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17 Cards in this Set

  • Front
  • Back
What are the granuloycytes and agranulocytes?
granulocytes:
have primarey and secondary (specific) granules, primary = lysosomes, secondary = neutrophils
eosinophils - red acidic dye
basophils - blue basic dye
neutrophils - neutral

agranulocytes:
do not have specific granules
-monocytes
-lymphocytes
What is the proportion of leukocytes in blood?
-neutrophils (50-70 %)
-lymphocytes (20-30 %)
-monocytes (3-8 %)
-eosinophils (2-4 %)
-Basophils (0-1 %)
When is there Leukocytosis and Leucopenia?
Leukocytosis - increaesd leukocyte count
-pathologic: infections, inflammations, heat stroke etc
-physiologic: pregnancy, emotions, after meal

Leukopenia - low leukocyte count
-excessive radiation, action of some drugs
What are characteristics of Neutrophils?
2-5 lobes

more than 5 = hypersegmented (due to vitamin B12 or folate deficiency)
What is the Band form?
juvenile neutrophils

their number increases during acute bacterial diseases

shift to the left
What are the functions of Neutrophils?
can survive in anaerobic environment

has MHC

many WBC capable of leaving blood - emigration or diapedesis
-rolling against epithelium
-sticking (adhesion)
-squeezing through tiny gaps

Neutrophils have integrin molecules that allow it to "roll" on endothelial lining (margination)

by diapedesis it crosses endothelial wall and enters surrounding CT

full process: margination --> adhesion --> diapedesis --> chemotaxis --> phagocytosis
What are properties of eosinophils and what happens in abnormal counts?
bilobed nucleus

function for parasite destruction

stain red-orange with acidic dyes

high count = allergic reaction, autoimmune diseases or parasitic infections

low count = stress, drug toxicity, chronic reactions
What are the functions of Eosinophils?
phagocytosis in asthma, hay fever, and allergies

all eosinophils have receptor for IgE, important for destruction of parasite and not found on neutrophils

counter effect of basophils:
-histaminase (anti-histamine)
-arylsulfatase (attacks SRS-A)
What are properties of Basophils and what happens in abnormal counts?
stain blue-purple with basic dyes

2 lobes but nucleus is obscured with densely basophilic specific granules

high count = leukemia, chronic inflammation, cancers, hypothyroidism, allergic reactions

low count = acute stress, pregnancy, ovulation, hyperthyroidism
What are the functions of basophils?
heparin - powerful anticoagulant

histamine - vasodilation and permeability of blood vessels and contraction of bronchi

leukotrienes or Slow Releasing Substance of Anaphylaxis (SRS-A) - contraction of smooth muscle

involved in allergic reactions
What is the difference between mast cells and basophils?
mast cells found in CT

basophils found in bloodstream
What do mast cells do?
immediate hypersensitivity and anaphylaxis

contains heparin and histamine
What are characteristics of monocytes?
biggest leukocyte

kidney shaped nucleus

become macrophages when they enter CT

respond to chemotaxis
What are the functions of monocytes?
act as large phagocytes

histiocytes play role in clearing abnormal RBC and production of prostaglandins and growth factors

high count = viral or fungal infections, TB, syphillis, some leukemias, chronic diseases

low count = bone marrow suppression, cortisol excess
What are some properties of Lymphocytes?
small when inactive, large when active (depends on cytoplasm)

ONLY leukocyte with the capacity to go in and out of circulation

T = 80-85 %
B = 10 %
NK = 5-10 %
What do raised white cell counts indicate about disease?
neutrophilia = acute inflammatory response

eosinophilia = allergy and certain parasites

lymphocytosis = viral infection

reduction in White cells may indicate defective bone marrow
What are properties of Leukemia?
signs of BM failure:
-low RBC - anemia, fatigue
-low WBC - infections, fever
-low platelets - bleeding

Peripheral blood:
-higher immature forms (BLASTS)

bone marrow:
-higher immature forms (BLASTS)