Podcast
Questions and Answers
Which term refers to white blood cells?
Which term refers to white blood cells?
- Myelocytes
- Thrombocytes
- Leukocytes (correct)
- Erythrocytes
What is the primary role of leukocytes?
What is the primary role of leukocytes?
- Transporting oxygen
- Defending against disease (correct)
- Clotting blood
- Producing hormones
Which category includes polymorphonuclear cells?
Which category includes polymorphonuclear cells?
- Agranulocytes
- Mononuclear cells
- Granulocytes (correct)
- Lymphocytes
Which feature is characteristic of mature granulocytes?
Which feature is characteristic of mature granulocytes?
What staining characteristic is associated with eosinophils when using Romanowsky-type stains?
What staining characteristic is associated with eosinophils when using Romanowsky-type stains?
Neutrophils in which species do NOT typically have neutral or non-staining granules?
Neutrophils in which species do NOT typically have neutral or non-staining granules?
What is the small nuclear projection seen in neutrophils of female mammals called?
What is the small nuclear projection seen in neutrophils of female mammals called?
What is the primary function of neutrophils?
What is the primary function of neutrophils?
Which process is NOT a basic step in neutrophil extravasation?
Which process is NOT a basic step in neutrophil extravasation?
What is the result of a defect in integrin adhesion protein (CD18)?
What is the result of a defect in integrin adhesion protein (CD18)?
What stimulates neutrophil production?
What stimulates neutrophil production?
Which pool of neutrophils is measured in a standard blood WBC count?
Which pool of neutrophils is measured in a standard blood WBC count?
What does a 'left shift' indicate?
What does a 'left shift' indicate?
In dogs, what is the band neutrophil count that is considered a significant left shift?
In dogs, what is the band neutrophil count that is considered a significant left shift?
What defines a degenerative left shift?
What defines a degenerative left shift?
What are Döhle bodies?
What are Döhle bodies?
What can severe toxic change in neutrophils make them difficult to differentiate from?
What can severe toxic change in neutrophils make them difficult to differentiate from?
Which of the following is a characteristic of toxic heterophils in birds and reptiles?
Which of the following is a characteristic of toxic heterophils in birds and reptiles?
Degenerate neutrophils are typically observed where?
Degenerate neutrophils are typically observed where?
What is the primary morphological characteristic of degenerate neutrophils?
What is the primary morphological characteristic of degenerate neutrophils?
What condition might cause degenerate changes in blood leukocytes?
What condition might cause degenerate changes in blood leukocytes?
What is the defining characteristic of hypersegmented neutrophils?
What is the defining characteristic of hypersegmented neutrophils?
What condition results in chromatin condensed into a single, dense 'ball'?
What condition results in chromatin condensed into a single, dense 'ball'?
What are hemosiderin aggregates within neutrophils or monocytes called?
What are hemosiderin aggregates within neutrophils or monocytes called?
Canine distemper viral inclusions in neutrophils resemble what?
Canine distemper viral inclusions in neutrophils resemble what?
What type of infectious agent is Anaplasma phagocytophilum?
What type of infectious agent is Anaplasma phagocytophilum?
How is Hepatozoon americanum transmitted?
How is Hepatozoon americanum transmitted?
What is the term for circulating bacteria?
What is the term for circulating bacteria?
What is a key feature of Pelger-Huet anomaly?
What is a key feature of Pelger-Huet anomaly?
Which canine breed is Cyclic Hematopoiesis most commonly observed in?
Which canine breed is Cyclic Hematopoiesis most commonly observed in?
What is the role of eosinophils?
What is the role of eosinophils?
What is the typical appearance of feline eosinophils?
What is the typical appearance of feline eosinophils?
What is the most typical characteristic of basophils?
What is the most typical characteristic of basophils?
Which cytokine is a major regulator of basophil production?
Which cytokine is a major regulator of basophil production?
What is a defining feature of feline basophils?
What is a defining feature of feline basophils?
Mast cells in blood smears are typically associated with what condition, especially in cats?
Mast cells in blood smears are typically associated with what condition, especially in cats?
What is used to differentiate Siderotic Inclusions from other inclusions?
What is used to differentiate Siderotic Inclusions from other inclusions?
A veterinarian observes a blood smear from a reptile and notices cells with fine, magenta-staining granules. What type of cells are these most likely to be?
A veterinarian observes a blood smear from a reptile and notices cells with fine, magenta-staining granules. What type of cells are these most likely to be?
Monocytes share several characteristics with neutrophils, yet they have some key differences. Which of the following is MOST accurate regarding the similarities and differences between monocytes and neutrophils?
Monocytes share several characteristics with neutrophils, yet they have some key differences. Which of the following is MOST accurate regarding the similarities and differences between monocytes and neutrophils?
All of the following statements accurately describe siderotic inclusions and Döhle bodies EXCEPT:
All of the following statements accurately describe siderotic inclusions and Döhle bodies EXCEPT:
What is a primary characteristic of leukocytes?
What is a primary characteristic of leukocytes?
Which of the following is a general category of leukocytes?
Which of the following is a general category of leukocytes?
What is the typical nuclear characteristic of mature granulocytes?
What is the typical nuclear characteristic of mature granulocytes?
Which statement accurately describes the staining characteristics of granulocytes using Romanowsky-type stains?
Which statement accurately describes the staining characteristics of granulocytes using Romanowsky-type stains?
What is the usual number of lobes found in the nuclei of mature neutrophils?
What is the usual number of lobes found in the nuclei of mature neutrophils?
Apart from segmenters, how else are mature neutrophils often referred to?
Apart from segmenters, how else are mature neutrophils often referred to?
What is the staining characteristic of granules in most species of neutrophils?
What is the staining characteristic of granules in most species of neutrophils?
Which of the following best describes the granules present in rabbit neutrophils?
Which of the following best describes the granules present in rabbit neutrophils?
