Podcast
Questions and Answers
Which technology is used for measuring cell parameters through light scattering?
Which technology is used for measuring cell parameters through light scattering?
- Optical detection
- Electrical impedance
- Flow cytometry
- Laser technology (correct)
Optical detection and electrical impedance are both principles of cell counting.
Optical detection and electrical impedance are both principles of cell counting.
True (A)
What does RDW stand for in hematology?
What does RDW stand for in hematology?
Red Cell Distribution Width
The normal range for RDW is __________.
The normal range for RDW is __________.
Match the following terms with their definitions:
Match the following terms with their definitions:
Which of the following is a fundamental concept in laser technology?
Which of the following is a fundamental concept in laser technology?
Flow cytometry can provide information on both cell size and granularity.
Flow cytometry can provide information on both cell size and granularity.
A histogram is used to represent the distribution of __________ in hematology.
A histogram is used to represent the distribution of __________ in hematology.
What is the primary factor influencing the sorting of leukocytes in a size-referenced histogram?
What is the primary factor influencing the sorting of leukocytes in a size-referenced histogram?
The RDW value in a Coulter series reflects the average size of erythrocytes.
The RDW value in a Coulter series reflects the average size of erythrocytes.
What specific cellular properties does a cytometer measure in the principle of flow cytometry?
What specific cellular properties does a cytometer measure in the principle of flow cytometry?
In healthy patients, there is an ______ relationship between platelet count and platelet size.
In healthy patients, there is an ______ relationship between platelet count and platelet size.
Match the following terms with their corresponding definitions:
Match the following terms with their corresponding definitions:
Platelet counting and sizing using electrical impedance methods do not account for the native size of platelets.
Platelet counting and sizing using electrical impedance methods do not account for the native size of platelets.
Explain how electrical impedance is used for cell counting and sizing.
Explain how electrical impedance is used for cell counting and sizing.
Which of the following techniques is NOT a part of the three distinct steps involved in flow cytometry?
Which of the following techniques is NOT a part of the three distinct steps involved in flow cytometry?
What principle is used in the electrical impedance method of cell counting?
What principle is used in the electrical impedance method of cell counting?
Optical detection methods rely on the measurement of electrical resistance to count cells.
Optical detection methods rely on the measurement of electrical resistance to count cells.
What is the primary measurement used in the optical detection method for counting cells?
What is the primary measurement used in the optical detection method for counting cells?
The amplitude of the electrical pulse in electrical impedance indicates the cell's ______.
The amplitude of the electrical pulse in electrical impedance indicates the cell's ______.
Match the following light scattering processes with their descriptions:
Match the following light scattering processes with their descriptions:
What does the number of electrical pulses generated in the electrical impedance method indicate?
What does the number of electrical pulses generated in the electrical impedance method indicate?
Forward light scatter is used to determine the refractive properties of cells.
Forward light scatter is used to determine the refractive properties of cells.
In optical detection, what is used to detect scattered light?
In optical detection, what is used to detect scattered light?
What does forward high-angle light scatter allow for in measurements?
What does forward high-angle light scatter allow for in measurements?
Laser light is only made up of a variety of wavelengths and colors.
Laser light is only made up of a variety of wavelengths and colors.
What does LASER stand for?
What does LASER stand for?
In flow cytometry, cells are stained in __________.
In flow cytometry, cells are stained in __________.
Match the light scattering types with their descriptions:
Match the light scattering types with their descriptions:
Which property does flow cytometry NOT combine?
Which property does flow cytometry NOT combine?
The RF pulse is inversely proportional to the nuclear size and density of a cell.
The RF pulse is inversely proportional to the nuclear size and density of a cell.
What is one major advantage of using laser light in flow cytometers?
What is one major advantage of using laser light in flow cytometers?
Which of the following is NOT an innovation in hematology instrumentation?
Which of the following is NOT an innovation in hematology instrumentation?
Erythrocyte histograms can only display cells that are 36 femtoliters or larger.
Erythrocyte histograms can only display cells that are 36 femtoliters or larger.
What does a wide or more flattened histogram curve indicate about cell size distribution?
What does a wide or more flattened histogram curve indicate about cell size distribution?
In the Coulter system, the size of cells is represented on the x-axis in __________.
In the Coulter system, the size of cells is represented on the x-axis in __________.
Match the following cell counting innovations with their descriptions:
Match the following cell counting innovations with their descriptions:
What is typically measured using the traditional cyanmethemoglobin flow-cell method?
What is typically measured using the traditional cyanmethemoglobin flow-cell method?
Leukocyte histograms can provide information about the frequency of leukocyte populations.
Leukocyte histograms can provide information about the frequency of leukocyte populations.
What graphical representation shows cell frequencies versus their sizes?
What graphical representation shows cell frequencies versus their sizes?
What method is used to estimate young, reticulated platelets?
What method is used to estimate young, reticulated platelets?
Flow cytometry is only useful for the diagnosis of solid tumors, not hematologic neoplasia.
Flow cytometry is only useful for the diagnosis of solid tumors, not hematologic neoplasia.
Automated digital cell morphology provides a higher level of _____ and consistency.
Automated digital cell morphology provides a higher level of _____ and consistency.
Match each technique with its description:
Match each technique with its description:
Which of the following is NOT a primary application of flow cytometry?
Which of the following is NOT a primary application of flow cytometry?
The fibrometer is an example of a photo-optical method used in coagulation studies.
The fibrometer is an example of a photo-optical method used in coagulation studies.
