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Blood Lab Rot 1-4
Combination of all rotations
104
Veterinary Medicine
Undergraduate 3
02/09/2014

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Erythrocyte with an oval-shaped central pallor
Definition
Stomatocyte
Term
Darkly staining red cells with reduced or no central pallor; not easily detected except in dogs; suggest IMHA
Definition
Spherocyte
Term
Erythrocytes with one or more surface projections
Definition
Spiculated Cells
Term
RBC fragments; usually from shearing of the red cell by intravascular trauma; DIC
Definition
Schistocyte/Shizocyte
Term
A grouping of erythrocytes in stacks; seen with increased fibrinogen or globulin
Definition
Rouleaux
Term
RBC that exhibit a bluish tint when stained with Wright's stain; organelles remain in cytoplasm indicating young cells
Definition
Polychromasia/Polychromatophilic
Term
Abnormally shaped RBC
Definition
Poikilocyte
Term
Cells released into circulation early during anemia; normal in non-mammalian animals
Definition
Nucleated RBC
Term
How can you tell if an animal is dehydrated on a CBC
Definition
Increased PCV and a normal RBC
Term
What are the red blood cell parameters
Definition
PCV
RBC
Hemoglobin determination
Red cell morphology on blood film
Term
RBC's with a smaller than normal diameter and decreased MCV; seen in iron deficiency
Definition
Microcytes
Term
Decreased staining intensity due to insufficient hemoglobin; usually seen with iron deficiency
Definition
Hypochromia
Term
Tear-shaped RBC that disrupts the bone marrow architecture
Definition
Darocyte
Term
Basophilic nuclear remnants seen in young erythrocytes in response to anemia; removed by spleen
Definition
Howell Jolly Bodies
Term
Round structures representing denatured hemoglobin caused by certain oxidant drugs/chemicals; up to 5% normal in cats
Definition
Heinz Bodies
Term
A dead cell where the outside remains visible but the nucleus and cytoplasmic structures are not stainable
Definition
Ghost Cells
Term
An antibody coats the erythrocyte causing bridging and clumping
Definition
Agglutination
Term
A variation in the size of RBC, may be due to the presence of macrocytes, microcytes or both
Definition
Anisocytosis
Term
Discoid-shaped RBC, seen normally in dogs
Definition
Discocyte
Term
Spiculated cells with numerous short, evenly spaced, blunt to sharp surface projections with uniform size and shape
Definition
Echinocyte/Burr Cells
Term
RBC changes from a disc shape to spheres with projections; Result of pH change due to slow drying of blood films
Definition
Crenation
Term
Presence of small, dark-blue bodies within the erythrocyte; observed in cells containing residual RNA
Definition
Basophilic Stippling
Term
RBC's that are larger than normal with an increased MCV; usually reticulocytes
Definition
Macrocyte
Term
Formula to find the RBC estimate?
Definition
PCV / 6 = RBC estimate
Term
Normal RBC count
Definition
6 - 7 million
Or
6 x 10 to the 6th - 7 x 10 to the 7th
Term
Irregular, spiculated red cells with few unevenly distributed surface projections of various length and diameter
Definition
Acanthocyte/Spur Cell
Term
Normal k9 PCV
Definition
45%
Term
Normal Fel PCV
Definition
37%
Term
Formula to find the hemoglobin estimate?
Definition
PCV / 3 = Hb
Term
Normal total protein
Definition
6 - 7.5 g/dl
Term
What is included in a CBC
Definition
RBC
WBC
Differential cell count
Hematocrit (HTC, PCV)
Total protein
Term
Functions of blood in the circulatory system?
Definition
Transport o2 and co2
Transport nutrients and waste
Controls h2o content and ph
Maintains normal body temperature
Hormones
Immunity
Coagulation
Term
What is a nucleated RBC called
Definition
Metarubricyte
Term
Normal WBC
Definition
6,000 - 16,000
Term
Where Do RBC and WBC originate
Definition
Bone marrow
Term
Top 3 causes of anemia
Definition
Blood loss (trauma, HBC)
Hemolysis (autoimmune dz)
Lack of production
Term
Mean cell hemoglobin
Definition
Avg Amt of hemoglobin in red blood cells
Term
What is the most important cause of anemia?
Definition
Lack of production
Term
Mean corpuscule volume
Definition
Avg size of red blood cell
Term
Thin erythrocytes with increased membrane or decreased volume
Definition
Target Cell/Leptocyte/Codocyte
Term
What is the formula for the observed retic count?
Definition