Which of the following accurately describes the primary granules of neutrophils?
Which of the following accurately describes the primary granules of neutrophils?
During the extravasation process, what mediates the initial adherence of neutrophils to the vessel wall?
During the extravasation process, what mediates the initial adherence of neutrophils to the vessel wall?
What is the role of Colony-stimulating factors (stem cell factor, G-CSF, GM-CSF) in neutrophil production?
What is the role of Colony-stimulating factors (stem cell factor, G-CSF, GM-CSF) in neutrophil production?
Which pool of neutrophils does a standard blood WBC count reflect?
Which pool of neutrophils does a standard blood WBC count reflect?
In which animal is a degenerative left shift after acute inflammation NOT necessarily indicative of a poor prognosis?
In which animal is a degenerative left shift after acute inflammation NOT necessarily indicative of a poor prognosis?
What cellular component aggregation leads to the formation of Döhle bodies in neutrophils?
What cellular component aggregation leads to the formation of Döhle bodies in neutrophils?
What morphological characteristic is associated with degenerate neutrophils?
What morphological characteristic is associated with degenerate neutrophils?
Which condition can lead to hypersegmentation of neutrophils?
Which condition can lead to hypersegmentation of neutrophils?
What cellular process describes chromatin condensed into a single, dense 'ball' in cells undergoing apoptosis?
What cellular process describes chromatin condensed into a single, dense 'ball' in cells undergoing apoptosis?
What stain is used to differentiate siderotic inclusions from other inclusions?
What stain is used to differentiate siderotic inclusions from other inclusions?
Viral inclusions observed with canine distemper resemble what?
Viral inclusions observed with canine distemper resemble what?
In an animal with Anaplasma phagocytophilum infection, what cytopenias may be observed upon examination?
In an animal with Anaplasma phagocytophilum infection, what cytopenias may be observed upon examination?
What is the primary route of transmission for Hepatozoon americanum?
What is the primary route of transmission for Hepatozoon americanum?
Which canine breed has a relatively high incidence of Pelger-Huet anomaly?
Which canine breed has a relatively high incidence of Pelger-Huet anomaly?
How do canine eosinophil granules differ from feline eosinophil granules?
How do canine eosinophil granules differ from feline eosinophil granules?
Which avian and reptile blood cell is characterized by fine, magenta-staining granules?
Which avian and reptile blood cell is characterized by fine, magenta-staining granules?
Which blood cell shares similar granules to mast cells but has a segmented nucleus?
Which blood cell shares similar granules to mast cells but has a segmented nucleus?
Which cytokine is important in basophil production and regulation?
Which cytokine is important in basophil production and regulation?
In which species is it common to find more basophils in circulation compared to other mammals?
In which species is it common to find more basophils in circulation compared to other mammals?
What microscopic feature is often observed in the nuclei of feline basophils due to overlying granules?
What microscopic feature is often observed in the nuclei of feline basophils due to overlying granules?
When mast cells are found in blood smears, what condition is it most indicative of in cats?
When mast cells are found in blood smears, what condition is it most indicative of in cats?
What is the typical transit time of eosinophils in canine blood?
What is the typical transit time of eosinophils in canine blood?
In the context of neutrophil kinetics, what is the primary characteristic of cells within the proliferative pool?
In the context of neutrophil kinetics, what is the primary characteristic of cells within the proliferative pool?
Physiologic conditions such as increased epinephrine or corticosteroid levels can shift neutrophils from which pool to the circulating pool?
Physiologic conditions such as increased epinephrine or corticosteroid levels can shift neutrophils from which pool to the circulating pool?
After neutrophils leave the bloodstream, where are they eventually removed?
After neutrophils leave the bloodstream, where are they eventually removed?
According to the material, what condition is NOT necessary for toxic change in neutrophils to occur?
According to the material, what condition is NOT necessary for toxic change in neutrophils to occur?
In general, how do monocyte responses in blood compare to neutrophil responses?
In general, how do monocyte responses in blood compare to neutrophil responses?
Mature granulocytes are named based on characteristic staining affinity using Romanowsky-type stains. If a granulocyte stains blue/purple, which type of cells does this describe?
Mature granulocytes are named based on characteristic staining affinity using Romanowsky-type stains. If a granulocyte stains blue/purple, which type of cells does this describe?
If a dog has >1,000 bands/µl or more than 10% of neutrophil count, what does it indicate?
If a dog has >1,000 bands/µl or more than 10% of neutrophil count, what does it indicate?
Which of the following correctly describes bacteremia, and why it is considered rare to find in blood smears?
Which of the following correctly describes bacteremia, and why it is considered rare to find in blood smears?
Pelger-Huet anomaly is generally a very rare disease, but fairly common in which canine breed?
Pelger-Huet anomaly is generally a very rare disease, but fairly common in which canine breed?
How do eosinophils contribute to hypersensitivity reactions?
How do eosinophils contribute to hypersensitivity reactions?
In the context of neutrophil migration during inflammation, which process is directly mediated by integrins and selectins?
In the context of neutrophil migration during inflammation, which process is directly mediated by integrins and selectins?
Which statement best describes the difference between 'true' and 'pseudo' Pelger-Huet anomaly with respect to cellular morphology?
Which statement best describes the difference between 'true' and 'pseudo' Pelger-Huet anomaly with respect to cellular morphology?
A blood smear from a reptile shows cells that appear similar to mammalian monocytes but contain numerous fine, magenta-staining granules. Which type of cell is most likely observed?
A blood smear from a reptile shows cells that appear similar to mammalian monocytes but contain numerous fine, magenta-staining granules. Which type of cell is most likely observed?
A veterinarian is assessing a blood smear and identifies a neutrophil with a nucleus that appears swollen and stains very faintly. This leukocyte is interpreted as which of the following?
A veterinarian is assessing a blood smear and identifies a neutrophil with a nucleus that appears swollen and stains very faintly. This leukocyte is interpreted as which of the following?
