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Hematocrit Value and Packed Cell Volume
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Hematocrit Value and Packed Cell Volume

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Questions and Answers

What is the purpose of the osmotic fragility test?

  • To determine the PCV of a blood sample
  • To measure the concentration of Hb in RBCs
  • To measure erythrocyte resistance to hemolysis (correct)
  • To diagnose iron deficiency anemia
  • What is the unit of measurement for mean cell Hb concentration (MCHC)?

  • g/l
  • mg/dl
  • g/dl (correct)
  • mg/l
  • What is the range of increase in RBC volume before they rupture?

  • 20-40%
  • 45-65% (correct)
  • 50-70%
  • 30-50%
  • What is the concentration of NaCl in the first test tube in the osmotic fragility test?

    <p>0.9% NaCl</p> Signup and view all the answers

    What is the clinical significance of increased osmotic fragility?

    <p>Enzymatic deficiency (G-6-P-D deficiency)</p> Signup and view all the answers

    What is the purpose of adding 0.1 ml of blood to each test tube in the osmotic fragility test?

    <p>To observe the fluid color and RBCs precipitate</p> Signup and view all the answers

    What is the formula to calculate MCHC?

    <p>Hb x 100 / PCV</p> Signup and view all the answers

    What is the result of decreased osmotic fragility in iron deficiency anemia?

    <p>RBCs are flattened but not fragile</p> Signup and view all the answers

    What is the duration of the osmotic fragility test?

    <p>1 hour</p> Signup and view all the answers

    What is the reference material for the osmotic fragility test?

    <p>All of the above</p> Signup and view all the answers

    Study Notes

    Packed Cell Volume (PCV)

    • PCV is the percentage of blood volume that is made up of red blood cells
    • Methods for detection: Macro hematocrit method and Micro hematocrit method
    • Normal values: Male: 42-52%, Female: 37-47%

    Clinical Significance of PCV

    • Dehydration: increases PCV
    • Polycythemia: increases PCV
    • Overhydration: decreases PCV
    • Anemia: decreases PCV

    Complete Blood Picture (CBC)

    • Calculation of cellular elements of blood
    • Automated hematology analyzer determines the calculations
    • Used to determine general health status, screen for, diagnose, or monitor diseases and conditions that affect blood cells
    • Includes: anemia, infection, inflammation, and bleeding disorders

    Red Blood Indices

    • Mean Cell Volume (MCV): average volume of red blood cell measured in femtoliters (fl)
    • Mean Cell Hemoglobin (MCH): average amount of Hb in a single red blood cell measured in picogram (pg)
    • Mean Cell Hb Concentration (MCHC): concentration of Hb per 100 ml of RBC measured in g/dl

    Erythrocyte Sedimentation Rate (ESR)

    • Rate by which red cells sediment when blood is placed vertically in a narrow tube
    • Westergren Apparatus: uses a calibrated tube to measure the rate of sedimentation
    • Normal values: Male: 4-6 mm/h, Female: 8-10 mm/h
    • Clinical significance: increases in inflammatory activity, pregnancy, menstruation, lactation, and certain diseases

    Osmotic Fragility Test

    • Measures erythrocyte resistance to hemolysis while exposed to varying levels of dilution of a saline solution
    • Procedure: uses a series of test tubes with decreasing concentrations of NaCl
    • Clinical significance: enzymatic deficiency, hereditary spherocytosis, iron deficiency anemia, thalassemia, and sickle cell anemia

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    Description

    This quiz covers the definition and methods of detection for hematocrit value and packed cell volume, including macro and micro hematocrit methods.

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