What is the role of monoclonal antibodies in flow cytometry?
What is the role of monoclonal antibodies in flow cytometry?
The complete blood count (CBC) includes only quantitative measurements of red blood cells.
The complete blood count (CBC) includes only quantitative measurements of red blood cells.
Which of the following is NOT a component of the complete blood count (CBC)?
Which of the following is NOT a component of the complete blood count (CBC)?
Why are manual counts of erythrocytes, leukocytes, and platelets sometimes necessary despite the availability of automated instrumentation?
Why are manual counts of erythrocytes, leukocytes, and platelets sometimes necessary despite the availability of automated instrumentation?
In manual cell counting, blood specimens are diluted with specific ______ to ensure accurate counting.
In manual cell counting, blood specimens are diluted with specific ______ to ensure accurate counting.
What is the principle behind most lysing agents used in manual cell counting?
What is the principle behind most lysing agents used in manual cell counting?
Match the following CBC parameters with their descriptions:
Match the following CBC parameters with their descriptions:
What is the primary function of red blood cells?
What is the primary function of red blood cells?
The Rule of Three applies to all types of red blood cells, regardless of their size or color.
The Rule of Three applies to all types of red blood cells, regardless of their size or color.
The manual erythrocyte count involves counting red blood cells in a ______ grid.
The manual erythrocyte count involves counting red blood cells in a ______ grid.
What is the primary reason for performing a blood volume measurement?
What is the primary reason for performing a blood volume measurement?
Which of the following is NOT a source of error in the manual erythrocyte count?
Which of the following is NOT a source of error in the manual erythrocyte count?
Which of the following factors can lead to an elevated hemoglobin (Hb) measurement?
Which of the following factors can lead to an elevated hemoglobin (Hb) measurement?
The cyanmethemoglobin method is a common method for manual and automated Hb determination.
The cyanmethemoglobin method is a common method for manual and automated Hb determination.
What is the primary reason for performing a manual Hb determination?
What is the primary reason for performing a manual Hb determination?
In the cyanmethemoglobin method, blood is incubated with ______ reagent to induce lysing.
In the cyanmethemoglobin method, blood is incubated with ______ reagent to induce lysing.
Which of the following strategies is NOT used to address high WBC count interference in Hb measurement?
Which of the following strategies is NOT used to address high WBC count interference in Hb measurement?
Match the following specimen characteristics with their corresponding effects on Hb measurement:
Match the following specimen characteristics with their corresponding effects on Hb measurement:
Manual Hct results are more accurate than automated Hct results because they are not affected by trapped plasma.
Manual Hct results are more accurate than automated Hct results because they are not affected by trapped plasma.
What is the main source of error that can falsely decrease Hct values in manual Hct determination?
What is the main source of error that can falsely decrease Hct values in manual Hct determination?
What is the dilution factor used in a manual RBC counting procedure?
What is the dilution factor used in a manual RBC counting procedure?
The volume correction factor remains the same regardless of the number of squares counted in the hemocytometer.
The volume correction factor remains the same regardless of the number of squares counted in the hemocytometer.
What is the final RBC count if 400 cells are counted in the hemocytometer using the given formula?
RBC count/mm^6 = RBCs x 50 x 200
What is the final RBC count if 400 cells are counted in the hemocytometer using the given formula? RBC count/mm^6 = RBCs x 50 x 200
The Mean Corpuscular Volume (MCV) reflects the average ______ or size of a red blood cell.
The Mean Corpuscular Volume (MCV) reflects the average ______ or size of a red blood cell.
Match the following red blood cell indices with their corresponding definitions:
Match the following red blood cell indices with their corresponding definitions:
Which of the following is a reagent used in manual WBC counts?
Which of the following is a reagent used in manual WBC counts?
In a manual WBC count, the volume of one 'W' section is 0.4 mm3.
In a manual WBC count, the volume of one 'W' section is 0.4 mm3.
What is the volume correction factor when counting 4 'W' sections in a manual WBC count?
What is the volume correction factor when counting 4 'W' sections in a manual WBC count?
In a manual WBC count, the variation in the count from both sides of the hemocytometer should be no more than ______ cells for good distribution.
In a manual WBC count, the variation in the count from both sides of the hemocytometer should be no more than ______ cells for good distribution.
Match the following hemocytometers with their corresponding dimensions:
Match the following hemocytometers with their corresponding dimensions:
Which of the following factors can contribute to errors in manual WBC counts?
Which of the following factors can contribute to errors in manual WBC counts?
An absolute cell count is always the preferred method for assessing inflammation.
An absolute cell count is always the preferred method for assessing inflammation.
What is the main reason why a high eosinophil count might be observed in a patient?
What is the main reason why a high eosinophil count might be observed in a patient?
The ______ is the least numerous granulocyte in peripheral circulation.
The ______ is the least numerous granulocyte in peripheral circulation.
The absolute number of segmented neutrophils and bands is considered to be a more specific index of inflammation than other tests.
The absolute number of segmented neutrophils and bands is considered to be a more specific index of inflammation than other tests.
What is the primary reason why the total leukocyte count can drop in patients with overwhelming infection?
What is the primary reason why the total leukocyte count can drop in patients with overwhelming infection?
What does a complete blood count (CBC) NOT typically analyze?
What does a complete blood count (CBC) NOT typically analyze?
Automated methods for cell counting completely eliminate the need for manual counts.
Automated methods for cell counting completely eliminate the need for manual counts.
What is the main purpose of a hemacytometer?
What is the main purpose of a hemacytometer?