A researcher is studying neutrophils in vitro and observes that cellular adhesion to endothelial cells is significantly reduced despite normal expression of selectins. Which of the following genetic defects is MOST likely responsible for this observation?
A researcher is studying neutrophils in vitro and observes that cellular adhesion to endothelial cells is significantly reduced despite normal expression of selectins. Which of the following genetic defects is MOST likely responsible for this observation?
A veterinary hematologist observes a canine blood smear and notes the presence of a few mast cells. Which of the following conditions is least likely to cause these observations?
A veterinary hematologist observes a canine blood smear and notes the presence of a few mast cells. Which of the following conditions is least likely to cause these observations?
What is the general term for white blood cells that play a primary role in defending the body against disease and pathogens?
What is the general term for white blood cells that play a primary role in defending the body against disease and pathogens?
What nuclear characteristic is typically found in mature granulocytes?
What nuclear characteristic is typically found in mature granulocytes?
Which of the following BEST describes the staining characteristic of eosinophils when using Romanowsky-type stains?
Which of the following BEST describes the staining characteristic of eosinophils when using Romanowsky-type stains?
Neutrophils are also known as what?
Neutrophils are also known as what?
What component mediates the initial adherence of neutrophils to the vessel wall during extravasation?
What component mediates the initial adherence of neutrophils to the vessel wall during extravasation?
Which of the following are responsible for stimulating neutrophil production?
Which of the following are responsible for stimulating neutrophil production?
Which pools of neutrophils does the blood WBC count reflect?
Which pools of neutrophils does the blood WBC count reflect?
In which animal would a degenerative left shift AFTER acute inflammation NOT necessarily indicate a poor prognosis?
In which animal would a degenerative left shift AFTER acute inflammation NOT necessarily indicate a poor prognosis?
What is a key characteristic of degenerate neutrophils?
What is a key characteristic of degenerate neutrophils?
Under which condition might hypersegmentation of neutrophils be observed?
Under which condition might hypersegmentation of neutrophils be observed?
What process results in chromatin condensed into a single, dense 'ball' in cells?
What process results in chromatin condensed into a single, dense 'ball' in cells?
What stain is used to differentiate siderotic inclusions from other inclusions in neutrophils or monocytes?
What stain is used to differentiate siderotic inclusions from other inclusions in neutrophils or monocytes?
What type of inclusions do canine distemper viral inclusions in neutrophils most closely resemble?
What type of inclusions do canine distemper viral inclusions in neutrophils most closely resemble?
Which cytopenias may be observed upon examination of an animal with Anaplasma phagocytophilum infection?
Which cytopenias may be observed upon examination of an animal with Anaplasma phagocytophilum infection?
What is a key transmission route for Hepatozoon americanum?
What is a key transmission route for Hepatozoon americanum?
If a homozygous condition of Pelger-Huet anomaly occurs, what is the expected outcome?
If a homozygous condition of Pelger-Huet anomaly occurs, what is the expected outcome?
How do avian and reptile eosinophils differ from heterophils, particularly concerning their granules?
How do avian and reptile eosinophils differ from heterophils, particularly concerning their granules?
In reptiles, a granulated blood cell type is found that has variable numbers of magenta-staining granules. It shares similar characteristics with the monocyte, what is this cell type?
In reptiles, a granulated blood cell type is found that has variable numbers of magenta-staining granules. It shares similar characteristics with the monocyte, what is this cell type?
Imagine a scenario where a researcher is investigating a novel mutation affecting neutrophil function. They discover that neutrophils from affected individuals exhibit normal selectin expression and initial rolling along the endothelium but fail to firmly adhere and migrate into inflamed tissues. Further analysis reveals a complete absence of CD18 expression. Based on this information, which step is MOST directly impaired by the defect?
Imagine a scenario where a researcher is investigating a novel mutation affecting neutrophil function. They discover that neutrophils from affected individuals exhibit normal selectin expression and initial rolling along the endothelium but fail to firmly adhere and migrate into inflamed tissues. Further analysis reveals a complete absence of CD18 expression. Based on this information, which step is MOST directly impaired by the defect?
After the promyelocyte stage, what is the next stage in granulocyte development characterized by an oval-shaped nucleus?
After the promyelocyte stage, what is the next stage in granulocyte development characterized by an oval-shaped nucleus?
During granulopoiesis, which cell type is characterized by the presence of primary granules (lysosomes) that appear magenta or reddish in color?
During granulopoiesis, which cell type is characterized by the presence of primary granules (lysosomes) that appear magenta or reddish in color?
Which cell type is characterized by the disappearance of primary granules and the appearance of secondary granules that define the specific cell type?
Which cell type is characterized by the disappearance of primary granules and the appearance of secondary granules that define the specific cell type?
What is the correct order of neutrophil maturation, starting with the least mature cell?
What is the correct order of neutrophil maturation, starting with the least mature cell?
What name is given to segmented neutrophils with multiple indentations?
What name is given to segmented neutrophils with multiple indentations?
What is the most immature stage of granulocyte development?
What is the most immature stage of granulocyte development?
Which characteristic helps differentiate a myeloblast from a rubriblast during a bone marrow count?
Which characteristic helps differentiate a myeloblast from a rubriblast during a bone marrow count?
A veterinary technician observes a bone marrow smear and identifies a cell with an indented, kidney bean-shaped nucleus. Which stage of granulocyte maturation is the technician most likely observing?
A veterinary technician observes a bone marrow smear and identifies a cell with an indented, kidney bean-shaped nucleus. Which stage of granulocyte maturation is the technician most likely observing?
What is the significance of observing myeloblasts and promyelocytes in large numbers in a peripheral blood sample?
What is the significance of observing myeloblasts and promyelocytes in large numbers in a peripheral blood sample?
Which observation in a blood smear is most indicative of a regenerative response to anemia?
