Shared Flashcard Set

Details

Unit 1
Anemias, RBC morphology, indices
47
Medical
Undergraduate 2
09/27/2012

Additional Medical Flashcards

 


 

Cards

Term
Carboxyhemoglobin
Definition
*type of abnormal hemoglobin
*Hgb binds to CO instead of O2, then it can't bind to O2
*blood is cherry red color
*causes hypoxia (decreased O2 to tissues)
*causes: contact with CO
Term
blast
Definition
most immature form of a cell
Term
sulfhemoglobin
Definition
*type of abnormal hemoglobin
*Hgb binds to Sulfur instead of O2, then it can't bind to O2
*blood is lavender color
*IRREVERSIBLE
*caused by chemicals, drugs, fungicides
Term
medullary hematopoiesis
Definition
*production of blood cells in bone marrow
*occurs in long bones (femur, radius), flat bones (sternum, ribs, pelvis)
Term
extramedullary hematopoiesis
Definition
*secondary source of production of blood cells
*occurs in spleen and lymph nodes
Term
erythropoiesis
Definition
process by which RBCs are produced
Term
methemoglobin (hemiglobin)
Definition
*type of abnormal hemoglobin
*Hgb is oxidized to Fe3+, then it can't bind to O2
*blood is chocolate brown color
*deficient NADH methemoglobin reductase (enzyme complex that converts methemoglobin back to hemoglobin
*Hgb M
Term
synchronism
Definition
*cell's cytoplasm and organelles grow at an equal rate
*results in normally proportioned cell shape and size
Term
asynchronism
Definition
*cell's cytoplasm and organelles grow at an unequal rate
*results in abnormally proportioned cell shape and size
Term
Hgb A1
Definition
*most common form in adults
*2 alpha chains & 2 beta chains
*accelerated in electrophoresis
Term
Hgb A2
Definition
*not common in adults
*2 alpha & 2 delta chains
*doesn't move in electrophoresis
Term
Hgb F
Definition
*fetal hemoglobin
*2 alpha and 2 gamma chains
*moves fast in electrophoresis
Term
oxyhemoglobin
Definition
Hgb molecule that is bonded to O2 (carrying it to tissues)
Term
deoxyhemoglobin
Definition
Hgb molecule that is free of O2 and is carrying CO2 away from tissues
Term
erythropoietin
Definition
*growth factor that stimulates RBC production/formation
*produced in kidney
Term
RBC maturation sequence
Definition
burst forming unit --> colony forming unit --> erythropoiesis --> rubriblast

*cell needs nucleus
*3-4 mitotic divisions
*begins with pleuripotent stem cell
Term
rubriblast
Definition
*earliest identifiable RBC stage
*size: 18-25 microns
*deep blue cytoplasm because of protein synthesis
*hemoglobin synthesis BEGINS here because of presence of mitochondria and nucleus
Term
prorubricyte
Definition
*2nd stage, formed after 1st mitotic division
*nucleoli gone
*deep blue cytoplasm
*smaller than rubriblast
*chromatin begins to clump
Term
rubricyte
Definition
*3rd stage, formed after 2nd mitotic division
*last stage in which heme is formed (no more cell division)
*grayish pink cytoplasm because of increased Hgb
Term
metarubricyte
Definition
*4th stage
*no more cell division
*nucleus leaves cell
*closer in size to mature RBC
Term
reticulocyte
Definition
*light bluish /pink cytoplasm with darker blue granules
*granules are fragments from RNA
*can still synthesize Hgb because of remaining bits of RNA
*polychromasia
Term
polychromasia
Definition
used to describe color of RBC as a bluish hue because
Term
blood plasma
Definition
*liquid portion of whole blood
*does not include clotted cells
*contains proteins and other clotting factors
Term
blood serum
Definition
*liquid portion of whole blood minus proteins and clotting factors
Term
fibrinogen
Definition
protein used for clotting
Term
internal check
Definition
Hgb *3 = Hct in normal patients
Term
anisocytosis
Definition
variation in cell size
Term
poikilocytosis
Definition
variation in cell shape
Term
basophilic stippling
Definition
*blue granules present in cells
*represents RNA fragments in cell
*seen in cases of lead poisoning
*defective heme synthesis
Term
malarial stippling
Definition
*malarial parasite invades host cell
*uses hemoglobin for nourishment
*parasite grows and eventually ruptures cell, releasing toxic Hgb
Term
Howell Jolly body
Definition
*dark spot on mature RBC that is evidence of a nuclear remnant
*seen in megaloblastic anemia and thalassemias
Term
spherocyte
Definition
*abnormal RBC shape
*more rounded shape, not biconcave disk
*gives appearance of hyperchromic cell, but it is actually normochromic for that cell shape
Term
ovalocyte
Definition
*abnormal cell shape
*oval shaped cell
*often looks macrocytic
*seen in megaloblastic anemia
Term
target cells
Definition
*abnormal RBC shape
*chemical changes in membrane give it more surface area
*hypochromic
*seen in thalassemia, liver disease
Term
sickle cell
Definition
*abnormal RBC shape
*crescent shape (fragment of hemolized RBC)
*valine substitution on beta chain
*cells are rigid and inflexible because Hgb crystallizes
*seen in sickle cell anemia
Term
burr cell
Definition
*abnormal RBC shape
*spiny projections on cell because of altered surface cell membrane
*usually occur as isolated cells
**different from crenated cells
Term
crenated cells
Definition
*abnormal RBC shape
*spiny projections
*usually occurs in large groups of these cells
*often caused by exposure to hypotonic solution (EDTA), causes shriveling
Term
schistocyte (helmet cells)
Definition
*abnormal RBC shape
*fragmented RBC where RBC tears but keeps in some Hgb
*seen in hemolytic conditions and burns
Term
Hemoglobin C Crystal
Definition
*abnormal RBC shape
*abnormal peptide chains like in sickle cells
*different crystalline arrangement of Hgb so it takes on a different shape
*often accompanied by target cells
Term
acute blood loss
Definition
*ex. hemorrhage
*morphology: normochromic, normocytic
*over time... reticulocytosis as compensation (macrocytic)
Term
chronic blood loss
Definition
*ex. slow bleeding ulcer, excessive menstruation
*morphology: hypochromic, microcytic
*****IRON DEFICIENCY*******
Term
vitamin B12
Definition
*needed for DNA synthesis
*if faulty DNA synthesis --> asynchrony
*need to consume meat and dairy products to get it
*need intrinsic factor to be absorbed properly
Term
folate
Definition
*needed for DNA synthesis
*if faulty DNA synthesis --> asynchrony
*need to consume green leafy vegetables to get it
*doesn't need any outside help for absorption
Term
hyperplasia
Definition
*bone marrow is over actively producing cells
*leads to hypercellularity
Term
hypercellular
Definition
*more than the normal number of cells
Term
hypoplasia
Definition
*bone marrow is under actively producing cells
*leads to hypocellularity
Term
hypocellular
Definition
*less than normal number of cells
Supporting users have an ad free experience!