In blood cell analysis, the term _________ refers to the average size of erythrocytes.
In blood cell analysis, the term _________ refers to the average size of erythrocytes.
Why are lysing agents used in manual counts?
Why are lysing agents used in manual counts?
Match each measurement with its description:
Match each measurement with its description:
RBC indices are a standard part of the CBC.
RBC indices are a standard part of the CBC.
What is the backup method used for measuring hemoglobin?
What is the backup method used for measuring hemoglobin?
In what phase of hematopoiesis does the bone marrow become the primary site of blood cell production?
In what phase of hematopoiesis does the bone marrow become the primary site of blood cell production?
Fetal hematopoiesis takes place exclusively in the bone marrow.
Fetal hematopoiesis takes place exclusively in the bone marrow.
What are the two main types of hemoglobin found in erythrocytes during the Embryonic Phase of hematopoiesis?
What are the two main types of hemoglobin found in erythrocytes during the Embryonic Phase of hematopoiesis?
The _______ is a primary site of hematopoiesis in a developing adult.
The _______ is a primary site of hematopoiesis in a developing adult.
Match the following phases of hematopoiesis with their primary sites of blood cell production:
Match the following phases of hematopoiesis with their primary sites of blood cell production:
The fetal liver is the primary site of hematopoiesis throughout the entire pregnancy.
The fetal liver is the primary site of hematopoiesis throughout the entire pregnancy.
What are the two main types of cells produced during the Embryonic Phase of hematopoiesis?
What are the two main types of cells produced during the Embryonic Phase of hematopoiesis?
Which of the following is NOT a hematopoietic organ or tissue?
Which of the following is NOT a hematopoietic organ or tissue?
Totipotent stem cells can develop into any human cell type, including a fetus.
Totipotent stem cells can develop into any human cell type, including a fetus.
What are the three types of stem cells mentioned in the text?
What are the three types of stem cells mentioned in the text?
Where does erythropoiesis primarily occur?
Where does erythropoiesis primarily occur?
Lymphocytes are produced in erythropoietic islands.
Lymphocytes are produced in erythropoietic islands.
What is the lifespan of neutrophils once they enter peripheral circulation?
What is the lifespan of neutrophils once they enter peripheral circulation?
Megakaryocytes deliver __________ into the blood.
Megakaryocytes deliver __________ into the blood.
Match the following hematopoietic processes with their characteristics:
Match the following hematopoietic processes with their characteristics:
What are the main components found in the bone marrow?
What are the main components found in the bone marrow?
Granulopoiesis produces lymphocytes and plasma cells.
Granulopoiesis produces lymphocytes and plasma cells.
How long does it take for megakaryocytes to develop?
How long does it take for megakaryocytes to develop?
Which hematopoietic growth factor primarily stimulates T and B lymphocytes?
Which hematopoietic growth factor primarily stimulates T and B lymphocytes?
Granulocytes exhibit a smooth chromatin pattern throughout their development.
Granulocytes exhibit a smooth chromatin pattern throughout their development.
What is the significance of the nuclear-cytoplasmic ratio (N:C Ratio) in cell identification?
What is the significance of the nuclear-cytoplasmic ratio (N:C Ratio) in cell identification?
IL-12 targets __________ cells.
IL-12 targets __________ cells.
Match the cell type with its nuclear characteristic:
Match the cell type with its nuclear characteristic:
What characteristic is NOT useful for the identification of stained blood cells?
What characteristic is NOT useful for the identification of stained blood cells?
The nucleus of erythrocytes continues to develop a more clumped pattern until it is lost during maturation.
The nucleus of erythrocytes continues to develop a more clumped pattern until it is lost during maturation.
Identify one important feature of the nucleus used in cell identification.
Identify one important feature of the nucleus used in cell identification.
What is the primary function of interleukins?
What is the primary function of interleukins?
Cytokines are immune cells that only bind to receptors on target immune cells.
Cytokines are immune cells that only bind to receptors on target immune cells.
How many lobes can the nuclei of mature neutrophils, eosinophils, and basophils have?
How many lobes can the nuclei of mature neutrophils, eosinophils, and basophils have?
What type of cells do osteoblasts resemble?
What type of cells do osteoblasts resemble?
Mature blood cells generally retain visible nucleoli as they mature.
Mature blood cells generally retain visible nucleoli as they mature.
Which type of blood cell typically has one to five nucleoli?
Which type of blood cell typically has one to five nucleoli?
Interleukins are a part of the __________ superfamily.
Interleukins are a part of the __________ superfamily.
Which chromosome is associated with encoding Erythropoietin (EPO)?
Which chromosome is associated with encoding Erythropoietin (EPO)?
Younger blood cells in the maturation process tend to be more ______, whereas mature cells are more pink to neutral-colored.
Younger blood cells in the maturation process tend to be more ______, whereas mature cells are more pink to neutral-colored.
Match the following blood cell types with their nucleoli characteristics:
Match the following blood cell types with their nucleoli characteristics:
There are currently interleukins identified beyond number 35.
There are currently interleukins identified beyond number 35.
What is a normal finding in monocytes related to their cytoplasmic characteristics?
What is a normal finding in monocytes related to their cytoplasmic characteristics?
What is the main role of hematopoietic growth factors?
What is the main role of hematopoietic growth factors?
Granulation is solely used to identify the presence of leukocytes.
Granulation is solely used to identify the presence of leukocytes.
What is the significance of Auer rods in cell identification?
What is the significance of Auer rods in cell identification?