Which observation in a blood smear is most indicative of a regenerative response to anemia?
What term describes the release of immature cells into the blood, commonly associated with inflammation?
What term describes the release of immature cells into the blood, commonly associated with inflammation?
In a blood smear, if immature cells are observed predominantly, indicating a shift towards earlier stages of cell development, how is this condition referred?
In a blood smear, if immature cells are observed predominantly, indicating a shift towards earlier stages of cell development, how is this condition referred?
What term best describes the process by which neutrophils adhere loosely to the endothelium, often described as 'bouncing' or 'rolling'.
What term best describes the process by which neutrophils adhere loosely to the endothelium, often described as 'bouncing' or 'rolling'.
What is the role of adhesion molecules, like selectins and integrins, in neutrophil migration during inflammation?
What is the role of adhesion molecules, like selectins and integrins, in neutrophil migration during inflammation?
What is the expected outcome in an animal with defective integrin adhesion proteins?
What is the expected outcome in an animal with defective integrin adhesion proteins?
Which recombinant human granulocyte colony-stimulating factor is sometimes used to stimulate neutrophil production?
Which recombinant human granulocyte colony-stimulating factor is sometimes used to stimulate neutrophil production?
Which neutrophil pool contains cells that are capable of actively dividing?
Which neutrophil pool contains cells that are capable of actively dividing?
In the context of neutrophil kinetics, what is the primary characteristic of cells within the maturation pool?
In the context of neutrophil kinetics, what is the primary characteristic of cells within the maturation pool?
What physiological change best describes the shift in neutrophils seen in a stress leukogram?
What physiological change best describes the shift in neutrophils seen in a stress leukogram?
In general, what occurs after neutrophils leave the bloodstream?
In general, what occurs after neutrophils leave the bloodstream?
In diagnostic testing, what is indicated by a significant neutrophilic left shift?
In diagnostic testing, what is indicated by a significant neutrophilic left shift?
Which statement best describes a degenerative left shift?
Which statement best describes a degenerative left shift?
Which condition is NOT a typical cause of toxic change in neutrophils?
Which condition is NOT a typical cause of toxic change in neutrophils?
Which of the following cellular changes comes from retained ribosomes and RNA?
Which of the following cellular changes comes from retained ribosomes and RNA?
Following severe inflammation induced by the administration of experimental endotoxins, a veterinary technician observes what appears to be distinct neutrophil cytoplasmic aggregate within cells. What is the MOST appropriate name for this lesion?
Following severe inflammation induced by the administration of experimental endotoxins, a veterinary technician observes what appears to be distinct neutrophil cytoplasmic aggregate within cells. What is the MOST appropriate name for this lesion?
Which cellular characteristic is LEAST likely to be mistaken for toxic change in neutrophils?
Which cellular characteristic is LEAST likely to be mistaken for toxic change in neutrophils?
Unlike morphologic features observed with regular analysis, what alteration can occur, along with cytoplasmic changes, with severe toxic change?
Unlike morphologic features observed with regular analysis, what alteration can occur, along with cytoplasmic changes, with severe toxic change?
What cytological feature is the hallmark of degenerate neutrophils?
What cytological feature is the hallmark of degenerate neutrophils?
In analyzing a sample where neutrophils appear necrotic rather than going through defective maturation, what would a student be MOST likely to see?
In analyzing a sample where neutrophils appear necrotic rather than going through defective maturation, what would a student be MOST likely to see?
What clinical condition is LEAST associated with presence of vacuolated degenerate neutrophils?
What clinical condition is LEAST associated with presence of vacuolated degenerate neutrophils?
An automated hematology analyzer reports a high neutrophil count with the presence of hypersegmented neutrophils. What condition is a MOST accurate differential?
An automated hematology analyzer reports a high neutrophil count with the presence of hypersegmented neutrophils. What condition is a MOST accurate differential?
How is a pyknotic cell classically defined?
How is a pyknotic cell classically defined?
What change describes chromatin condensed into a dense ball in cells undergoing apoptosis?
What change describes chromatin condensed into a dense ball in cells undergoing apoptosis?
What inclusions are aggregates of protein and iron resulting from hemoglobin degradation?
What inclusions are aggregates of protein and iron resulting from hemoglobin degradation?
To accurately identify hemosiderin inclusions within neutrophils, what specific type of staining should be done given their resemblance to Dhohle bodies?
To accurately identify hemosiderin inclusions within neutrophils, what specific type of staining should be done given their resemblance to Dhohle bodies?
Which type of cell primarily hosts the inclusions associated with Anaplasma phagocytophilum?
Which type of cell primarily hosts the inclusions associated with Anaplasma phagocytophilum?
During blood smear evaluation, a veterinary technician identifies small, basophilic (blue) inclusions in the cytoplasm of neutrophils. The veterinarian suspects Anaplasma phagocytophilum infection. What are these inclusions called?
During blood smear evaluation, a veterinary technician identifies small, basophilic (blue) inclusions in the cytoplasm of neutrophils. The veterinarian suspects Anaplasma phagocytophilum infection. What are these inclusions called?
What is the MOST significant diagnostic method for identifying bacteria in a patient suspected of bacteremia or septicemia?
What is the MOST significant diagnostic method for identifying bacteria in a patient suspected of bacteremia or septicemia?
What can be stated regarding when bacteria are seen in blood smears?
What can be stated regarding when bacteria are seen in blood smears?
How is Hepatozoon americanum, a protozoal disease, primarily transmitted to canines?
How is Hepatozoon americanum, a protozoal disease, primarily transmitted to canines?
If you have a homozygous condition of Pelger-Huet anomaly, what is the expected outcome?
If you have a homozygous condition of Pelger-Huet anomaly, what is the expected outcome?
During granulopoiesis, what is the defining characteristic of the myelocyte stage?
During granulopoiesis, what is the defining characteristic of the myelocyte stage?
What change is associated with the transition from metamyelocyte to band cell?
