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Hematology Lecture 3
Hematology Lecture 3 Cell Counts
33
Biology
Undergraduate 3
11/26/2014

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Term
High WBC counts are often observed in ___, ___, and ___ ___
Definition
infections
inflammation
blood malignancies
Term
Infections and inflammation, will see an increase in the number of ______ cells
Definition
immature
Term
High RBC counts are usually due to ___/____ ____, ____, or a ____ ____
Definition
heart/lung problems
dehydration
myeloproliferative disorder
Term
T or F:
All cell lines are increased in Polycythemia
Definition
True
Term
High number of Platelets is likely due to ____, _____, or ____ ____
Definition
infections
inflammation
rare malignancy
Term
Low WBC count is due to ____ ___, ____ ___, ____ ____ _ ___, ________
Definition
severe infections
blood malignancies
certain types of anemia
chemotherapy
Term
Low RBC count is due to ___ ___, ___ ___, ____ ____
Definition
Blood loss
Nutritional deficiencies
Inherited conditions
Term
Low Platelet count is due to ___ ___, ___, and ____ ____
Definition
Blood malignancies
chemotherapy
coagulation disorders
Term
Normal WBC value:
Definition
4,500 – 11,500/µL
Term
Normal Plt value:
Definition
150,000-450,000 / µL
Term
Normal Male RBC value:
Definition
4.5-6.0 x 10^6 / µL
Term
Normal Female RBC value:
Definition
4.0-5.4 x 10^6 / µL
Term
T or F:
Newborns have a higher RBC count (5-6 million RBC/µL)
Definition
True
Term
Why do males have a higher RBC value?
Definition
Androgen stimulation of erythropoietin that directly stimulates stem cells
Term
T or F:
WBC 5.0 x 10^3/µL = 5.0 x 10^9/L for SI
Definition
True
Term
T or F:
Hematocrit that is 50% is 0.50 L/L (SI)
Definition
True
Term
What are the samples for a Manual cell count?
Definition
EDTA or fingerstick
Term
Neubauer Hemocytometer
Definition
Precisely etched ruled lines forming a grid on each side of the chamber
Allows counts to be performed in duplicate
Term
When performing a hemacytometer count do you need to perform in duplicate AND average your results?
Definition
Yes
Term
Example: Blood is diluted 1:20 for a WBC count. 48 cells are counted on one side and 52 cells are counted on the other side, counting the 4 large corner squares. How would you set up the equation?
Definition
=(50 X 20 X10)/4
Term
Example: Blood is diluted 1:20 for a WBC count. 48 cells are counted on one side and 52 cells are counted on the other side, counting the 4 large corner squares. What is the total WBC?
Definition
2,500 cells/µL
Term
Sources of Error in Manual Counting (4)
Definition
Inadequate mixing or dilution
Non-random distribution
Observer bias
Incorrect calculation
Term
The following are considered ____ of Manual Counts:
Cost is low
Better for counts of less than 100
Automated counts cannot go below 100
Definition
Pros
Term
The following are considered ____ of Manual Counts:
Imprecise
High coefficient of variation
Slow
Definition
Cons
Term
When would a Manual Count be performed?
Definition
Calibration of automated methods
Low cell counts
Reference method
Body fluids
High protein in fluid can plug up instrument tubing
Term
Principles of Automated counting (5)
Definition
Cell impedance
Current flowing thru conducting fluid via two electrodes
Cells are poor conductors
Interrupt current
Changes in voltage are counted
Term
What 3 things do Coulter counters require in order to perform an automated count?
Definition
Isoton
Lyse
Cleaner
Term
The following are all considered:
diluter
computer
pneumatics
electronics
Definition
Instrument Components
Term
Instrument Sources of Error
Definition
Artifacts
Anything the same size of a cell will be counted
Incorrect interpretation of data
Not utilizing histograms
Term
The following are considered instrument ____:
Improved accuracy and precision
Counts larger number of cells
Low coefficient of variation
Speed
Definition
Pros
Term
The following are considered instrument ____:
More problems with artifacts
Anything the size of a cell is counted
Expense
Cannot accurately perform counts on low number of cells
Counts less than 100
Definition
Cons
Term
What is the corrected WBC formula
Definition
(WBC x 100) / (#NRBC + 100)
Term
True or False:
Platelets will not interfere with count for either manual or automated counting
Definition
True
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