What is the primary function of erythropoietin (EPO)?
What is the primary function of erythropoietin (EPO)?
Granulocyte colony-stimulating factor (G-CSF) is involved in the production of red blood cells.
Granulocyte colony-stimulating factor (G-CSF) is involved in the production of red blood cells.
What are the three types of stem cells present in the hematopoietic system?
What are the three types of stem cells present in the hematopoietic system?
The cellular elements of bone marrow can be divided into four phases: primitive, __________, precursors, and mature cells.
The cellular elements of bone marrow can be divided into four phases: primitive, __________, precursors, and mature cells.
Which of the following hematopoietic organs is responsible for the maturation of T cells?
Which of the following hematopoietic organs is responsible for the maturation of T cells?
Match the type of stem cell with its description:
Match the type of stem cell with its description:
What is the M:E ratio at the mentioned stage of hematopoiesis?
What is the M:E ratio at the mentioned stage of hematopoiesis?
Multipotential stem cells can give rise to all types of human cells.
Multipotential stem cells can give rise to all types of human cells.
What are the two types of cell death?
What are the two types of cell death?
The ______ phase of the cell cycle is characterized by mitotic inactivity.
The ______ phase of the cell cycle is characterized by mitotic inactivity.
Apoptosis is a passive process that does not involve active molecular mechanisms.
Apoptosis is a passive process that does not involve active molecular mechanisms.
Transcription factors are involved in normal protooncogene activity during growth.
Transcription factors are involved in normal protooncogene activity during growth.
What is the name of the segment of DNA that is responsible for encoding a specific protein?
What is the name of the segment of DNA that is responsible for encoding a specific protein?
What is the primary function of the p53 gene?
What is the primary function of the p53 gene?
Match the following disorders with whether they are associated with decreased or increased apoptosis:
Match the following disorders with whether they are associated with decreased or increased apoptosis:
What is the name given to the normal counterparts of viral oncogenes in the human genome?
What is the name given to the normal counterparts of viral oncogenes in the human genome?
What type of cell is responsible for initiating the development of a hematopoietic neoplasm?
What type of cell is responsible for initiating the development of a hematopoietic neoplasm?
Cancer is always caused by alterations in a single oncogene.
Cancer is always caused by alterations in a single oncogene.
Mutations in the p53 gene can lead to ______ cell proliferation.
Mutations in the p53 gene can lead to ______ cell proliferation.
Active transport processes require energy to move molecules against the concentration gradient.
Active transport processes require energy to move molecules against the concentration gradient.
What type of genetic alteration leads to sickle cell anemia?
What type of genetic alteration leads to sickle cell anemia?
Which of the following processes is NOT an example of adaptive cell change?
Which of the following processes is NOT an example of adaptive cell change?
The engulfment of fluids into the cytoplasm is known as ______.
The engulfment of fluids into the cytoplasm is known as ______.
What is the main function of the sodium-potassium pump?
What is the main function of the sodium-potassium pump?
Match the following cell changes with their descriptions:
Match the following cell changes with their descriptions:
What is the primary role of lysosomes in phagocytosis?
What is the primary role of lysosomes in phagocytosis?
Explain the importance of cell volume homeostasis.
Explain the importance of cell volume homeostasis.
What are the two types of endoplasmic reticulum?
What are the two types of endoplasmic reticulum?
The Golgi apparatus is shaped like a sphere.
The Golgi apparatus is shaped like a sphere.
Cytoplasmic organelles are structures within a cell that can be easily visualized with a light microscope.
Cytoplasmic organelles are structures within a cell that can be easily visualized with a light microscope.
What is the primary function of lysosomes?
What is the primary function of lysosomes?
Microfilaments are solid structures composed of the protein ______.
Microfilaments are solid structures composed of the protein ______.
Match the following organelles with their descriptions:
Match the following organelles with their descriptions:
Which of these is NOT present within the mitochondria?
Which of these is NOT present within the mitochondria?
Ribosomes are responsible for protein synthesis.
Ribosomes are responsible for protein synthesis.
What color does cytoplasm appear when stained with Wright stain?
What color does cytoplasm appear when stained with Wright stain?
What is the primary function of erythrocytes?
What is the primary function of erythrocytes?
The normal range for erythrocytes in adults is ______ to ______ million per mm3.
The normal range for erythrocytes in adults is ______ to ______ million per mm3.
What are the three subphases of interphase?
What are the three subphases of interphase?
Translocation is a numerical aberration.
Translocation is a numerical aberration.
What is the process called where a segment of a chromosome breaks away and attaches to another chromosome?
What is the process called where a segment of a chromosome breaks away and attaches to another chromosome?
The loss of a segment of a chromosome is called a ______.
The loss of a segment of a chromosome is called a ______.
Match the following phases of mitosis with their descriptions.
Match the following phases of mitosis with their descriptions.
What is the primary role of clinical cytogenetics?
What is the primary role of clinical cytogenetics?
Trisomy is a structural aberration.
Trisomy is a structural aberration.
What is the name for the period of cell division where the cytoplasm divides?
What is the name for the period of cell division where the cytoplasm divides?
Leukocytes are the smallest cells in the blood.
Leukocytes are the smallest cells in the blood.
What is the normal range for thrombocytes in adults?
What is the normal range for thrombocytes in adults?
The cell membrane is a ______ barrier that separates the cellular components from the external environment.
The cell membrane is a ______ barrier that separates the cellular components from the external environment.
Match the following blood components with their descriptions:
Match the following blood components with their descriptions:
What are the three main formed elements of blood?