What change is associated with the transition from metamyelocyte to band cell?
What is a key morphological feature that distinguishes a myeloblast from a rubriblast during bone marrow evaluation?
What is a key morphological feature that distinguishes a myeloblast from a rubriblast during bone marrow evaluation?
Which stage is characterized by the presence of primary granules (lysosomes) that appear magenta or reddish in color?
Which stage is characterized by the presence of primary granules (lysosomes) that appear magenta or reddish in color?
If a veterinarian observes a large number of myeloblasts and promyelocytes in a peripheral blood sample, what condition is MOST likely?
If a veterinarian observes a large number of myeloblasts and promyelocytes in a peripheral blood sample, what condition is MOST likely?
What is the typical progression observed when immature cells are released into the blood due to inflammation?
What is the typical progression observed when immature cells are released into the blood due to inflammation?
What is the correct order of neutrophil maturation?
What is the correct order of neutrophil maturation?
What is the term for segmented neutrophils with multiple indentations?
What is the term for segmented neutrophils with multiple indentations?
Which describes the normal staining pattern of primary granules in a mature neutrophil?
Which describes the normal staining pattern of primary granules in a mature neutrophil?
What is implied when a veterinary professional describes a blood smear as exhibiting a "left shift"?
What is implied when a veterinary professional describes a blood smear as exhibiting a "left shift"?
Under what circumstances is a significant neutrophilic left shift a typical finding among ruminants?
Under what circumstances is a significant neutrophilic left shift a typical finding among ruminants?
What is the underlying implication of observing a degenerative left shift in a canine patient?
What is the underlying implication of observing a degenerative left shift in a canine patient?
If a complete blood count (CBC) reveals 300 neutrophils per microliter, with 200 bands and 100 segmented neutrophils (segs), how would this be classified?
If a complete blood count (CBC) reveals 300 neutrophils per microliter, with 200 bands and 100 segmented neutrophils (segs), how would this be classified?
Following experimental administration of endotoxin, a veterinary technician observes what appears to be distinct neutrophil cytoplasmic aggregate within cells. What is the MOST appropriate name for this lesion?
Following experimental administration of endotoxin, a veterinary technician observes what appears to be distinct neutrophil cytoplasmic aggregate within cells. What is the MOST appropriate name for this lesion?
What alteration can occur, along with cytoplasmic changes, with severe toxic change?
What alteration can occur, along with cytoplasmic changes, with severe toxic change?
Which statement accurately differentiates canine distemper inclusions from Döhle bodies within neutrophils?
Which statement accurately differentiates canine distemper inclusions from Döhle bodies within neutrophils?
What is most significant to ensure is true before determining that there is bacteremia on a blood smear?
What is most significant to ensure is true before determining that there is bacteremia on a blood smear?
How does the presence of intracellular bacteria in a blood smear MOST influence diagnostic and treatment strategies?
How does the presence of intracellular bacteria in a blood smear MOST influence diagnostic and treatment strategies?
What factors are MOST important to assess to differentiate toxic change in avian heterophils from a bacterial septicemia?
What factors are MOST important to assess to differentiate toxic change in avian heterophils from a bacterial septicemia?
In Pelger-Huet anomaly, what is MOST significant about the functionality of neutrophils?
In Pelger-Huet anomaly, what is MOST significant about the functionality of neutrophils?
What is the MOST important discriminatory factor in differentiating true Pelger-Huet anomaly from a pseudo-Pelger-Huet anomaly?
What is the MOST important discriminatory factor in differentiating true Pelger-Huet anomaly from a pseudo-Pelger-Huet anomaly?
When evaluating a blood smear from an Australian Shepherd with a suspected infection, which finding would MOST strongly suggest an inflammatory response rather than just the breed-related Pelger-Huet anomaly?
When evaluating a blood smear from an Australian Shepherd with a suspected infection, which finding would MOST strongly suggest an inflammatory response rather than just the breed-related Pelger-Huet anomaly?
What is MOST important to remember if a homozygous condition of Pelger-Huet anomaly exists?
What is MOST important to remember if a homozygous condition of Pelger-Huet anomaly exists?
Which characteristics BEST define cyclic hematopoiesis in Gray Collie dogs?
Which characteristics BEST define cyclic hematopoiesis in Gray Collie dogs?
Which function is MOST attributed to eosinophils?
Which function is MOST attributed to eosinophils?
Where does eosinophil production and differentiation primarily take place?
Where does eosinophil production and differentiation primarily take place?
If a veterinary technician observes what appears to be non-staining granules in canine eosinophils, which canine breed would MOST be expected to exhibit this?
If a veterinary technician observes what appears to be non-staining granules in canine eosinophils, which canine breed would MOST be expected to exhibit this?
How can the morphology of feline granules prove beneficial in sample evaluation?
How can the morphology of feline granules prove beneficial in sample evaluation?
What is the MOST typical characteristic of basophils and mast cells in the blood?
What is the MOST typical characteristic of basophils and mast cells in the blood?
What is the major cytokine that is going to increase basophil production?
What is the major cytokine that is going to increase basophil production?
Select which animal has more basophils readily in circulation compared to other mammals.
Select which animal has more basophils readily in circulation compared to other mammals.
What is common to be visualized in images of feline basophils?
What is common to be visualized in images of feline basophils?
A veterinarian observes a blood smear with basophils in the peripheral sample. What is MOST accurate to remember?
A veterinarian observes a blood smear with basophils in the peripheral sample. What is MOST accurate to remember?
What is implied when canine MAST cells are observed on blood smear analysis?
What is implied when canine MAST cells are observed on blood smear analysis?
During granulocyte production, what feature characterizes maturation?
During granulocyte production, what feature characterizes maturation?
What is the defining characteristic of a promyelocyte during granulopoiesis?
What is the defining characteristic of a promyelocyte during granulopoiesis?
Which of the following describes a myelocyte?
