WBC Morphology Flashcards
WBC
Normal Range
- 6,000-16,000 / uL
- Absolute vs %
Blood Smear WBC Count
- Normal: 10-30 WBCs per x10 counting field
- # (average) x 10 = WBCs /uL
Leukocytosis
- Elevated WBC count
- Sign of infection
- Differential to better diagnose
Leukopenia
Decrease in WBC
WBC Differentials
- Count 100 WBC
- Group each type found
- This gives the WBC percent
Absolute WBC
% on count x total WBC count
* turn % into decimal
* answer in /uL
* most important value
WBC Count Corrected for nRBC
(WBC Count x 100) / (100 + nRBC Count)
* do when more than 5 nRBC
* use this new WBC count for absolute value
Granulocytes
Which Cells
- Neutrophils
- Eosinophils
- Basophils
Agranulocytes
Which Cells
- Lymphocytes
- Monocytes
WBC Maturation
- Myeloblasts
- Promyelocyte
- Myelocyte
- Metamyelocyte
Metamyelocyte
- Stage where WBC diferentials branch off (N, B, E)
- Can be found in circulation in severe infection / inflammation
- Kidney-bean shapped
Neutrophils
- Most circulating WBC
- First line of defense
- Phagocytosis
Neutrophil Normal Range
3,000 - 11,300 /uL
Segmented vs Banded Neutrophils
- Segmented = most mature
- Band = immature
Banded Normal Range
0 - 400 /uL
* left shift when >500 /uL
Segmented Neutrophils
Most abundant WBC in domestic species (except ruminants)
* when in doubt, assume segmented
Banded Neutrophils
- Same width throughout entire nucleus
- Only see with leukocytosis
Neutrophilia
- High neutrophil count
- Acute inflammation
Neutropenia
- Low neutrophil count
- Severe infection
Neutrophilia w/ Left Shift
- Bone marrow releases bands to meet demands
- Segs > Bands
Neutropenia w/ Degenerative Left Shift
- Bands > Segmented
- Poor Prognosis
- May see Metamyelocytes
Neutrophils
SMILED
When stressed, you should smile
* Segs and
* Monos
* Increased
* Lymphs and
* Eosins
* Decreased
Lymphocytes
- Immune function
- Second most common WBC
Lymphocyte vs Reticulocyte
Reticulocyte
* more cytoplasm
* denser, smaller nucleus
Lymphocyte Normal Range
1,000 - 4,800 /uL
Lymphocytosis
- Increased lymphocyte count
- Vaccinations or Viral response
- May see with young animals (immunity)
Lymphopenia
- Decreased lymphocyte count
- Stress
Lymphocytes
Monocytes
- Largest WBC
- Phagocytosis
- Macrophages when in tissue
Monocyte Normal Range
200 - 1,300 /uL
Monocytosis
- Increased monocyte count
- Chronic inflammation
Monocytes
Eosinophils
- Important in hypersensitivity reactions and parasite infections
- Modulation of immune system
- Phagocytosis
Eosinophils
Granual Shapes
- Pink coloration
- Dogs: round shaped
- Cats: rod shaped (fills cytoplasm)
- Greyhounds don’t stain
Eosinophil Normal Range
100 - 750 /uL
Eosinophilia
- Increased eosinophils
- Allergies, Fleas, HW
Eosinopenia
- Low eosinophil count
- Stress or Steroids
Eosinophils
Basophils
- Important in hypersensitivity reactions and parasite infections
- Not commonly seen
Basophil Normal Range
0 - 30 /uL
Basophilia
- Increased basophil count
- Parasites and Allergies
Basophils
Pelger-Huet Anomaly
- Nuclear hyposegmentation
- Common in Aussies
- Chromatin still condensed
- Look like bands - nucleus looks mature, darker
Nuclear Hypersegmentation
- Nucleus with >5 segments
- Caused by aging of neutrophil - stress or prolonged storage
- Report only if seeing lots
Toxic Change Cause
- Inflammation
- Infection (bacterial)
- Drug toxicity
Toxic Change
Appearance
- Neutrophil with basophilic cytoplasm
- Dohle bodies
- “foaminess”
Dohle Bodies
Small clumps of gray-blue areas within cytoplasm (ribosomes)
Siderotic Granules
- RBC - may look like stain artifacts or Dohle Bodies
- Use Prussian Blue stain to differentiate
Siderotic Granules Cause
IMHA
Siderotic Granules