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Haemotology

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10 Questions

What is the approximate percentage of plasma, buffy coat, and red blood cells in a normal haematocrit?

About 55% plasma, 0.5% buffy coat, and 45% red blood cells

How do platelets contribute to the process of haemostasis?

Platelets aggregate at the site of injury, releasing chemical signals that attract clotting factors, activating fibrinogen to form a blood clot.

What is the role of erythropoietin in erythrocyte production, and how does it respond to low oxygen levels?

Erythropoietin stimulates erythrocyte production in the bone marrow in response to low oxygen levels, increasing red blood cell production.

What is the basis of the ABO blood group system, and why is it important in transfusion medicine?

The ABO system is based on the presence or absence of A and B antigens on erythrocytes. It's crucial in transfusion medicine to prevent antigen-antibody reactions, ensuring compatibility between donor and recipient.

What is the role of plasminogen in blood clot dissolution, and how is it activated?

Plasminogen is converted to plasmin, which breaks down fibrin blood clots. It's activated by tissue plasminogen activator (tPA) or urokinase-type plasminogen activator (uPA).

What is the primary function of the buffy coat layer in a haematocrit, and how does it contribute to the overall function of blood?

The primary function of the buffy coat layer is to provide a concentrated source of platelets and white blood cells, which play a crucial role in haemostasis and immune response. The buffy coat layer contributes to the overall function of blood by facilitating the rapid response to injury and infection.

Describe the role of fibrinogen in the formation of blood clots, and explain how it is activated during haemostasis.

Fibrinogen is a soluble protein that is converted to insoluble fibrin during haemostasis, forming a blood clot. It is activated by thrombin, which cleaves fibrinogen into fibrin, which then polymerizes to form a clot.

What is the primary function of erythrocytes in gas transport, and how do they facilitate the exchange of oxygen and carbon dioxide?

The primary function of erythrocytes is to transport oxygen from the lungs to the tissues and carbon dioxide from the tissues to the lungs. Erythrocytes facilitate the exchange of oxygen and carbon dioxide through the binding of oxygen to haemoglobin, which is then released in the tissues, and the binding of carbon dioxide, which is transported back to the lungs.

Explain the importance of blood group compatibility in transfusion medicine, and describe the consequences of ABO incompatibility.

Blood group compatibility is crucial in transfusion medicine to prevent a life-threatening immune response. ABO incompatibility can lead to haemolysis, kidney failure, and even death, making it essential to match the blood type of the donor and recipient.

What is the role of plasminogen in blood clot dissolution, and how is it activated during fibrinolysis?

Plasminogen is a precursor to plasmin, which is a proteolytic enzyme that breaks down blood clots during fibrinolysis. Plasminogen is activated by tissue plasminogen activator (tPA) and urokinase, which convert it to plasmin, leading to the degradation of fibrin and the dissolution of blood clots.

Study Notes

Composition and Function of Blood Layers

  • Blood obtained through haematocrit consists of three main layers: plasma, buffy coat, and erythrocytes
  • Plasma (55% of total blood volume) is the liquid portion, carrying proteins, nutrients, and waste products
  • Buffy coat (1% of total blood volume) is a thin layer of leukocytes and platelets
  • Erythrocytes (45% of total blood volume) are red blood cells, responsible for carrying oxygen and carbon dioxide

Process of Haemostasis

  • Haemostasis is the process of stopping blood loss after injury
  • Platelets play a crucial role in haemostasis, aggregating to form a platelet plug at the site of injury
  • Fibrinogen, a protein in plasma, is converted to fibrin through the coagulation cascade, forming a fibrin clot
  • Plasminogen, another protein in plasma, is converted to plasmin, which breaks down the fibrin clot to restore blood flow

Erythrocyte Production and Function

  • Erythrocytes are produced in the bone marrow through a process called erythropoiesis
  • Erythrocytes have a unique biconcave disk shape, allowing for maximum surface area and flexibility
  • Erythrocytes contain the protein haemoglobin, which binds to oxygen and carbon dioxide, facilitating gas transport
  • Erythrocytes have a lifespan of approximately 120 days, with constant production and destruction to maintain homeostasis

Blood Groups and Safe Transfusion

  • Blood groups are classified based on the presence or absence of specific antigens on erythrocyte surfaces
  • ABO blood group system is the most important, with four main types: A, B, AB, and O
  • Rh blood group system is another important classification, with Rh positive and Rh negative types
  • Safe transfusion requires matching the blood type of the donor and recipient to prevent an immune response.

Composition and Function of Blood Layers

  • Blood obtained through haematocrit consists of three main layers: plasma, buffy coat, and erythrocytes
  • Plasma (55% of total blood volume) is the liquid portion, carrying proteins, nutrients, and waste products
  • Buffy coat (1% of total blood volume) is a thin layer of leukocytes and platelets
  • Erythrocytes (45% of total blood volume) are red blood cells, responsible for carrying oxygen and carbon dioxide

Process of Haemostasis

  • Haemostasis is the process of stopping blood loss after injury
  • Platelets play a crucial role in haemostasis, aggregating to form a platelet plug at the site of injury
  • Fibrinogen, a protein in plasma, is converted to fibrin through the coagulation cascade, forming a fibrin clot
  • Plasminogen, another protein in plasma, is converted to plasmin, which breaks down the fibrin clot to restore blood flow

Erythrocyte Production and Function

  • Erythrocytes are produced in the bone marrow through a process called erythropoiesis
  • Erythrocytes have a unique biconcave disk shape, allowing for maximum surface area and flexibility
  • Erythrocytes contain the protein haemoglobin, which binds to oxygen and carbon dioxide, facilitating gas transport
  • Erythrocytes have a lifespan of approximately 120 days, with constant production and destruction to maintain homeostasis

Blood Groups and Safe Transfusion

  • Blood groups are classified based on the presence or absence of specific antigens on erythrocyte surfaces
  • ABO blood group system is the most important, with four main types: A, B, AB, and O
  • Rh blood group system is another important classification, with Rh positive and Rh negative types
  • Safe transfusion requires matching the blood type of the donor and recipient to prevent an immune response.

Test your knowledge of blood composition, haemostasis, erythrocyte production, and blood groups. This quiz covers the layers of blood, the process of haemostasis, and the role of erythrocytes in gas transport.

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