Which of the following describes a myelocyte?
What feature defines a metamyelocyte stage of granulocyte development?
What feature defines a metamyelocyte stage of granulocyte development?
What nuclear shape characterizes a band cell?
What nuclear shape characterizes a band cell?
During granulopoiesis, at what stage do the secondary granules, which define the specific cell type, appear?
During granulopoiesis, at what stage do the secondary granules, which define the specific cell type, appear?
When examining a bone marrow smear, what characteristic helps differentiate a myeloblast from a rubriblast?
When examining a bone marrow smear, what characteristic helps differentiate a myeloblast from a rubriblast?
What color is the cytoplasm of a myeloblast?
What color is the cytoplasm of a myeloblast?
What cell type are primary granules (lysosomes) observed in during granulopoiesis?
What cell type are primary granules (lysosomes) observed in during granulopoiesis?
Which of the following is the correct order of neutrophil maturation?
Which of the following is the correct order of neutrophil maturation?
What term is used to describe the presence of immature cells in the blood, indicative of a shift towards earlier stages of cell development?
What term is used to describe the presence of immature cells in the blood, indicative of a shift towards earlier stages of cell development?
While evaluating a cow with acute metritis (uterine infection), a veterinarian notes neutropenia a degenerative shift. Which is MOST important to remember in cattle?
While evaluating a cow with acute metritis (uterine infection), a veterinarian notes neutropenia a degenerative shift. Which is MOST important to remember in cattle?
What does the term 'stab cell' refer to?
What does the term 'stab cell' refer to?
A blood smear evaluation reveals the presence of toxic change. What is the underlying implication?
A blood smear evaluation reveals the presence of toxic change. What is the underlying implication?
What cellular change is a hallmark of toxic neutrophils?
What cellular change is a hallmark of toxic neutrophils?
What is the origin of Dohle bodies observed in neutrophils?
What is the origin of Dohle bodies observed in neutrophils?
What cellular change underlies increased cytoplasmic basophilia observed in toxic neutrophils?
What cellular change underlies increased cytoplasmic basophilia observed in toxic neutrophils?
Which cellular change is MOST indicative of severe toxic change?
Which cellular change is MOST indicative of severe toxic change?
Which of the following is true regarding degenerate neutrophils?
Which of the following is true regarding degenerate neutrophils?
What cellular feature is LEAST associated with an aging neutrophil?
What cellular feature is LEAST associated with an aging neutrophil?
Flashcards
What are Leukocytes?
What are Leukocytes?
Also known as white blood cells (WBCs), these nucleated blood cells primarily defend the body from pathogens and disease.
What are Granulocytes?
What are Granulocytes?
A primary category of leukocytes characterized by granules in their cytoplasm; examples include neutrophils, eosinophils, and basophils.
Granulocyte naming
Granulocyte naming
Cells are named this way due to the staining of their secondary granules with Romanowsky-type stains.
What are Neutrophils?
What are Neutrophils?
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What are Primary Granules?
What are Primary Granules?
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What are Secondary Granules?
What are Secondary Granules?
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What are Heterophils?
What are Heterophils?
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Neutrophil Extravasation
Neutrophil Extravasation
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What is a Left Shift?
What is a Left Shift?
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What is a Degenerative Left Shift?
What is a Degenerative Left Shift?
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What is Toxic Change?
What is Toxic Change?
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What are Döhle Bodies?
What are Döhle Bodies?
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Heterophil hypogranulation
Heterophil hypogranulation
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What are Degenerate Neutrophils?
What are Degenerate Neutrophils?
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What are Hypersegmented Neutrophils?
What are Hypersegmented Neutrophils?
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Pyknosis and Karyorrhexis
Pyknosis and Karyorrhexis
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Siderotic Inclusions
Siderotic Inclusions
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Distemper inclusions
Distemper inclusions
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Ehrlichiosis/Anaplasmosis
Ehrlichiosis/Anaplasmosis
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Hepatozoonosis
Hepatozoonosis
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What is Bacteremia?
What is Bacteremia?
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Pelger-Huet Anomaly
Pelger-Huet Anomaly
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Pseudo Pelger-Huet
Pseudo Pelger-Huet
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Cyclic Hematopoiesis
Cyclic Hematopoiesis
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What are Eosinophils?
What are Eosinophils?
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What are Basophils?
What are Basophils?
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What are Macrophages?
What are Macrophages?
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What are Lymphocytes?
What are Lymphocytes?
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What are Lymphoblasts?
What are Lymphoblasts?
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What are Plasma Cells?
What are Plasma Cells?
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Granulocyte maturation
Granulocyte maturation
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What defines a myelocyte?
What defines a myelocyte?
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What defines a metamyelocyte?
What defines a metamyelocyte?
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What defines a band cell?
What defines a band cell?
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What happens to the nucleus over time?
What happens to the nucleus over time?
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What defines a myeloblast?
What defines a myeloblast?
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When do you see Polychromatophilic erythrocytes?
When do you see Polychromatophilic erythrocytes?
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Romanowski-type stain
Romanowski-type stain
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What is a Barr body?
What is a Barr body?
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What adhesion molecules do neutrophils use?
What adhesion molecules do neutrophils use?
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What is stress leukocytosis?
What is stress leukocytosis?
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Factors affecting neutrophil production.
Factors affecting neutrophil production.
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Neutrophil pools in bone marrow
Neutrophil pools in bone marrow
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What is the marginal pool in blood?
What is the marginal pool in blood?
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What is the circulating pool in blood?
What is the circulating pool in blood?
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What are Toxic Neutrophils?
What are Toxic Neutrophils?
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What are the morphologic signs of toxic change?
What are the morphologic signs of toxic change?
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What color are eosinophil granules?
What color are eosinophil granules?
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What do 'degranulated' eosinophils look like?
What do 'degranulated' eosinophils look like?
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What shape are feline eosinophil granules?
