Hematology Lab Terms
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Questions and Answers

What is the primary function of hemoglobin in the body?

  • To transport oxygen and carbon dioxide (correct)
  • To fight infections and diseases
  • To regulate blood clotting mechanisms
  • To produce platelets
  • What is the purpose of ESR (Erythrocyte Sedimentation Rate) testing?

  • To diagnose anemia
  • To detect inflammation (correct)
  • To count white blood cells
  • To determine blood type
  • What is the main difference between a reticulocyte and a mature red blood cell?

  • Hemoglobin content
  • Shape and size
  • Number of platelets
  • Maturity level (correct)
  • What is the purpose of a hemacytometer?

    <p>To count blood cells manually</p> Signup and view all the answers

    What is the primary function of platelets in the blood?

    <p>To clot blood</p> Signup and view all the answers

    What is the primary component of the hematology department in a laboratory?

    <p>Blood cell analysis and testing</p> Signup and view all the answers

    What is the purpose of a Wright's stain in hematology?

    <p>To perform a differential count</p> Signup and view all the answers

    What is the term for the stoppage of bleeding?

    <p>Hemostasis</p> Signup and view all the answers

    What is the term for the percentage of red blood cells in whole blood?

    <p>Hematocrit</p> Signup and view all the answers

    What is the primary function of hemoglobin in the body?

    <p>To carry O2 to the cells and CO2 away</p> Signup and view all the answers

    What is the normal range of hemoglobin for an adult male?

    <p>140-180 g/L</p> Signup and view all the answers

    What is the calculation for mean corpuscular volume (MCV)?

    <p>(Hct%/RBC) x 10</p> Signup and view all the answers

    What type of anemia is caused by a lack of intrinsic factor in the digestive tract?

    <p>Pernicious Anemia</p> Signup and view all the answers

    What is the normal range of platelet count in the blood?

    <p>250,000-450,000 per cubic ml</p> Signup and view all the answers

    What is the purpose of a thick blood smear?

    <p>To detect malaria</p> Signup and view all the answers

    What is the angle at which the spreader is held to prepare a thin blood smear?

    <p>30-40°</p> Signup and view all the answers

    What is the term for the concentration of hemoglobin in red blood cells relative to their size?

    <p>Mean Corpuscular Hemoglobin Concentration (MCHC)</p> Signup and view all the answers

    What is the treatment for hemolytic anemia?

    <p>Splenectomy</p> Signup and view all the answers

    What is the relationship between hemoglobin and the angle of the spreader?

    <p>If the hemoglobin is high, then the angle of the spreader is small</p> Signup and view all the answers

    What is the consequence of prolonged storage of the EDTA tube?

    <p>Cellular distortion</p> Signup and view all the answers

    What is the purpose of the buffer in the Wright staining process?

    <p>To mix with the stain until shiny</p> Signup and view all the answers

    What is the reason for a too blue stain in the Wright staining process?

    <p>Stain and/or buffer too alkaline</p> Signup and view all the answers

    What is the purpose of the One Step Wright stain?

    <p>To simplify the staining process by having the buffer already dissolved in the stain</p> Signup and view all the answers

    What is the consequence of insufficient rinsing in the Wright staining process?

    <p>RBCs appear grey</p> Signup and view all the answers

    What is the role of Giemsa stain in cytogenetics and histopathological diagnosis?

    <p>It plays a huge role in cytogenetics and histopathological diagnosis of malaria</p> Signup and view all the answers

    What is the composition of Giemsa stain?

    <p>Giemsa powder, methanol, glycerol, and water</p> Signup and view all the answers

    What is the purpose of fixing the air-dried film in absolute methanol in the Giemsa staining process?

    <p>To fix the film and prepare it for staining</p> Signup and view all the answers

    What should be avoided when drying thick blood smears for Giemsa staining?

    <p>Drying in an incubator or by heat</p> Signup and view all the answers

    What is the advantage of using an Automatic Linear Stainer in the laboratory?

    <p>It frees the technologist to concentrate on more technically demanding procedures</p> Signup and view all the answers

    What is the term for a variation in RBC sizes?

    <p>Anisocytosis</p> Signup and view all the answers

    What is the term for a RBC with too much hemoglobin?

    <p>Hyperchromic</p> Signup and view all the answers

    What is the purpose of the WBC differential count?

    <p>To count the number of neut, lymphs, monos, eos, and basos in 100 WBCs</p> Signup and view all the answers

    What is the term for a RBC with a abnormal shape?

    <p>Poikilocytosis</p> Signup and view all the answers

    What is the advantage of using Giemsa stain over Leishman stain?

    <p>Giemsa stain gives better results in parasitic studies</p> Signup and view all the answers

    What does an increased eosinophil count in a blood smear suggest?

    <p>Allergy or parasite infection</p> Signup and view all the answers

    What is the term for the estimation of platelet count and platelet morphology?

    <p>Platelet estimation</p> Signup and view all the answers

    Which type of anemia is characterized by the presence of spherocytes?

    <p>Hemolytic anemia</p> Signup and view all the answers

    What is the normal value of reticulocytes in the blood?