# of retics counted / 1000, then multiply by 10.

Put # in percentage

Term
What is the formula for the corrected retic count?
Definition
Observed retic count X patient's PCV / Normal PCV
Term
What is the formula for the absolute retic count?
Definition
The observed retic count (before it was changed to a percentage) X the total RBC count
Term
What are the types of retics that felines have?
Definition
Aggregates and punctates
Term
What is the difference between aggregate and punctate cells?
Definition

Aggregates are younger cells

Punctates are older cells

Term
Which type of cells are not counted during a feline retic count?
Definition
Punctate cells (less than 5 reticulum)
Term
How long do punctate retics circulate for?
Definition
7-10 days
Term
Which retics are counted for canines?
Definition
Both aggregates and punctates.
Term
What is the dry method of counting retics?
Definition

Incubate equal parts blood and NMB

Tap gently to mix, let incubate for 25 mins

Make push smear out of the mix (make it thicker)

Term
What is the wet method of counting retics?
Definition

Make coverslip smear

Place drop of NMB on slide

Place coverslip smear blood side down on top of the NMB

 

Term
Which method is preferred for counting retics and why?
Definition
Dry method because the wet method makes it harder to see aggrgates and punctates
Term
Why do you want to count retics?
Definition
To find out if our patient's anemia is regenerative or non-regenerative and if the patient's body is responding to the anemia or if treatment is working.
Term
After doing a retic count, how do you know if the patient is regenerative or nonregenerative?
Definition
If the absolute count is over 100,000 then the patient is regenerative.
Term
What else can you see on a NMB stain?
Definition
Heinz bodies, WBC's, sometimes platelets
Term
If the patient's NMB slide shows regeneration by seeing retics, what signs should the Dif Quik slide be showing?
Definition

PAHN

Polychromasia

Anisocytosis

Heinz Bodies

NRBCs

Term
What speices does not have retics in their peripheral blood? Why?
Definition
Horses; bc their retics are fully mature in their bone marrow and mature cells are sent into peripheral blood
Term
[image]
Definition
Acanthocyte
Term
[image]
Definition
Basophillic stippling
Term
[image]
Definition
Crenation
Term
[image]
Definition
Dacrocyte
Term
[image]
Definition

Echinocyte

( E = EVEN)

Term
[image]
Definition
Ghost cells
Term
[image]
Definition
Heinz Bodies
Term
[image]
Definition
Howell Jolly Bodies
Term
[image]
Definition
Hypochromia
Term
[image]
Definition
Macrocytes
Term
[image]
Definition
nRBC / Metarubricyte
Term
[image]
Definition
Polychromasia
Term
[image]
Definition
Rouleaux
Term
[image]
Definition
Schistocyte
Term
[image]
Definition
Spherocyte
Term
[image]
Definition
Stomatocyte
Term
[image]
Definition
Target cell
Term
How are RBC's evaluated?
Definition
Size, shape and color
Term
What are examples of size morphologies?
Definition

Normocytic

Anisocytosis

Macrocytic

Microcytic

Term
What are examples of shape morphologies?
Definition

Normocytic

Poikilocytic

Specific names of shapes seen

Term
What are examples of color morphologies?
Definition

Normochromic

Polychromasia

Hypochromasia

Term

What is Rouleaux?

What is it seen in?

Definition
  • An arrangement
  • Coin-like stacking of cells
  • Seen in horses due to increased protein levels / fibrinogen (stickiness) of blood
  • Also seen in cats around thicker areas of the blood smear
Term

What is agglutination?