What shape are feline eosinophil granules?
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How do eosinophils combat parasites?
How do eosinophils combat parasites?
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What is the function of Basophils?
What is the function of Basophils?
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Study Notes
- The maturation of granulocytes is characterized by cytoplasmic granule production and nuclear segmentation
- Granule type determines the granulocyte type
Granulocyte Production
- Myeloblast is the first stage and will look the same for any cell type
- Promyelocyte is the second stage and has primary granules, also looks the same for any cell type
- Myelocyte has an oval-shaped nucleus
- Metamyelocyte has an indented, kidney bean-shaped nucleus
- Band cell has an elongated nucleus with parallel sides
- Eosinophils, neutrophils, or basophils are examples of segmented granulocytes that have segmented nuclei
- Nuclear maturation involves a change to a darker color and more segmentation, eventually shrinking into a dense ball and separating into fragments
Myeloblasts
- Features include open chromatin, nucleoli, and a light-staining nucleus, usually not perfectly round
- Cytoplasm is basophilic, a dark blue color (but not as dark as a rubriblast)
Promyelocytes
- Contain primary granules (lysosomes) that have a magenta or reddish color and a gritty appearance
- Primary granules are also called azurophilic granules
Myelocytes
- Primary granules disappear, and secondary granules appear
- Secondary granules usually don't stain (or stain very pale) in neutrophils
Metamyelocytes
- Nucleus starts to become indented
Band Cells
- Nucleus starts to elongate
- Stabilocyte (STAB or ST) and is an archaic term for band cell
Segmented Cell
- Cells become indented, constricting the nucleus and creating a segmented cell
- Segs, used without modifiers, refers to mature neutrophils
Immature Cells in Blood Circulation
- Noted in blood, indicating increased RBC production and release from bone marrow
- Bands are the first cells seen, with metamyelocytes and myelocytes being less common
- Myeloblasts or promyelocytes indicate neoplasia (leukemia)
Left Shifting
- Immature cells on the left and mature cells on the right
Leukemia
- Immature blast-type cells indicate acute leukemia
- Mature cell types indicate chronic leukemia
Other Cells Produced in Bone Marrow
- There are fibroblast precursors
- There are osteoblast precursors
- There are mast cell precursors
- There are dendritic cells
- There are langerhaunt cells
Romanowsky-type Stain
- The stain uses Wright stain and Giemsa stain
- Acidophilic indicate substances that tend to bind that particular dye
Feline Granulocytes
- Neutrophils have neutral-staining granules
- Eosinophil granules are red
- Basophils stain a light lavender-purple (or sometimes almost pink) color
Neutrophils
- Have non-staining cytoplasm, or very pale pink to orange-stained granules
- An elongated, segmented nucleus can sometimes be folded back, making it hard to see the full nucleus
- Bar body is a drumstick-shaped projection from the nucleus and indicates the cell is from a female patient
- Primary granules are lysosomes that don't stain after the promyelocyte stage unless there is toxic change
- Secondary granules contain microbicidal proteins and enzymes that combat infectious agents
Heterophils
- Differently stained granules, a neutrophil equivalent
- Rabbit heterophils have numerous red-orange granules with the preferred terminology being heterophils
- Birds and reptiles have heterophils
- Guinea pigs can have neutrophils, heterophils, or pseudoheterophils
- Porcupines have dark, almost basophil-like granules in their cytoplasm and these are neutrophils
- Amphibians tend to have neutrophils rather than heterophils
- Fish may have neutrophils as well
- Heterophils from red-tailed boas have fused granules
Neutrophils
- These are the first responders to infection/inflammation
- These cells defends against microorganisms by phagocytizing and destroying bacteria
- Adhesion molecules regulate the sticking to the blood vessel wall
- Integrins and selectins cause sticking to the blood vessel wall
- Chemotaxis migrate the cells to the site of inflammation
- They phagocyte bacteria
Adhesion Molecule Deficiency
- Seen in Holstein cattle and Irish setters
- Defective integrin adhesion protein (CD18) causes decreased neutrophil migration into tissues
- Inflammation occurs, but neutrophils cannot find/reach it
- This results in high neutrophil counts and recurrent infections
Neutrophil Production
- Production is stimulated by stem cell factor, G-CSF (granulocyte colony stimulating factor), GM-CSF (granulocyte monocyte colony stimulating factor), and interleukins (IL-1) in response to inflammation
- Neupogen (or Vilgrastim) is recombinant human granulocyte colony stimulating factor and may be used to stimulate neutrophil production
Pools of Neutrophils
- There is the proliferative pool
- Cells still capable of dividing, such as stem cells, myeloblasts, and promyelocytes
- There is the maturation pool
- Cells in later stages not capable of dividing, such as myelocytes, metamyelocytes, and bands
- There is the storage pool
- Mature segmented neutrophils waiting to go out
- Horses and ruminants don't have a large maturation/storage pool
- Blood has circulating and marginal pools
Circulating and Marginal Pools
- The circulating pool contains cells free in the blood
- The marginal pool contains cells that are transiently stuck to the blood vessel wall
- Neutrophils bouncing in between
- In most species, about half circulating and half marginal
- In cats, the marginal pool is about 3x the circulating pool
- WBC count reflects the circulating pool only
- Decreased stickiness of neutrophils and endothelium due to increased epinephrine or corticosteroid levels causes stress leukocytosis/physiologic leukocytosis and makes the neutrophils less sticky and increases blood flow, increasing the WBC count
- Transit time in blood is about 10 hours and once they leave the blood, they do not go back in
