WBC Abnormality And Anomaly Flashcards
Last stage of mitosis
Myelocyte
Increase in concentration of WBC
Luekocytosis
Term used to identify very immature cells seen on PBS
Blast
First morphologic stage where you can differentiate neutrophilic, eosinophilic and basophilic
Myelocyte
High NC ratio, finely reticular chromatin with nucleoli
Myeloblast
Blue cytoplasm with azurophilic granules
Promyelocyte
Nuclear remnants of lympho
Thumbprint appearance
Smudge cell
Classification of leukocytes
Granulation
Segmentation
Function
Lymphocyte Seen in nonmalignant reactive disorders
Variant lymphocyte
Stage: Synthesis of tertiary granules
Metamyelocyte
Formation of secretory vesicles
Band
Proposed by the NCCLS as the term of choice for this type of lymphocyte
Variant lymphocyte
Also called plasmacytoid lymphocyte and Turk irritation cell
Type 1
Macropolycyte
5-10 lobes. Seen in megaloblastic anemia
Hypersegmented neutrophils
Ruptured WBC with bare nucleus
Due to improper forceful smearing
Smudge cells
Vacuolated cell may be seen in
Severe infections
Chemical poisoning
Leukemia
Dark blue, ovoid non granular with russel bodies that produces proteins
Plasma cell
Seen in 88% of patients with cancer
Hairy cell
A phagocytic monocyte with engulfed nucleus of another cell
Tart cell
Predominant type seen in IM
Fried egg and flared skirt appearance
Type II
Infectious mononucleosis
A phagocytic neutrophil that has ingested an altered homogenous globular nuclear mass of destroyed cell
Lupus erythematosus cell
Wrinkled or onion skin like appearance
Gaucher bodies
Lymphocyte with notched lobulated or segmented or clover leaf like nucleus in chronic lymphocyte or lymphatic leukemia
Reider cells
Most valuable and reliable criterion for describing whether a WBC is mature or immature
Nuclear chromatin pattern
Functionally immunocompetent. Probably of B Cell origin
type 1/ plasmacytoid lymphocyte
Characterized by the failure of the nucleus of neutrophils to segment or lobulate
Pelger huet anomaly
The appearance of this inclusions is transient only
Dohle bodies
Presence indicates increased cell fragility or cell destruction
Smudge cell
Tart cell may be seen in
Drug sensitivity
Granulation results from an abnormal deposition and storage of mucopolyssacharide
Cytoplasmic granulation is not transient or related to an infection
Alder reilley anomaly
Genetic qualitative disorder with abundant sudanophilic inclusions
Jordan anomaly
Found in neutrophils as irregular, round or oval blue staining cytoplasmic inclusions
About the size of cocci 2um
Dohle bodies
Most common increase. Non malignant
Increase neutrophil
With holes or vacuoles in the cytoplasm
Sign of degeneration
Vacuolated cell
Rare autosomal dominant, qualitative leukocyte abnormality
May Hegglin anomally
Greenish pigment
Sulfhemoglobin
Test used to differentiate dohle bodies and May hegglin anomaly
Periodic acid schiff
Normal size of WBC
9-15um
Believed to be altered primary granules
Color dar blue to black
Toxic granulation
Characterized by dense azurophilic granulation in all types of leukocytes
Alder Reilly anomaly
Czediak higashi patients display?
Partial albinism
Pince Nez form of neutrophil nucleus
Pelger huet anomaly
First describe in association with progressive muscular dystrophy and subsequently icthyosis
Jordan anomaly
Rod like bodies when stain reddish purple in the cytoplasm of myeloblast in acute myelocutic leukemia
Auer bodies
May hegglin Demonstrate?
Pale blue, spindle-shaped inclusions (2-5um)
Rare condition in which both fandom and directed movement of the cells are defective
Lazy leukocyte syndrome
Results from the proteinacious material produced by immune globulins
Grape like structure
Russel bodies
Granules are believed to be normal in content but abnormally packaged
Czediak Higashi
Flame cells or flaming plasmacytes
Russel bodies
Accumulation of ganglioside and glycolipid
Tay sach
Release of cell from the marrow to the peripheral blood is poor
Lazy leukocyte syndrome
Alder Reilly is associated with?
