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35 Cards in this Set
- Front
- Back
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BMP
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Basic Metabolic Panal
Glucose, Calcium, Electrolytes: sodium, chloride, potassium, CO2 Renal: BUN (blood urea nitrogen), creatine |
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BMP stick figure
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Na Cl BUN
K HCO3- Cr Glucose |
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CMP
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Complete Metabolic Panal
BMP+ Proteins: albumin, total protein Hepatic: AST (aspartate amine transferase), ALP (alkaline phosphotase), ALT (alanine amino transferase), billirubin |
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CMP Liver stick figure
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ALP
AST ALT Billirubin |
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CBC
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Complete Blood Count
RBC, WBC, Hgb, Hct Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCV), Mean Corpuscular Hgb Concentration (MCHC) Platelet Count RBC distribution width |
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CBC stick figure
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Hgb RBC indices
WBC Platelet Hct WBC diff |
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CBC Automated/Manual Differential
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add neutrophils (segmented/banded for manual), eosinophils, basophils, leukocytes and monocytes
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Neutrophils
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engulf and destroy foreign substances, most numerous
increased in bacterial infx, decreased in some viral infx |
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Lymphocytes
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T-cells immune response/kill, B-cells produce antibodies
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Monocytes
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create leukocytes/inflammation mediators
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Eosinophils
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control allergic and parasitic response
increased with parasites or allergies decreased if stressed marrow or ccstds |
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Basophils
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antihistamines- inflammation, anticoagulants- reduce blood clots
increased in hemolytic anemia, chx pox and leukemia |
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WBC reference range
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4.5-10 x103/mm3
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Hgb ref range
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Males- 13.5-17.5 g/dL
Females- 12-16 g/dL |
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Hct ref range
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males 40-52%
females 36-48% |
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Platelet Count
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150-400x103/mm3
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Acanthocytes (spur cells)
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severe liver disease, malnutrition, McLeod blood group phenotype
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Bile/Blister Cells
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G6PD deficiency
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Basophilic stipling
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hemolysis, lead poisoning, thalassemia
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Echinocytes
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renal failure, hemolysis from malnutrition with hypomagnesemia, hypophosphatemia, pyruvate kinase deficiency, invitro artifact
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Rouleaux formation
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multiple myeloma
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Schistocytes & Fragmented RBCS
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thrombotic throbocytopenic purpura, diffused intravascular coagulation, vasculitis, malignant HTN, eclampsia, hemolysis due to prosthetic heart valve or damaged vascular graft, thermal injury or post-splenectomy
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Sickle Cell
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hgb SS or SC, beta thalassemia
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stomatocytes
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alcohol or hereditary
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Target Cells
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liver disease, thalassemia, abetalippoproteinemia, hgb C,D,E & S
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tear drop cells
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myelofibrosis, myelophthiasis
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characteristic erythrocyte inclusions
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malaria, bebeiosis
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granulocytes with cytoplasmic organisms
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fungal/bacterial infections
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reactive lymphocytes
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viral infections
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hypersegmented neutrophils
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pernicious anemia
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blasts, auer rods
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acute leukemia
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Causes of monocytosis
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lymphoma, leukemia, post-splenectomy, malaria, rocky mountain/typhoid fever, chronic UC, endritis, sarcoidosis, sprue, SLE, SBE infx, RA, TB, myobacteria
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Causes of monocytopenia
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hairy cell leukemia
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Causes of lymphocytopenia
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increased destruction: chemo/radiation, ccstds
increase GI flush: intestinal lymphectasia, blockage of intestinal lymphatic duct, thoracic duct drainage or CHF decreased production: aplastic anemia, malignancy, inherited immunoglobulin deficiency |
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Causes of lymphocytosis
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mature atypical: infx mono, infx hepatitis, CMV, toxoplasmosis, drugs (phenytoin)
mature typical: CLL, pertussis, viral infx immature/blasts: acute lymphoma, leukemia |