What are the three main formed elements of blood?
The fluid mosaic model describes the structure of the cell membrane as a rigid, static arrangement.
The fluid mosaic model describes the structure of the cell membrane as a rigid, static arrangement.
What is the approximate lifespan of erythrocytes?
What is the approximate lifespan of erythrocytes?
Which of the following is NOT a site of hematopoiesis in early embryonic development?
Which of the following is NOT a site of hematopoiesis in early embryonic development?
Active transport requires energy to move substances across a cell membrane.
Active transport requires energy to move substances across a cell membrane.
What is the name of the process by which cells break down and die in a controlled manner?
What is the name of the process by which cells break down and die in a controlled manner?
The term ______ refers to a genetic alteration that can lead to uncontrolled cell growth.
The term ______ refers to a genetic alteration that can lead to uncontrolled cell growth.
Match the following hematopoietic cells with their developmental order:
Match the following hematopoietic cells with their developmental order:
Which of the following is NOT a component of a complete blood count (CBC)?
Which of the following is NOT a component of a complete blood count (CBC)?
The cyanmethemoglobin assay is used to determine the concentration of hemoglobin in a blood sample.
The cyanmethemoglobin assay is used to determine the concentration of hemoglobin in a blood sample.
What are the three RBC indices used to classify RBC morphology?
What are the three RBC indices used to classify RBC morphology?
The principle of ______ is used in hematology analyzers to count and size cells by measuring the electrical resistance they create when passing through an aperture.
The principle of ______ is used in hematology analyzers to count and size cells by measuring the electrical resistance they create when passing through an aperture.
Match the following laser light scattering processes with their descriptions:
Match the following laser light scattering processes with their descriptions:
Which of the following is NOT a disorder associated with an abnormal Mean Platelet Volume (MPV)?
Which of the following is NOT a disorder associated with an abnormal Mean Platelet Volume (MPV)?
Flow cytometry is a technique that uses the principle of staining cells with fluorescent dyes to analyze their physical and biological properties.
Flow cytometry is a technique that uses the principle of staining cells with fluorescent dyes to analyze their physical and biological properties.
Describe two basic uses of flow cytometry in hematology.
Describe two basic uses of flow cytometry in hematology.
Flashcards
Electrical Impedance
Electrical Impedance
A method used for cell counting and sizing based on changes in electrical resistance as cells pass through a sensor.
Optical Detection
Optical Detection
A technique that counts and sizes cells by measuring light scattering as cells pass through a laser beam.
Laser Technology
Laser Technology
Technology that utilizes focused light beams for precision measurements in hematology.
Flow Cytometry
Flow Cytometry
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RDW (Red Cell Distribution Width)
RDW (Red Cell Distribution Width)
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MPV (Mean Platelet Volume)
MPV (Mean Platelet Volume)
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Hematology Analyzers
Hematology Analyzers
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Histogram Interpretation
Histogram Interpretation
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Coulter Principle
Coulter Principle
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Pulse Generation in Cell Counting
Pulse Generation in Cell Counting
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Scattergram
Scattergram
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Laser-Based Optical Detection
Laser-Based Optical Detection
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Sensing Zone
Sensing Zone
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Light Scatter Characteristics
Light Scatter Characteristics
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Forward Light Scatter
Forward Light Scatter
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Forward low-angle light scatter
Forward low-angle light scatter
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Forward high-angle light scatter
Forward high-angle light scatter
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Orthogonal light scatter
Orthogonal light scatter
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Radio Frequency (RF) in cytometry
Radio Frequency (RF) in cytometry
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Nuclear-cytoplasmic ratio
Nuclear-cytoplasmic ratio
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Electromagnetic spectrum
Electromagnetic spectrum
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LASER definition
LASER definition
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Principles of flow cytometry
Principles of flow cytometry
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Leukocyte Histogram
Leukocyte Histogram
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Erythrocyte RDW
Erythrocyte RDW
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Electrical Impedance in Hematology
Electrical Impedance in Hematology
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Platelet Histogram
Platelet Histogram
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Mean Platelet Volume (MPV)
Mean Platelet Volume (MPV)
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Leukocyte Subpopulations
Leukocyte Subpopulations
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Flow Cytometry Steps
Flow Cytometry Steps
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Nuclear Size Relation
Nuclear Size Relation
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nRBC counts
nRBC counts
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Immature granulocytes (IGs)
Immature granulocytes (IGs)
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CD4 lymphocyte counting
CD4 lymphocyte counting
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Cell markers
Cell markers
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Reticulocyte hemoglobin measurement
Reticulocyte hemoglobin measurement
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Hematopoietic progenitor cells (HPCs)
Hematopoietic progenitor cells (HPCs)
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Erythrocyte histogram
Erythrocyte histogram
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Gaussian distribution in histograms
Gaussian distribution in histograms
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Reticulocyte Enumeration
Reticulocyte Enumeration
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Immunophenotyping
Immunophenotyping
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Hematologic Malignancy Diagnosis
Hematologic Malignancy Diagnosis
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Digital Microscopy
Digital Microscopy
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Electromechanical Methods
Electromechanical Methods
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Fibrometer
Fibrometer
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Platelet Agglutination
Platelet Agglutination
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Cell Functioning Analysis
Cell Functioning Analysis
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Hemoglobin Measurement
Hemoglobin Measurement
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Cyanmethemoglobin Method
Cyanmethemoglobin Method
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Sources of Error in Hb Measurement
Sources of Error in Hb Measurement
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Hematocrit (Hct)
Hematocrit (Hct)
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Packed Cell Volume (PCV)
Packed Cell Volume (PCV)
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Automated Hematocrit Measurement
Automated Hematocrit Measurement
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Manual Hct Errors
Manual Hct Errors
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Specimen Integrity Importance
Specimen Integrity Importance
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Complete Blood Count (CBC)
Complete Blood Count (CBC)
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Automated Blood Count
Automated Blood Count
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Hemacytometer
Hemacytometer
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Osmotic Pressure Principle
Osmotic Pressure Principle
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RBC Indices
RBC Indices
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Differential Count
Differential Count
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Reticulocyte Count
Reticulocyte Count
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Blood Cell Histogram
Blood Cell Histogram
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Technical Errors in Hematology
Technical Errors in Hematology
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Macrocytic Anemia
Macrocytic Anemia
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Rule of Three
Rule of Three
