
Half life of neutrophils in the blood
7 hours
extracellular threadlike structures thought to represent chains of nucleosome from unfolded nuclear chromatin material
NETs
3 major function of Neutrophil
- Phagocytosis
- Generation of NETs
- Secretory function
an enzyme that exhibits bactericidal, fungicidal and viricidal properties
Myeloperoxidase
aka. Muramidase an anti-microbial enzyme
Lysozyme
an iron binding protein that competes w/ bacteria for Iron
Lactoferrin
contribute to tight stationary binding between neutro and endothelial cells
CD11b/ CD18
Neutrophil is the only WBC that has an activity with the enzyme
Alkaline phosphatase
Most specific cytokine for Eosinophilic Lineage
IL-5
hallmark of allergic disorders
Eosinophilia
Circulating half life of Eosinophil
18 hours
Survival time of eosinophils in human tissue ranges from
2 to 5 days
disintegration products of eosinophils, hexagonal, bipyramidal crystals
Charcot-leyden Crystals
Color of Charcot-Leyden crustals in Hematoxylin
Black
Color of Charcot-Leyden crystals in Eosin
Red
Color of Charcot-Leyden crystals in Trichome stain
Purplish red
Formed during the Promyelocyte stage, last to be released during exocytosis
Primary (Azurophilic) Granules
Formed during the Myelocyte and Metamyelocyte stages, Third to be released
Scondary (Specific) Granules
Formed during the Metamyelocyte and Band stages, Second to be released
Tertiary (Gelatinase) Granules
Formed during the Band and Segmented neutrophil stages, First to be released
Secretory Granules
Formed during the Promyelocyte stage. Contain Charcot-Leyden Crystal protein
Primary Eosinophil Granules
Formed througout the remaining maturation of Eosinophil
Secondary granules
happens whene xtracellular intact granules are deposited during cell lysis
Cytolysis
secretory vesicles remove specific proteins from secondary granules, travel to Plasma membrane fuse and empty proteins into extracellular space
Piecemeal degranulation
granules fuse together within the eosinophil prior to fusing with the plasma membrane
Compound exocytosis
Basophil Granules
‘’ H I C I’’
Histamine
Interleukin-4
Chondroitin sulfates
Interleukin-13
a dye that can bind with acid mucopolysaccharides ain blood cells to form metachromatic complexes
Toluidine blue
histochemically defined as a reaction product color that is considerably different from the color of the dye itself
Metachromasia
valuable in identifying basophil and mast cells
Toluidine blue stain
Lifespan of Basophil
60 hrs
round horse-shoe shaped or lobulated
Chromatin: lace-like or stringy
vacuoles present
Monocyte
Cytoplasm (Monocyte):abundant blue-gray containing fine indistinct granules called
Azure dust (ground-glass appearance)
Monocyte are best identified by their strong positive reaction with
Nonspecific Esterase stain
Monocyte are said to be rich in
Muramidase
Monocyte remain in the circulation roughly
3 days