    <p>About 1%</p> Signup and view all the answers

    What is the purpose of the Wintrobe method for ESR?

    <p>To measure the sedimentation rate of red blood cells</p> Signup and view all the answers

    What is the difference between the Wintrobe and Westergren methods for ESR?

    <p>The Wintrobe tube is 100 mm long, while the Westergren tube is 200 mm long</p> Signup and view all the answers

    What is the purpose of a nasal smear?

    <p>To detect eosinophils</p> Signup and view all the answers

    What is the normal value of white blood cells in the blood?

    <p>5000-9000 x10^9/L</p> Signup and view all the answers

    What is the purpose of collecting blood samples for cold agglutinins?

    <p>To detect autoimmune hemolytic anemia</p> Signup and view all the answers

    What is the purpose of collecting blood samples for cryofibrinogen and cryoglobulin?

    <p>To detect proteins that precipitate when cold</p> Signup and view all the answers

    What is the role of the medical laboratory assistant in hematology?

    <p>To draw specimens for hematology and perform manual tests</p> Signup and view all the answers

    Study Notes

    Hematology

    Definitions

    • Anemia: deficiency of hemoglobin or RBC
    • Coagulation department: section of the lab concerned with the clotting mechanism of the blood
    • CBC: complete blood count, tests for WBC, RBC, Hgb, Hct, indices, and differential
    • EDTA: ethylenediaminetetraacetic acid, an anticoagulant used in hematology tubes
    • ESR: erythrocyte sedimentation rate, used to determine if inflammation is present
    • Hemacytometer: counting chamber for manual WBCs, RBCs, platelets, and sperm counts
    • Hematology department: section of the lab that studies blood cells
    • Hemoglobin: substance in RBCs that carries oxygen and CO2
    • Hemostasis: stoppage of bleeding
    • Platelets (thrombocytes): cells involved in the clotting of blood
    • Red blood cell indices: calculations to determine the size and contents of red blood cells
    • Red blood cells (erythrocytes): cells containing hemoglobin that transport O2 to the body and CO2 away to the lungs
    • Reticulocyte (Retic): immature RBC
    • White blood cells (leukocytes): cells involved in infection control and immunity
    • Wrights Stain: a stain used in hematology for doing differentials

    CBC

    • WBC count: determines if a patient has an infection (↑WBC) or whether the immune system is compromised (↓ WBC)
    • RBC count: may indicate anemia (↓) or polycythemia (↑)
    • Hemoglobin: carries O2 to cells and CO2 away
    • Hematocrit: reflects the relationship between the amount of RBCs and the amount of plasma in a blood sample
    • Normal range for Hgb: 120-160 g/L for females, 140-180 g/L for males
    • Normal range for Hct: 0.35-0.47 L/L for females, 0.4-0.52 L/L for males

    Red Blood Cell Indices

    • MCV: mean corpuscular volume, expresses the average volume of RBCs
    • MCH: mean corpuscular hemoglobin, estimates the weight of hgb in RBC
    • MCHC: mean corpuscular hemoglobin concentration, expresses the concentration of hgb in RBCs relative to their size
    • Normal values: MCV 80-100 fl, MCH 27-32 pg/cell, MCHC 32-37 g/dl

    Anemia

    • Four types:
      • Iron deficiency anemia: caused by a decrease in iron, treatment is iron supplements
      • Pernicious anemia: caused by a lack of intrinsic factor, treatment is Vitamin B12 injections
      • Aplastic anemia: failure of bone marrow to produce enough RBCs, treatment is bone marrow transplant
      • Hemolytic anemia: caused by excessive destruction of RBCs, treatment is splenectomy

    Platelet Count

    • May be done on an automatic cell counter or manually on a hemacytometer
    • Normal value: 250,000-450,000 per cubic ml

    Blood Smears

    • Two types: thick and thin blood smears
    • Thick blood smear: often used to detect malaria
    • Thin blood smear: used to perform a manual differential
    • Qualities of a good smear: gradual transition from thick to thin, smooth appearance, no ridges or holes, feathered edge

    Wrights Stain

    • Used to stain blood smears
    • Procedure: make slides, stain with Wrights stain, add buffer, wash, and let air dry

    Differential

    • Consists of three parts:
      • WBC differential count: counts the number of neutrophils, lymphocytes, monocytes, eosinophils, and basophils in 100 WBCs
      • RBC morphology: examines the size, shape, and amount of hemoglobin in RBCs
      • Platelet estimation: estimates the platelet count and platelet morphology

    Other Tests

    • Retic count: measures the number of reticulocytes in the blood
    • ESR: measures the rate of sedimentation of RBCs
    • Nasal smear: examines the nasal mucosa for eosinophils
    • Cold agglutinins: autoantibodies produced in response to infection or autoimmune hemolytic anemia
    • Cryofibrinogen and cryoglobulin: proteins that precipitate when cold

    Role of the Med Lab Assistant

    • Draws specimens for hematology
    • Makes and stains blood smears
    • Sets up blood to be run by the automated cell counter
    • Performs quality control tasks
    • Helps with inventory maintenance
    • Performs manual tests under the supervision of a technologist

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