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Manual Erythrocyte Count
Manual Erythrocyte Count
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Sources of Error in Counting
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RBC Counting Dilution
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Volume Correction Factor
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Final RBC Count Calculation
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Mean Corpuscular Volume (MCV)
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Mean Corpuscular Hemoglobin (MCH)
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Mean Corpuscular Hemoglobin Concentration (MCHC)
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Cells Counted Example
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Automated WBC Counting
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Neubauer Hemocytometer
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Volume Calculation for WBCs
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Correction Factor
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LeukoCount Solution
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Manual WBC Count Formula
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Correction Factor (CF)
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Dilution Factor (DF)
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Cell Count Averaging
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Sources of Error in WBC Counts
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Eosinophilia
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Basophilia
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Absolute Cell Counts
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Hematopoiesis
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Embryonic Phase
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Fetal Hepatic Phase
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Medullary Phase
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Erythrocytes
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Granulocytes
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Cytokines
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Extramedullary Hematopoiesis
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Erythropoiesis
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Erythropoietic islands
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Granulopoiesis
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Lymphopoiesis
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Megakaryopoiesis
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Bone Marrow Composition
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Life Span of Neutrophils
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Cellular Adhesion in HPCs
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Erythropoietin (EPO)
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Hematopoietic Organs
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Multipotential Hematopoietic Stem Cell
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Totipotential Stem Cells
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Pluripotential Stem Cells
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Multipotential Stem Cells
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Phases of Hematopoietic Cells
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Primitive Cells
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Macrophages
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Interleukins
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Hematopoietic Growth Factors
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Colony-stimulating factors
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G-CSF
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IL-7
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Chromatin Pattern
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Monocyte Nucleus Shape
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Granulocyte Chromatin
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Erythrocyte Nucleus
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Nucleoli in Blood Cells
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Granulation in Leukocytes
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Cytoplasmic Color Change
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Vacuolization of Monocytes
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Cell Shapes
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Nuclear Characteristics in Lymphoblasts
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Maturation Stages of RBCs
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Inclusion Bodies in Cells
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Karyotype
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Chromosomal Deletion
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Chromosomal Translocation
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Trisomy
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Interphase
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M Phase
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Prophase
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Telophase
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Apoptosis
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Decreased Apoptosis Disorders
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Increased Apoptosis Disorders
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Protooncogenes
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Gene Mutation
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Hematology
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Components of Whole Blood
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Leukocytes
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Thrombocytes
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Cellular Membrane
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Fluid Mosaic Model
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Cytoplasm
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Endoplasmic Reticulum (ER)
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Golgi Apparatus
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Lysosomes
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Mitochondria
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Microtubules
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Na-K-ATPase
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Endocytosis
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Pinocytosis
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Phagocytosis
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Cell Volume Homeostasis
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Metaplasia
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Cancer Stem Cells
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p53 Gene
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Hematopoietic Neoplasm
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Components of CBC
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Calculate Manual RBC Count
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Cyanmethemoglobin Assay
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Hematopoiesis Phases
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Study Notes
PowerPoints and Study
- PowerPoints are general overviews, used only for video lecture notes.
- PowerPoints do not contain details needed for unit exams.
- Students are responsible for reading the textbook for exam details.
- Unit Objectives are the study guide, not the PowerPoint.
- Test questions are based on Unit Objectives found in the textbook only.
Objectives
- Basic principles of cell counting and sizing (electrical impedance and optical detection) are explained.
- Fundamental concepts of laser technology are described.
- Principles of flow cytometry and its applications in hematology are given.
- Basic benchtop hematology analyzers' measurement parameters and methods described.
- Total cell and histogram electrical impedance system processes and outputs are shown and explained.
- Laser scatter technology system processes and outputs are shown and explained.
- Microcytic and macrocytic RBC appearance on histograms.
- RDW, its relation to MCV, calculation, and normal ranges are described.
- Leukocyte histogram appearance, both electrical and optical detection.
- Platelet histogram construction is described.
- MPV, its platelet correlation, and associated disorders are identified.
- Blood cell (RBC, WBC, and Platelets) histogram generation using laser technology is explained.
- Flow cytometry's applications and properties are detailed.
- Histogram and scatter plot data interpretation is discussed.
- Hemoglobin, hematocrit, red blood cell counts, white blood cell counts, platelet count, leukocyte differential, and peripheral blood smear evaluation is discussed.
- Hematopoiesis, the process of blood cell production, differentiation, and development, is described, including the role of different organs in blood cell production in developing embryos and adults.
- The three phases of hematopoiesis (embryonic, fetal hepatic, and medullary) are discussed, along with the locations and types of cells produced in each phase.
