ࡱ>  bjbj-- 4.OOppppp,xt,ppp2ppkPҮ].H0x,t t p$xt  6:     Peripheral Blood Smear Self-Review (Lab Final) Blood Smear Technique Smear Concentration smear blood across slide horizontally, so density is from high ( low Examination examine where not too packed, but not so sparse to create morphological distortion artifact WBC Differential zig-zag through good field until 100 WBCs counted; put into categories Left Shift means more premature WBCs in blood, due to active infection/appendicitis RBC Morphology includes anisocytosis, poikilocytosis, polychromatophilia, hypochromia: Anisocytosis variation in size (1+ just detectable, 4+ macro/microcytes together) Poikilocytosis variation in shape (1+ occasional abnormal cell, 4+ 50% cells abnormal) Polychromatophilia retained RNA (1+ 1-2 blue cells per oil field, 4+ 50% cells blue) ( retics Hypochromia increased central pallor (1+ just detectable, 4+ only faint RBC rim left) Platelet Estimation 9-20 per oil field = 200,000-400,000/uL = normal Normal Morphology RBC should have pale orange-pink appearance with central pallor 1/3-1/2 diameter of cell Too dense RBC overlap, cells become thicker & dont uniformly have central pallor Too sparse RBCs lack central pallor, too flattened out WBC PMNs most common; myelocytes usually indicate infection, any blast form = definite infection Neutrophil Maturation Series Myeloblast precursor to granulocytes/monocytes: Large ovoid eccentric nucleus, scant cytoplasm Several clear nucleoli unlike a lymphocyte (no nucleoli) Reddish-purple granules in scant cytoplasm Promyelocyte myeloblast differentiates into this, precursor to granulocytes: Larger cell size more abundant cytosplasm than myeloblast; about 2x RBC diameter Reddish-purple granules indicate myeloid lineage Several clear nucleoli unlike lymphocytes Myelocyte promyelocyte differentiates into this, precursor to granulocytes: More condensed nucleus only occupies 50% of cell size; eccentric Blue azure granules in cytoplasm, appears smoother Metamyelocyte myelocyte differentiates into this, precursor to granulocytes: Indented oval nucleus resembles kidney bean, 50% of cell size Absent nucleoli chromatin is now very clumped Pink cytoplasm neutrophilic granules completely color cytoplasm Myeloid Band form precursor to granulocytes: C-shaped nucleus eventually will begin to lobulate, but no indentations yet Pink cytoplasm characteristic of granulocyte Granulocytes final stage of neutrophil maturation Polylobular nucleus with many identations, 2-5 lobes Vs. lymphocytes lymphocytes have much darker nucleus, no nucleoli; most closely resemble myeloblast Vs. basophilic normoblast (RBC precursor) like promyelocyte, but no granules & smaller overall size Granulocytes Monocyte larger cell size, lighter horseshoe/kidney nucleus, cytoplasm usually light w/ some vacuoles Eosinophil has bright red cytoplasm due to acidophilic granules; 2-3 nuclear lobes Basophil has dark cytoplasm due to basophilic granules (5-HT, histamine,leukotrienes), 2-3 nuc. lobes Neutrophil pink to purple granules in cytoplasm; most common; 2-5 nuclear lobes, Barr body nuc. notch Lymphocytes Small lymphocyte look like myeloblast, but no nucleoli, darker nucleus Large lymphocyte look like a promyelocyte, but no nucleoli; very scant granules in cytoplasm Atypical lymphocyte weird elongated dense nuclei; often seen in viral infection (mononucleosis) Neutrophil Abnormalities Hypersegmentation more than 5 lobes in PMN is abnormal, Dx of megaloblastic anemia (B12, folate) Leukemoid