What is it seen in?

Definition
  • An arrangement
  • A clumping of blood cells
  • Seen in autoimmune cases
Term
What are examples of inclusions?
Definition
  • Nucleated RBC's (nRBC)
  • Howell Jolly Bodies
Term
What are the characteristics of a feline RBC?
Definition
  • No central pallor (solid)
  • 5 microns in size
  • "M & M's"
Term
What are the characteristics of a canine RBC?
Definition
  • Have a central zone of pallor
  • 6-7 microns in size
Term
Characteristics of Acanthocytes
Definition
  • spiculated
  • irregular projections
  • seen with liver and spleen issues
  • also seen in hemangiosarcomas
Term
Characteristics of Echinocytes
Definition
  • EVEN, regular shaped projections
  • seen in rattlesnake bites or lymphosarcoma
Term
Characteristics of Leptocytes/Codocytes
Definition
  • dark dot or dark line in middle of cell
  • classed as Target or Barr cells
  • seen with liver disease, iron deficiency, and regenerative anemias
  • Target cells can be seen in normal animals
Term
Characteristics of Stomatocytes
Definition
  • "mouth cells"
  • folding cell (because they are losing the ability to carry oxygen)
  • clear line in the middle
  • often seen with hypochromic cells
Term
Characteristics of Dacrocytes
Definition
  • tear drop shaped
  • sometimes seen with myelofibrosis
  • if all tear drops are pointing the same way = human error
Term
Characteristics of Spherocytes
Definition
  • dense
  • small
  • dark
  • lacking central pallor
  • indicator of IMHA
  • Needs to be quantitated with %
Term
Characteristics of Schistocytes
Definition
  • fragments of RBC's
  • have been damaged/sliced into pieces
  • seen in DIC, hemangiosarcomas, and HW disease
  • quantitate with %
Term
What does DIC stand for?
Definition
Disseminated Intravascular Coagulation
Term
What is DIC?
Definition
A disorder where protiens that control clotting are abnormally active. Protiens in blood are not clotting properly.
Term
Characteristics of Ghost cells
Definition
  • devoid of hemoglobin
  • basically just the cell membrane
  • can be difficult to see
Term
Characteristics of Heinz Bodies
Definition
  • areas of denatured hemoglobin
  • due to an oxidative injury
  • seen in Tylenol toxicities, onions, sardines, garlic
  • quantitate and put in a %
  • need to be stained with NMB for confirmation
Term
To confirm that you are seeing Heinz Bodies, what do you need to stain your slide with?
Definition
New Methlyene Blue
Term
What 3 cells need to be quantitated in percentages?
Definition
  1. Heinz Bodies
  2. Schistoctyes
  3. Spherocytes
Term
Characteristics of Howell Jolly Bodies
Definition
  • nuclear remnants inside the RBC
  • (bits of nucleas remained in the cell)
  • seen when cells have been rushed out of bone marrow into circulation
  • sign of regeneration and also lead poisoning
Term
Characteristics of nRBC's/Metarubricytes
Definition
  • nucleus still inside RBC
  • sign of regeneration
Term
Characteristic of Crenation/Crenated cells
Definition
  • caused by slow drying of the slides
  • blood sat in EDTA tube for too long
  • human error
  • Do not confuse with Echinocytes - Echinocytes will be everywhere on the slide, not just in some areas
Term
Four most common signs of Regenerative Anemia?
Definition
  1. Polychromasia
  2. Anisocytosis
  3. Howell Jolly Bodies
  4. Nucleated RBC's

P.A.H.N

Term
What is the best indicator for regenerative anemias?
Definition
Polychromasia
Term
List ways to quantitate cells:
Definition

Slight: +, 1-10%

Moderate: ++, 11-50%

Marked: +++, 50-100%

Term
What speices has the smallest RBC's?
Definition
goats
Term
What are big and blue cells indicative of?
Definition
Young, immature cells
Term
If you can't remember what disease process goes with what cell, what disease should you guess?
Definition
Liver disease
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