- Hematopoietic organs and tissues, including bone marrow, thymus, liver, spleen, and lymph nodes, are described.
- The origins of blood cells from stem cells (totipotent, pluripotent, and multipotent), and descriptions of their development into various differentiated cell types, are explained.
- The stages of hematopoietic progenitor cells (HPCs) and their functions—megakaryopoiesis, granulopoiesis, lymphopoiesis, and the role of macrophages and bone cells in the bone marrow—are detailed.
- Protein molecules called interleukins and their roles in hematopoietic growth and differentiation, stimulation of proliferation and differentiation of specific cell lines, and their function in immune cell communication are detailed.
- Hematopoietic growth factors (e.g., EPO, G-CSF, GM-CSF, IL-7, IL-12) and their effects on different cell types in the body, and their role in clinical situations (e.g., chemotherapy) are described.
Basic Cell Counting Principles
- Instrumentation and automation procedures are explained for clinical hematology labs.
- Counting cellular elements (erythrocytes, leukocytes, and platelets) using electrical impedance and optical detection methods is detailed.
Electrical Impedance
- Cell counting/sizing is based on detecting resistance changes as particles pass small apertures.
- Number of pulses during a period is proportional to the number of particles.
- Pulse amplitude indicates cell volume, displayed on a histogram.
- Distribution of cell volume and frequency is shown in output histograms.
Optical Detection
- Laser light used in cell counting and sizing.
- Scattered light detected and converted to electrical pulses.
- Number of pulses is proportional to the number of cells.
- Light scatter characteristics explained.
Light Scatter Characteristics
- Light amplification, diffraction, refraction, and reflection.
- Forward light scatter (0°) relates to cell volume.
- Forward low-angle light scatter (2–3°) and forward high-angle light scatter (5–15°) relate to size and refractive index.
- Orthogonal light scatter (90°) correlates with internal complexity.
Radio Frequency (RF)
- High-voltage electromagnetic current used to detect cell size.
- RF pulse is directly proportional to nuclear size and density of a cell.
- RF/conductivity correlates with nuclear-cytoplasmic ratio, nuclear density, and cytoplasmic granulation.
Laser Technology
- Electromagnetic spectrum, from radio to gamma rays.
- Light amplified by stimulated emission of radiation (laser).
- Laser light properties: concentrated, almost exclusively one wavelength, and parallel waves.
- Different types of laser technology explained.
Flow Cytometry Principles
- Laser light source used in flow cytometers for intensity, stability, and monochromatism.
- Flow cytometry measures characteristics of cells as they flow through a measurement device.
- Combination of fluid dynamics, optics, lasers, computers, and fluorochrome-conjugated antibodies.
- Cells are stained while suspended in a medium, measured by fluorescence.
- Characteristics of cells determined by forward and side scatter.
- Data plotted on histograms; cluster formation of similar cells.
- Forward scatter correlates with cell size.
- Side scatter correlates with cell granularity.
- Histograms are created for visualization and analysis.
Flow Cytometry Principles (cont'd)
- Cellular light scatter patterns used to identify cells, analysis of both intrinsic and extrinsic properties.
- Intrinsic properties: forward and right-angle light scatter to correlate cell size and granularity.
- Extrinsic properties: probe binding to cells, converted into electronic signals for computer analysis.
- Additional details regarding light scatter characteristics: forward, low-angle, high-angle, and orthogonal scatters.
- The role of light scatter in cell analysis and categorization through different angles is discussed.
Whole Blood Cell Analysis
- Comprehensive instrument sophistication measured by generated parameters.
- Recent innovations: nRBC counts, immature granulocytes, CD4 lymphocyte counts, CD34, CD38, and CD61 cell markers, reticulocyte hemoglobin, measurement and counting of hematopoietic progenitor cells and IGs.
- Different types of automated cell counting instruments explained, including their components and processes.
Histograms
- Graphic representations of cell frequencies versus sizes in a homogeneous cell population.
- Normal distribution, symmetrical bell-shaped curve, or flattened curve if the data varies from the mean.
- Histograms help compare cell sizes relative to normal populations; deviations from normal values are of diagnostic importance.
Quantitative Descriptors of Erythrocytes
- RDW expression of erythrocyte size in the Coulter series.
- Variation in erythrocyte size and its correlation with MCV for different types of anemia.
Platelet Histograms
- Platelet counting and sizing using electrical impedance and optical systems reflect native cell size.
- Forward scatter differentiates platelets from other cell types, and side scatter correlates with cytoplasmic granularity.
Derived Platelet Parameters
- Mean platelet volume (MPV) is a measure of average platelet volume in a sample, analogous to erythrocytic MCV.
- Inverse correlation between platelet count and size in healthy patients.
Laser Technology (cont'd)
- Principle of flow cytometry, consisting of cytochemical preparation of cells, cell property measurement by a cytometer, and algorithm conversion for classification, counting, size, and hemoglobinization.
Red Blood Cells/Platelets
- Shared RBC/platelet channel with basophil/lobularity channel.
- Utilizing laser-based optical assembly for measuring RBC volume and density.
- Additional parameters such as MCV and RDW derived using the histogram.
- Different methods for measuring RBC/platelet parameters detailed.
- The types of instruments used in RBC and Platelet are shown.
Applications of Flow Cytometry
- General properties of the technology, including monoclonal antibody production for cell markers and fluorescent probes, and new computational technologies.
- General properties and major advances in flow cytometry; the importance of computer applications on instrument usage.
