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Red Blood Cell Morphology
evaluation of RBCs
25
Veterinary Medicine
Not Applicable
02/02/2014

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Cards

Term
What do we evaluate RBCs for?
Definition
Size, shape and color
Term
Sizes
Definition
normocytic- normal
macrocytic- larger than normal
microcytic- smaller than normal
anisocytosis- variation of sizes
Term
Colors
Definition
normochromic- normal color
hypochromasia- lack of color
polychromasia- many colors/variation of colors
Term
Acanthocytes
Definition
spiculated cells, irregular shaped projections. Seen with liver, and spleen issues. Also seen with Hemangiosarcoma.
Term
Echinocytes
Definition
have even regular shaped projections, seen in Rattlesnake bites, or lymphosarcoma,
Term
Leptocytes/Codocytes
(could be Bar or Target)
Definition
dark dot or dark line in middle
We class these as Target or Bar cells. Seen in liver disease, iron deficiency, regen anemias, but remember Target cells are often seen in normal animals.
Term
Stomatocytes
Definition
mouth cells, folding cell, clear line in middle. These cells are losing the ability to carry oxygen so they are folding. Often seen with hypochromic cells.
Term
Dacrocytes
Definition
tear drop shaped, can be seen in patients with myelofibrosis, sometimes human error
Term
Spherocytes
Definition
dense, small dark round, lacking central pallor- “Skittles candy” Good indicator of IMHA Immune Mediated Hemolytic Anemia, OR AIHA Auto Immune Hemolytic Anemia.
Term
Schistocytes
Definition
fragments of rbc’s, they look like pieces of Acanthocytes. These are cells that have been damaged in circulation. These cells have been sliced into pieces by fibrin threads. They are seen in DIC, Hemangiosarcoma, and HW disease.
Term
Ghost Cells
Definition
all that is left is the cell membrane. These cells are almost completely devoid of hemoglobin. Can be difficult to see because they are so light.
Term
Heinz Bodies
Definition
Areas of denatured hemoglobin. An oxidative injury has occurred.
Seen in acetaminophen (Tylenol) toxicities, onions, sardines, garlic
Term
Howell Jolly Bodies
Definition
Nuclear remnants inside the rbc’s. These are bits of the nucleus retained in the cell, after the nucleus has been extruded. Commonly seen when the cells have been rushed out of the bone marrow into circulation. A sign of regeneration, can also be a sign of lead poisoning.
Term
nRBC/Metarubricyte
Definition
Nucleated red blood cells- nucleus is still inside the rbc
Sign of regeneration
Term
Crenation
Definition
Caused by slow drying of the slide, or cells in EDTA tube too long.
Term
What is DIC?
Definition
Disseminated Intravascular Coagulation
a disorder where proteins that control clotting are abnormally active. When a patient is in DIC, their proteins in the blood are not clotting properly. The patient can be at risk for serious bleeds from just a small injury due to the proteins not clotting as they should, or being used up. This can occur with inflammation, infection or even cancer
Term
What are the inclusions?
Definition
nRBCs, HJBs, parasites, etc.
Term
Rouleaux
Definition
coin- like stacking, Seen in horses due to the increased protein levels/ fibrinogen (stickiness) of the blood. Also seen frequently in cats, usually in thicker areas of the blood smear.
Term
Agglutination
Definition
clumping of blood cells. Seen in autoimmune cases.
Term
Feline RBCs
Definition
Solid, no zone of central pallor
5 microns
Term
Canine RBCs
Definition
disc shaped, zone of central pallor
6-7 microns
Term
What are the three shapes quantitated with a percentage?
Definition
Spherocytes
Schistocytes
Heinz Bodies
Term
4 signs of regeneration
Definition
Polychromasia
Anisocytosis
Howell Jolly Bodies
nRBCs
Term
What is the best indicator of regeneration?
Definition
Polychromasia
Term
How many fields should you view when evaluating RBC morphology?
Definition
At least 10
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