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Blood & Lymph
Dr. May
78
Pathology
Graduate
02/21/2011

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Cards

Term
What does blood consist of?
Definition
Formed elements [Cells & Cell fragments (platelets)]
Term
Serum
Definition
Plasma MINUS the clotting agents
Term
Centrifuged break down of blood:
Definition
Upper: 54 % Plasma
Middle: 1% WBC + platelets "Buffy Coat"
Lower: 45% RBC
Term
Hematocrit
Definition
Volume of RBC
Term
Functions of blood:
Definition
1. Transport of nutrients, gases, metabolic heat, hormones and waste
2.Homeostasis (regulation of extravascular fluid volume, pH, body temp, protection against infix, and protection against blood loss)
Term
Diameter of RBC
Definition
7.5 um
Term
How many polypeptide chains are complexed to an Fe within hemoglobin?
Definition
4
Term
When heme combines with O2, CO2 or CO it is called:
Definition
1.
2. Carbaminohemoglobin
3. Carboxyhemoglobin
Term
Do the RBC use energy to maintain their shape?
Definition
Yes, ATP via anaerobic glycolysis
Term
Crenation
Definition
When RBC are in a hypertonic solution, they lose water and undergo this structural change
Term
What happens when RBC cells are in a hypotonic solution?
Definition
hemolysis occurs (hemoglobin dissolves out of cell and leaves empty shell)
Term
When do RBC loose their nuclei?
Definition
Before they leave the BM
Term
What is hemoglobin broken down into?
Definition
Heme --> ferritin & bilirubin
Globin --> AA componenets
Ferritin --> sent to marrow to reutilize
Bilirubin --> picked up by liver and excreted into bile
Term
Where is the main fxn of WBC performed?
Definition
CT, cells leave vascular spaces by diapedesis
Term
What are the 3 granulocyte cells?
Definition
Neutrophils, Eosinophils, & Basophils
Term
These are rich in acid phosphatase and peroxidase. Found in all 3 granular cells.
Definition
Azurophilic, primary, or non-specific granules
Term
Contain substance particular to cell type, follow the production of the primary...
Definition
secondary granules or specific
Term
What percent of circulating leukocytes do neutrophils comprise?
Definition
60-70
Term
Main fxn of a neutrophil:
Nucleus shape
Primary granules contain...
Secondary granules DO.DONOT stain
Definition
destroy invading microbes
nucleus has 2-5 lobes connected by chromatin
myeloperoxidase
DO NOT
Term
T/F
Neutrophils metabolize leukotrienes which aid in the inflammatory process?
Definition
FALSE, synthesize!!
Term
What is pus?
Definition
accumulation of tissue fluid, dead neutrophils (die after killing bact) and bacteria
Term
Main fxn of eosinophil and nucleus?
Definition
destroy parasites and hydrolyze Ag-Ab complexes, bi-lobed
Term
Refractile under LM and stain pink in Wright's stain. Uniform in size, contain aryl sulfates and histamines (for killing parasites)
Definition
Specific granules of eosinophils
Term
Nucleus obscured by dark specific granules
Definition
Basophil
Term
Histamine and Leukotrienes (SRS) play a role in dilation of small blood vessels and increase in the permeability f capillaries
Definition
Basophilic enzymes in the specific granules.
Term
Do agranular cells contain azurophilic granules?
Definition
Yes, not specific granules
Term
nucleus of monocytes
Definition
large, freq indented and has chromatin that is not as dense as other leukocytes
Term
Fxn of MP (Macrophages)
Definition
1. phagocytose debris, Ag material, and foreign matter such as bact
2. MP fuse w/ other MP to = foreign body giant cells to allow for phagocytosis of large material
3. secrete cytokines that activate inflammation
Term
Life span of platelets?
Definition
14 days
Term
From looking at the granules present in the cytoplasm of platelets, what do we think the fxn of platelets is related to?
Definition
hemostasis
Term
How are platelets activated?
Definition
upon contacting the subendothelial collagen (due to damage of the blood vessel)
Term
T/F
Seratonin causes vasoconstriction which further helps to reduce blood loss?
Definition
TRUE
Term
When does BM (bone marrow) originate?