- Hematological, clinical, and other cellular applications.
Hematological Applications
- Automated differentials based on cell volume, electrical impedance, light scatter, cytochemistry, peroxidase staining, and VCS technology.
Automated Differentials
- Evaluating internal cell organelles and nuclear characteristics by techniques like 90-degree laser scatter, polarization of laser light, and radio frequency (RF).
- Measuring volume, conductivity, and light scatter.
- Different methods for assessment explained.
Clinical Applications of Flow Cytometry
- Reticulocyte enumeration using flow cytometry (more accurate).
- Platelet counts, identifying young reticulated platelets using RNA dyes.
- Immunophenotyping (identifying monoclonal antibodies using CD designations) in hemato-logical malignancies.
- Flow cytometry applicable to DNA cell cycle analysis of bone marrow cells.
Other Cellular Applications
- Applications in solid organ transplantation, stem cell transplantation, monitoring monoclonal antibody therapy, paroxysmal nocturnal hemoglobinemia testing, fetal hemoglobin, blood parasite analysis, chromosomal analysis, and cell sorting.
Digital Microscopy
- Automated digital cell morphology for improved efficiency and consistency in locating and classifying blood cells.
Instruments in Coagulation Studies
- Electromechanical, photo-optical, platelet agglutination, platelet aggregation, and recent automation methods (e.g., Siemens PFA-100).
- Different methods for coagulation studies and their applications described.
Viscosity-Based Detection System (VDS)
- Viscosity as resistance to change in form is measured by the motion of a steel ball in a cuvette for clot detection.
- Insensitive to colored plasma, lipemic plasma, bilirubin, or turbid reagents.
- Reliable measurement method for the hemostasis lab.
Platelet Agglutination
- Ristocetin cofactor assay measures platelet agglutination.
- Determines patient's plasma ability to agglutinate platelets using ristocetin in the presence of formalin-fixed platelets.
- Standard curve used for quantitation of percent ristocetin cofactor activity.
Platelet Aggregation
- Principle: treating platelet-rich plasma with an aggregating agent to observe and measure its effect on platelet aggregation.
- Photometrically comparing aggregated vs. non-aggregated platelets to evaluate the presence of a response.
- Primary and secondary responses (reversible and irreversible aggregation) are explained.
Newer Automation
- Siemens PFA-100 automated system for simulating in vivo hemodynamic conditions of platelet adhesion and aggregation.
- The system evaluates the ability of platelets to occlude an aperture and assesses multiple facets of primary hemostasis—adherence, activation, and aggregation.
- Measurement of closure time (CT) is also described.
Additional Information
- Sources of error in various laboratory procedures (e.g., manual WBC, manual RBC, Hemoglobin counting) are discussed.
- Different types of errors and how to identify them in the labs explained.
Meiosis
- The process of cell division resulting in daughter cells with one set of chromosomes.
- The stages of meiosis explained: pairing of chromosomes, chiasma formation, pulling apart of double-structured chromosomes, and resulting cells with single chromosomes.
Genetic Alterations
- Mutations that change gene structure and function, producing different traits.
- Explains what a gene is and its position on the chromosome (the locus).
- Describes how genes are transcribed into mRNA.
- Describes how genetic information is transmitted from one generation to the next.
Sickle Cell Mutation
- Explains the genetic alteration in sickle cell disease, specifically describing the mutated amino acid that cause misshapen red blood cells, producing reduced blood flow and tissue oxygenation.
- Overview of possible genotypes (AA, AS, SS) and associated phenotypes (normal, trait, anemia).
Oncogenes
- Alterations in oncogenes, tumor suppressor genes, and microRNA contribute to cancer development.
- Describes a multi-step process for oncogene activation.
Proto-oncogenes
- Proto-oncogenes are normal genes that, when mutated, become oncogenes.
- Explains the normal functions of proto-oncogenes in cell growth and their transformation into oncogenes during cancer development.
Cancer Stem Cells
- Cancer stem cells: when normal hematopoietic precursor cells, stem cells, or more differentiated progenitor cells acquire cancer-inducing mutations.
- Cancer stem cells produce cancer-initiating cells, and most malignancies are caused by abnormal cell populations.
Tumor Protein P53
- p53 is a critical tumor suppressor gene.
- It plays a role in cell cycle regulation, DNA repair, and initiating apoptosis when DNA damage is beyond repair.
- Mutations in p53 can disrupt cellular functions leading to uncontrolled proliferation and cancer.
Summary of Hematopoiesis Information
- Includes video summary of hematopoiesis.
Cellular Characteristics
- General cellular characteristics such as cell size and nuclear-cytoplasmic ratio play an important role in cell identification.
- Methods of cell differentiation.
Nuclear Characteristics
- Chromatin patterns (smooth, clumped, lacy).
- Nuclear shape (round, oval, kidney bean-shaped, segmented).
- Presence of nucleoli (number and size) are essential for identification.
Cytoplasmic Characteristics
- Staining color (blue, pink, etc.).
- Cytoplasm quantity (increases in some cell types with age).
- Vacuoles (often present in monocytes).
- Inclusion bodies (e.g., Auer rods).
Mature Blood Cells in Peripheral Blood
- Provides details on various mature blood cells present in peripheral blood (e.g., neutrophils, lymphocytes, monocytes, eosinophils, basophils).
- Describes their morphology (nuclear shape, chromatin pattern, cytoplasmic granules, etc.).
- Includes normal ranges in percentages for each cell type, differentiating them based on their characteristics.
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