Skeletal dystrophy
Gargoylism
Reduced form of iron
Ferrous
Gaucher bodies are the accumulation of what enzyme
Glucocerobroside
Bodies with glycoprotein component found in dysproteinemias
Dutcher bodies
Foamy or soap suds appearance
Niemann-Pick
Deficiency associated with tay sach
Hexosaminidase type A
Stain positively for fat
Jordan anomaly
Disease association of dohle bodies
Scarlet fever
Best time to take iron supplements
Early morning
Transport protein for iron
Transferrin
Most functional protein in human
Hemoglobin
Myoglobin
Storage form of iron
Ferritin
Hemosiderin
Other tern for heme
Protoporphyrin IX
Respiratory pigment
Hemoglobin
Chromosome 11
Beta, delta epsilon, gamma
Production of globin chain takes place in what stage
Pronormoblast
Diagnostic of acute myelogenous leukemia
Auer rods
Granules that kills bacteria once engulfed
Myeloperoxidase
Competes with iron supply
Lactoferrin
Translated more efficiently that alpha globin mRNA
B-globin mRNA
1 RBC
34g/dL
Gower II
Alpha and epsilon
Iron that is incorporated into hemoglobin molecule
Heme
Heme synthesis occurs in what part of the body?
Bone marrow
Major organelle of heme synthesis
Mitochondria
1st three months of embryonic development
Ontogeny
Oxygenated hemoglobin?
What color?
Seen in?
Oxyhemoglobin
Bright red
Arterial blood
Unable to act as an oxygen carrier
Non functional Hb
Gower 1
Zeta and epsilon
Irreversible reaction. Hypoxia results
Carboxyhemoglobin
Color of carboxyhemoglobin
Seen in
Cherry red
Blood and skin
What is my favorite color
Flesh pink
Contain ferric. Reaction is reversible
Methemoglobin
Degrade bacterial cell wall
Lysozyme
Nuclear remnants of granulocytic cells with net like chromatin pattern
Basket cell
Genetic disorder characterized by giant cytoplasmic granules in the phagocytes and lumphocytes
Czediak-Higashi syndrome
Linear projections of primary, azurophilic granules
Auer bodies
Large hypogranular platelets are seen
May Hegglin Anomaly
Infectious mononucleosis cell
Type II
Cartwheel pattern
Plasma cell
Plays a major role in parasitic infections and in hypersensitivity reaction
Eosinophil
Body soldiers
Leukocytes
Kidney or peanut shaped
Metamyelocyte
Seen im hexagonalbipyramidal crystals
Charcot leyden crystals
Neutral cytoplasm with no nucleus that is divided by thin filaments containing no internal chromatin into 2-5 lobes
Segmented neutrophil
Sieve like appearance of chromatin
Myeloblast
Robin egg blue cytoplasm
Lymphocyte
Slight clumping chromatin
Promyelocyte
Juvenile stage
Metamyelocyte
Tertiary granules?
Gelatinase granules
May appear as undefined blast cell
Immature monocyte
Caused by a mutation of the lamin B
Pelger huet anomaly
Granules that play a major role in the cell’s ability to damage parasitic invaders
Major basic protein
Structural abnormality in the Myeloperoxidase gene
Alder reilly anomaly
Include giant lysosomal granules in granulocytes, monocyte and lymphocytes
Czediak higashi
Important marker on inflammation. Induced by increases in granulocyte CSF
Toxic granulation
Charcot leyden is composed of
Lysophospholipase
Stains light pink with many small specific granules that give cytoplasm a grainy appearance
Neutrophil
May demonstrate pseudopods
Monocyte
S, C or U shaped
Band
Dawn of neutrophilia
Myelocyte