Reaction WBC response to infection, >30,000; also can be leukemia Vacuolization cytoplasmic vacuoles seen in PMNs Left-shift PMN precursors (myelocytes, etc) can be seen in blood Pelger Huet Anomaly bi-lobed nucleus; benign inherited disorder; can mimic leukemia/myelodysplasia Dohle Body aggregates of RER seen in PMN cytoplasm during infection; looks like a bluish platelet Platelets Platelet small faint doo-hickies; red/purple granules Abnormalities can be too large (macrothrombocyte) or no granules (agranular), also gray: Gray platelet syndrome congenital disorder; decreased granules, larger than normal size RBC Abnormalities Leukoerytrhoblastic RBCs see RBC precursors (erythroblasts w/ nuclei); hemolytic anemia Howell Jolly bodies dark granules similar to basophilic stippling; can occur in left-shift here Macrocytes very large RBCs Elliptocytosis RBCs elliptically shaped Spherocytosis RBCs dont have central pallor; spherical shape Basophilic Stippling pathologic precipitation of ribosomes in RBC; dark granules Disordered heme synthesis such as in lead intoxication, thalassemia, etc can cause Schistocytes fragmented RBCs, look like bites taken out of them; often mechanical shearing defects Hemoglobin C Disease show target cells and box car cells with condensed hemoglobin (pill shape) Sickle Cell crescent-shaped RBCs Tear Drop Cells RBCs look like tear drops, Dx thalssemia Target Cells excess of RBC membrane causes bulging in the center of central pallor ( target sign Thalassemia Dx by target cells Rouleaux Formation stacking of RBCs due to protein coat ( hypergammaglobulinemia RBC Agglutination RBC antibodies bind, RBCs cluster and meld together &\  i u  & n }   ' ( 4 5 > & վwh5phmCJaJh#hm6CJaJ jh hmCJaJh,<hm5CJaJh^0hm56CJaJhmCJaJhm5CJaJ jh8;h>CJaJh>CJaJh>56CJaJjhWC5CJUaJh>5CJaJ+2I i  n ( 5 ' E x ^gdm & Fgdm & Fgdm& ' D E O x ]^n]^t&'<fgwVgֳֳֳֳֳֿ֥֚hHZ hmCJaJhHZ hm56CJaJhHZ hm5CJaJh0ehm5CJaJhm56CJaJhmCJaJh- Fhm5CJaJhm5CJaJhy-hm5CJaJ<^'gVV2Wd n9kgdm & Fgdm & FgdmVXYZo)12?CWVWt Nmn~hOI&hm5CJaJhm56CJaJhmCJH*aJh8>hmCJaJh*6hm6CJaJh %hm5CJaJh %hm56CJaJh5phmCJaJhHZ hmCJaJhm6CJaJhmCJaJhm5CJaJ/089Fjkuvw+no>H[j2my6BYhhmCJH*aJh5phm5CJaJhchmCJaJh5phmCJaJhjzhm5CJaJhjzhmCJaJhOI&hm5CJaJhm5CJaJhmCJaJht0hm5CJaJ:kwo>[m6Ykgdm & Fgdm & Fgdm*RSTj|h.hmCJaJh.hm5CJaJ jh.hmCJaJh5phmCJaJhmCJH*aJ jh!ThmCJaJhmCJaJhm5CJaJ21h:pm/ =!"#$% 4ZDd2%KKr  C NA6Disclaimer-No_Citation_KeyRnYbk"D#[JYDFBYbk"D#[JFIFHHICC_PROFILEappl mntrRGB XYZ  acspAPPLappl-appl rXYZ gXYZ4bXYZHwtpt\chadp,rTRCgTRCbTRCdesc@ocprt8vcgt0ndin8dscmLXYZ tK>XYZ Zs&XYZ (W3XYZ Rsf32 B&lcurvvcgtRRRndin8HW K'P T9textCopyright 2007 Apple Inc., all rights reserved.mluc enUS&~esES&daDK.deDE,fiFI(frFU(*itIT(VnlNL(nbNO&ptBR&svSE&jaJPRkoKR@zhTWlzhCNruRU"plPL,Yleinen RGB-profiiliGenerisk RGB-profilProfil Gnrique RVBN, RGB 000000u( RGB r_icϏPerfil RGB GenricoAllgemeines RGB-Profilfn RGB cϏeNGenerel RGB-beskrivelseAlgemeen RGB-profiel| RGB \ |Profilo RGB GenericoGeneric RGB Profile1I89 ?@>D8;L RGBUniwersalny profil RGBdescGeneric RGB ProfileGeneric RGB ProfiletExifMM*>F(iNHHC     C  " }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?~EO&2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QF2~EOh(?QEe6(QOȣi"e6(QOȣi"e6(QOȣi"e6( _#d~U{ggE/Q?*NE+Wiᰳ RUqSNVE/Q?*w E⾿8u&it ^eoaH 2I5W׾h ~$u{ֺق|5Ш˗_3d~TYv}-VT]Eqa- jfh8Fe8몺tK="[ 2)k}PkZNȌv'B.ҕ'}|z. ?>+h-l>*Xxxh >خ[>_z~)@NK$#%aE!UGaJn/ >_#7j_ hrxݼq\^i|NYIw7e J!x:O`խ2Bpq54R,%I)M;T]-ʏ/WrW~5kX -d@$w'99S֟x@k]w-n!מjqI a7? 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