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1.25 Bone Marrow Aspiration
By Dr. Rodriguez
14
Pathology
Professional
01/25/2012

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Cards

Term
What is the normal cellularity of the bone marrow?
Definition
50/50 (50% cells, 50% fat)
Term
What is a normal M:E ratio?
Definition
3:1 to 5:1
Term
Where does hematopoiesis take place throughout gestation?
Definition
yolk sac until 3rd month, then liver/spleen/thymus until 6 months, then lymph nodes and thymus
Term
What are normal non-hematopoietic cells in the bone marrow?
Definition
osteoblasts, osteoclasts, histiocytes, adipocytoes, few lymhpocytes or plasma cells
Term
What are abnormal non-hematopoietic cells in bone marrow?
Definition
metastatic tumor, granulomatous inflammation, proliferating fibroblasts, many lymphs or plasma cells
Term
Where do you perform bone marrow aspiration in adult?
Definition
iliac crest and sternum
Term
Where do you perform bone marrow biopsy in adults?
Definition
iliac crest
Term
Where do you perform bone marrow aspiration/biopsy in pediatric patients?
Definition
tibia, iliac crest
Term
Which long bones of the adult contain red bone marrow?
Definition
proximal portions of the humerous and femur
Term
What are indications for bone marrow exam?
Definition
unexplaned anemia, leukocytopenia, unexplained leukocytosis, thrombocytopenia, thrombocytosis, immature cells in peripheral blood, some solid neoplasms (lymphoproliferative disease), fever of unknown origin, hereditary storage diseases, to monitor chemotherapy
Term
What can substitute for a bone marrow biopsy?
Definition
clot section of a bone marrow aspirate
Term
What information can you get from a bone marrow aspirate?
Definition
cellular monolayer, cellular morphology, nuclear and cytologic detail, M:E Ratio
Term
What information can you get from a bone marrow biopsy?
Definition
retention of in vivo relationships, cellularity, non-hematopoietic elements
Term
What special studies can you get on bone marrow?
Definition
special stains, flow cytometry, chromosome analysis
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