Definition
second month of intrauterine life within the clavicles (1st bone to ossify)
in the 3rd month its found within other bones
**accounts for 3.5-5.9% of body weight
Term
Fxn of BM:
Definition
1. Hematopoiesis
2. Hematoclasia (destruction of imperfect, aged or damaged cells)
3. immunological
4. osseous (continual remodeling of bone)
Term
T/F
Red marrow is due to fat cells and has very little hematopoiesis in it?
Definition
FALSE
Red marrow is red in color and indicates active hematopoiesis (the previous is "yellow marrow")
Term
When does fat appear in the shafts of long bones?
Definition
5-7 y/o
Term
In neonates, the marrow in all bones is:
Definition
red
Term
What is the predominant vascular element in the marrow?
Definition
Sinusoids, single layer of endothelial cells w/ basement membrane, walls of sinusoid freq crossed by cells in transit
Term
Hemopoietic compartment of BM is located...
Definition
between the sinusoids and contains cells of Hemopoietic lineage and CT cells
Term
Location in BM:
Megakaryocytes
Erythrocytes
Granulocytes
Definition
~ mostly against outer wall of sinusoids to allow ready access of platelets to circulation
~early: near sinusoids, late: against walls of sinusoids
~ early: furthest from sinusoids late: against wall of sinusoids
Term
What happens in the mesoblastic phase of hemopoiesis?
Definition
in yolk sac 2 wk after fertilization, mesenchymal cells form blood islands (outer turn into vessel wall and inner develop into nucleated erythrocytes)
Term
Phases of hemopoiesis:
Definition
mesoblastic-->hepatic (6th wk of gestation, 8wks leukocytes begin prdxn)-->splenic phase (during 2nd trimester) --> myeloid phase (in BM at end of 2nd trimester)
Term
What is it called when the spleen and liver are involve din hemopoiesis after birth?
Definition
extramedullary hemopoesis
Term
Pleuripotential Hemopoietic Stem Cells give rise to:
Definition
1. Colony Forming Unit-SPleen
2. Colony Forming Unit-Lymphocyte (CFU-L)
Term
CFU-S -->
Definition
erythrocytes, granulocytes, monocytes, and megakaryocytes
Term
CFU-L -->
Definition
lymphocytes
Term
When looking at development of blood cells, see certain characteristics:
Definition
Cell Size: big to small (early to mature)
Cytoplasmic color: blue to lighter
Chromatin Pattern: finely to clumped
Nucleoli: present to absent
Nuclear morphology: large with fine chromatin to dense chromatin (pycnotic) and lobular
Term
What resides in the medullary reserve within neutrophil kinetics?
Definition
fully or almost fully developed cells waiting for signal to enter circulation (usually segmented cells go into circulation, sometimes band cells might)
Term
Hemopoiesis:
Definition
proerythroblasts (undergo mitosis)--> basophilic erythroblasts (nucleoli absent & undergo mitosis) --> polychromatophilic erythrobasts (denser nucleus & gray cytoplasm and undergo mitosis (LAST))--> orthochromatophilic erythroblast (cytoplasm pink, nucleus moves form central to eccentric, and then nucleus is extruded) --> reticulocyte (nucleus now lost, now 1% of the circulating RBC are reticulocytes, no central halo b.c not biconcave yet) -->erythrocyte (after 24 hrs, biconcave, and no RNA)
Term
Granulocytopoiesis:
Definition
myeloblast (cannot discern which type of cell it will turn into, nucleus not centrally located, chromatin fine, 1-3 nucleoli, undergo mitosis)-->promyelocyte (primary or azurophilic granules in the basophilic cytoplasm, same nucleoli and chromatin as before, undergoes mitosis)-->myelocyte (production of specific granules what tell us what type of cell it will be, chromatin coarse, nucleoli absent, undergo mitoses (LAST))--> metamyelocyte (nucleus elongated, chromatin same--> band cell (elongated nuclei that assume shape of horseshoe) --> mature granulocyte (nucleus segmented, develop 2-4 lobes)
Term
3 classifications of lymph tissue:
Definition
1. Diffuse
2. Nodular
3. Organs
Term
What are the partially encapsulated (CT) and totally encapsulate lymph organs?
