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Hematology 1
Hematology
29
Physiology
Not Applicable
10/27/2022

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Term
Blood func
Definition
1) transport subs
-O2: to tiss
-CO2: away from tiss
-nutrients
-heat
-waste
-horm

2) regulate
-body pH
-temp
-hydration of cells

3) protect against
-blood loss
-microbes
-toxins
Term
Comp of blood
Definition
1) Plasma (top)
-soluble things
-45-55%

2) FORMED ELEMENTS
a) BUffer coat
-leukocytes/thrombocytes/platelets
-1-2%
-fraction of antocoag blood that contains mostly leuk and platelets
b) erythrocytes
-38-55%
Term
comp plasma
Definition
1) H20 (90%)

2) PROTEIN (7%) --> primarily produced by liver
-ALB:maintain osmotic press
-globulins: transport proteins (a,B) antibodies (y)
-clotting proteins: catalyze fibrin polymerization to prevent blood loss
-"transient" proteins: soluble proteins from necrotic cells. no func roles in bs

3) other solutes
-nitrogenous solutes (ex: urea)
-nutrients (ex: gluc)
-eletrolytes (ex: Na+)
-resp gases (ex: o2)
Term
transient proteins
Definition
The ones we ifer the most about dz. Usually theyre at a low baseline level, but will start to see these rise b/c of a bunch of proteins from dead cells in the blood stream. Typically tells us theres something wrong in the body. Do not have a func roll in the blood stream.
(EX: elevated ALT, just tells if theres a liver problem)
Term
plasma vs serum
Definition
PLASMA
* liquid portion of unclotted blood
* treated w/ anticoagulants and centrifuge
* serum + clotting factors = plasma


SERUM
* leftover fluid after clot formation
* blood w/ no anticoags OR blood w/ neutralized anticoag (added Ca)
* clotted plasma (spun) --> serum
Term
examining plasma
Definition
K9/fel
* colorless/light yellow --> bili

horse/cow
* md yellow --> carotenoids in plants
* horse has higher [bili] that other species

sheep, pig, H2O buff
*do not show plasama color from plants
Term
Color changes indicate problems
Definition
LIPIDEMIA
*colorless to white


HEMOGLOBULINEMIA
*drk red


BILIRUBINEMIA
*drk yellow
Term
refractomoter
Definition
allow to test amount of protein in blood andurine conc
Term
Finding problems w/ plasam and serum
Definition
can look for certain proteins to indicate problem:

liver and kidneys func is to take things out
: so if you see an accumulation here, indicates they may not be doing their job

*bile acids, t-bili, ALT (AST- lrg an) --> liver issue
* creatine --> kidney issue
*amylase--> pancreatic prob
Term
Biochem Profile
Definition
testing plasma/serum

• Serum Enzymes
-Eg. Alanine Aminotransferase (ALT, Lipase,
Amylase, Alkaline Phosphatase (ALP)
• Normal Metabolites Reflecting Tissue Function: Bilirubin, Bile
Acids, BUN
• Glucose, Triglycerides and Protein
• Electrolytes and pH
• pO2 , pCO 2
• Hormones
• Viral proteins, antibodies.
• Small RNAs (?)
Term
serum enz location
Definition
* want to find enz specific to place of damage/lesion
* enz come from cells: cytoplasm, mito, ER, intercellular granules

DO NOT NEED TO KNOW IN DEPTH
Term
importance of enzymology
Definition
serum enz can be used to diagnose, monitor, and prognos dz process

The location within the cell impacts on the release of the enzyme into the blood
– Cytoplasm – soluble, easily released
– Granules – released after cell injury
– Mitochondria – released after severe insult
– Membrane – not soluble and released after severe injury
Term
common serum enz
Definition
ALT
AST
SD
LD
ALP
GGT
CK
Term
ALT
AST
SD
LD
ALP
GGT
CK
Definition
• ALT – alanine aminotransferase
• AST – aspartate aminotransferase
• SD – sorbitol dehydrogenase
• LD – lactate dehydrogenase
• ALP – alkaline phosphatase
• GGT – gamma glutamyltransferase
• CK – creatine kinase
Term
Factors Affecting Enz Activity
(NEED TO KNOW)
Definition
• Cell death/injury – increased release of enzymes

• Degradation, inactivation or excretion of serum
enzyme – removal of enzymes from the serum
-have a half life in bs (EX: if you injure you liver, probably wont see signs today, but if ongoing then maybe down the line)

• The magnitude of increase is dependent on several (WILL OFTEN ASK ?S ABOUT THIS)
factors
– The tissue concentration of the enzyme (tissue and species
variable)
– the cellular location of the enzyme
– the amount of tissue injured
– severity of tissue injury
– the rate of enzyme removal from the serum
Term
summary of last bullet
Definition
[image]
Term
kinetic assays
Definition
  • Allow us to measure serum enz activity over time

  • Artificial substrates that change color/flourescense when metabolized by the enz

  • Higher [enz] in blood = faster rate of substrate metabolism and stronger color change

 

Serum/plasma/blood contains enzymes and other analytes that derive from tissues and enter the bloodstream where they can be sampled and measured

Term
factors affecting assays
Definition
temp
pH
substrate conc
cofactors
inhibitors
reagent stability
Term
interfering factors of assays
Definition
ANIMAL ITSELF
age
species
stress

HUMAN ERROR
anticoagluants
hemolysis
lipemia
Term
anticoagulant interference
Definition
• Several anticoagulants are in the form of sodium or potassium salts – affect sodium and potassium levels

• Heparin is often in the form of ammonium salt –
affects blood urea nitrogen (BUN) results

• Anticoagulants such as EDTA, oxalate and citrate
chelate calcium – affect calcium levels and enzyme
activity
Term
hemolysis interference
Definition
*often b/c human error, but there are some conditions that can cause damaaged rbc

• Can be caused by
– Excessive back pressure on collection syringe
– Forceful transfer of blood to evacuated container
– Rough handling
– Extreme temperatures


• Results in increases in a number of analytes
including iron, lactate dehydrogenase,
potassium and total protein
Term
Lipemia interference
Definition
• Harder to shine a light through lipid substances (particles scattering --> false low reading)
Term
characteristics of Serum Enzymes That
Make Them Useful Clinical Markers
Definition
• Tissue specificity
• Rise specifically when tissue is injured
• Do not rise under “normal” conditions
• Concentration
• Easily measured/inexpensive (substrates available)
• Half-life – “Intermediate” duration (too short: brief
detection window, too long: loss of specificity)
Term
reference interval
Definition

 

  • RANGE OF VALUES IN HEALTH ANIM

  • IS +/-2SD of mean ~5% in a haelthy population 

  • Generate bell curve 

  • When level of pt is outside ref interval → dz of sp tiss source  is suspected

Term
false negative NEED TO KNOW
Definition
Test result that is read as a negative when it is really a positive (diseased animal with a value within the reference interval) *The overlapping zones where their value is counted as normal b/c theyre in the refernce zone
Term
Sensitivity
NEED TO KNOW
Definition
The probability of deciding that a truly diseased
animal is diseased based on the test you are
using
Term
Specficity
NEED TO KNOW
Definition
The probability of deciding that a truly normal
animal is normal based on the test you are using.
Term
as the number of tests increases...
Definition
*the more tests you run (even on a healthy animal) the more likly you will get an abnormal result

*As the number of analytes tested increases there is a greater chance that at least 1 of those analytes will have an abnormal value
Term

false positive

NEED TO KNOW

Definition

value is shown as + but should actually be - 

when a healthy animal falls w/in red zone/outside ref interval 

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