Definition
Partially: tonsils (all 3)
Totally: Lymph nodes and spleen (lymphocytes become activated to form cells that either produce Ab or CMI)
Term
Location of diffuse and nodular lymph tissue?
Definition
widely scattered in the loose CT under epithelium of the digestive, respiratory & urinary systems
Term
Only present before birth, entirely small lymphocytes, noodles are dark and blue in color:
Definition
Primary Nodules
Term
T/F
Secondary Nodules appear before birth and do NOT have a germinal center
Definition
FALSE
They appear AFTER birth and have germinal centers in center of nodule with B cells, plasma, MP, reticular cells, and some T cells...
Term
Lymphopoiesis
Definition
undiff lymphoid Stem Cells (orig in BM)--> move to thymus (t cells) or Bursa equiv tissue (Be cells GALT, MALT, BALT)-->move to diffuse and nodular tissue as well as organs
Term
Overlying epithelium of lingual & palatine tonsils:
Definition
stratified squamous (non keratinized) which dips into underlying tissue = 10-20 pits, primary crypts (for lingual, dips down not as far)
Term
location of lingual tonsils
Definition
lamina propria at the root of the tongue
Term
Ducts at bottom of crypts help to keep it debris free
Definition
Lingual Tonsils
Term
Pharyngeal Tonsils
Definition
Unpaired, post wall of nasopharynx, covered with pseudostratified ciliated columnar epithelium, adenoids when enlarged, dips into folds not crypts, can have removal if infected enough
Term
5 locations of lymph nodes
Definition
Can
I
Punch
An
Ab?

Cervical, Inguinal, Pulmonary, Axillary, Abdominal
Term
Cortex of lymph nodes contains:
Definition
lymphatic nodules embedded in diffuse lymphatic tissue
Term
3 sinuses of LN
Definition
Subscapular, peritrabecular, medullary
Term
Arteries of LN and Veins of LN
Definition
arteries at hilus--> arterioles at cortex-->capillaries
capillaries--> viens at cortex and leave at hilus
Term
Afferent lymph vessels
Definition
percolate, penetrate capsule, enter at convex
Term
What exits at the hilus of LN's?
Definition
Efferent lymph vessels (fast route of exit for lymph flow)
Term
Where is heme broken down into ferretin and bilirubin?
Definition
spleen
Term
Diff b/w red pulp and white pulp of spleen?
Definition
white has lymph tissue and red has sinuses and cords of lymph tissue
Term
What is stroma and what are the assoc cells?
Definition
reticular fibers and MP and reticular cells
Term
Splenic arteries-->
Definition
splenic arteries (enter capsule) -->trabecular arteries (travel in the trabeculae)-->central AA (enter white pulp)-->pulp AA (enter red pulp, no adeventitia)-->sheathed AA (wall is single layer of epith and surrounded by MP)-->terminal capillaries (empty into venues & splice sinuses-->empty into venules-->into splenic VV
Term
Cells of the red pulp?
Definition
My
Mother
Loves
People
Eating
Granola

Monocytes, Macrophages, Lymphocytes, Plasma cells, Erythrocytes, Granular leukocytes
Term
Size of thymus at birth & puberty?
Definition
10-15 grams at birth, 30-40 at puberty
Term
Where are stem lymphocytes first formed?
Definition
BM and then move to thymus
Term
Structure of thymus?
Definition
Lobes->lobules->Parenchyma (cortex & medulla)->Stroma (no CT, secretes thymosin, non-phagocytic)->Hassal's corpuscles->circulation
Term
Which AA pass through the corticomedullary jxn of the thymus?
Definition
Int Thoracic and inf thyroid AA and terminate in the medullary venules
Term
What is the purpose of the blood-thymic barrier?
Definition
prevent small lymphocytes in cortex from being sensitized by Ag that could escape from cortical capillaries
Term
Blood Thymus barrier:
Definition
Capillary endothelium (tight jxn) Mjr Comp -> MP in perivascular space outside endothelium -> epithelioreticular cells with tight jxn (MJR Comp)
Term
What does the Barr Body commonly represent?
Definition
a bit of chromatin coming off of a neutrophil, representing an inactive X chromosome in women
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