- Once they immigrate to the blood vessel wall they move into tissues
Left Shift
- This is caused by an increased number above the reference interval of immature neutrophils, signifying inflammation
- In a dog or cat, a significant left shift is >1,000 bands/µl or more than 10% of the neutrophil count
- In cattle or horses, a significant left shift is >300 bands/µl or more than 10% of the neutrophil count
Degenerative Left Shift
- This occurs when there are more immature cells than segs
- In dogs and cats, this indicates a poorer prognosis
- In ruminants, it is not considered an indication of a poor prognosis
Toxic Change
- These are cytoplasmic morphologic abnormalities
- Increased cytoplasmic basophilia
- There are Dole bodies, irregularly shaped cytoplasmic inclusions of aggregated rough endoplasmic reticulum
- There is vacuolated cytoplasm, foamy appearance from dissolution of granules within the cytoplasm
- There is toxic granulation, persistent staining of primary granules
- Rarely the nucleus swells and loses chromatin pattern, becoming lighter staining
- In birds and reptiles
- Heterophils can experience this where hypogranulation occurs with fewer granules present and the granules fuse or enlarge in size
- There is basophilic cytoplasm
- There are NO dohle bodies
Degenerate Neutrophils
- Known as karyolytic neutrophils with karyolysis
- Not usually seen in the blood, but in cytology more often
- Necrotic neutrophils
- Indication of a bacterial infection and if this is not present, the evidence of intracellular bacteria within the cytoplasm must be present
Morphologic aspects
- The nucleus swells up and loses its shape
- Blood with heat stroke cases or really severe fevers causes
- Cannot be distinguished from very severe toxic change
Hypersegmented Neutrophils
- As neutrophils age, they become more segmented
- Presence is due to Neutrophils hanging around too long in the blood causes:
- Corticosteroid therapy or increased corticosteroids from hyperadrenocorticism
- Chemotherapy treatment of lymphoma
- Accelerated cell aging with pyrexia or heat stroke
- Delayed sample processing
Nuclear segments
- Increase in number of segments
- Prominence with thin filament-like connection between the lobes
Batryoid
- Like a grape-like, cluster-like nucleus
- Karyorrhexis and pyknosis: chromatin condenses into a dark, dense ball, becoming pyknotic
- May break up into dark, dense balls-karyorrhexis
Siderotic inclusions
- Neutrophils (or monocytes) that are aggregates of hemosiderin in neutrophils (or monocytes)
Leukophagocytosis
- phagocytosis of white blood cells
- Normal to see occasionally in spleen or lymph nodes
Hemosiderin
- These are aggregates of protein and Iron from hemoglobin degradation
- Can see with hemolytic anemias, hemorrhage in tissues
- Look for darker and more distinct bodies when differenting from Dohle
Viral inclusions
- Very meaningful when present, distemper example
Anaplasmosis/Ehrlichiosis
- A bacteria that transmits through tick vectors
- May find in neutrophils and eosinophils-granulocytic ehrlichiosis
- May find in monocytes-monocytic ehrlichiosis
- Anaplasma phagocytophilum: most common granulocytic in horses, dogs, cats, humans, camels
- Ehrlichia ewingii: canine granulocytic ehrlichiosis found in SE and south-central US
- Ehrlichia canis: Causes canine monocytic ehrlichiosis
Diagnosis
- Direct microscopic visualization
- Morulae in WBCs (neutrophils & eosinophils)
- Sensitivity by buffy coat prep
- Morphologically
- Cannot distinguish Anaplasma phagocytophilum & Ehrlichia ewingii
- Serology 4DX- AB detection
- Test inaccurate in cats
- AB presence does not mean active infection
- PCR analysis of blood can also be conducted
Important Clinical Signs
- Fever, lethargy, anorexia, cytopenias (thrombocytopenia, leukopenia, anemia)
IDEXX Snap test
- Tests for
- Heartworm antigen testing
- Anaplasma
- Ehrlichia Canis cross
- Lyme diseas
Gamonts in the blood
- Gamonts show up in neutrophils and also in monocytes.
- Must be extremely lucky to find to even find one on a typical blood smear
Hepatozoan
- Canine hepatozoonosis: canis/Americanum
- Hepatozoon americanum =US cases in dogs, southeast, south central US, ingestion of infected Gulf Coast ticks (Amblyomma maculatum) More severe than H. canis, fewer gamonts in circulation
Clinical findings with Hepatozoon americanum
- Fever, lethargy, muscle pain, hyperesthesia, ocular discharge, anemia, marked neutrophilia
- Gamont can be seen on blood films, buffy coat preps helpful
- PCR testing also available
Bacteremia
- Indicates severe disease
- Requires blood culture for diagnosis
Hereditary Neutrophil Abnormalities
- Pelger-Huet Anomaly
- Canids, cats, rabbits, Human-
- Autosomal dominant disease, in utero lethal homozygous condition,
- Very rare but common in Australian Shepherds (10%) Severe degenerative left shift may be referred to as -pseudo Pelger True lacks neutrophils/eosinophils that are segmented beyond bilobed form
- Pseudo will have toxic change
- Pseudo cases will have metamyelocytes, myelocytes and/or bands with lighter and immature chromatin
- Cyclic Hematopoiesis: usually gray collie dogs -Autosomal recessive with recurrent arrest in hematopoiesis
- At approximately 11-14 day intervals neutropenia begins
- Other cell lines effected but longer life spans make this less obvious
- May have recurrent infections
Eosinophils
- Mediates hypersensitivity
- Defense against parasites
- Granule contents
- Major basic protein
- Proinflammatory cytokines
- Toxins
- Most mammals have red-orange granules: canids, horses, cats
Canid Eosinophils
- Gray hounds may have non uniform stained
- "Can look degranulated"
Feline Eosinophils
- Have rod shaped
- Easy for sample mix ups when reviewing cytology
Avian, Reptile Eosinophils
- Blue eosinophil granules-Cytosine, snakes, Elongated heterophil -Round Eosinophil/ Distinct, grain -High power examination needed for diagnosis
Basophils
- Granules,
- Often blue/ variable
- Cats, can look like neutrophil at low magnifications Hypersensitivity- release of base active mediators.
- IL -3: cytokine increase
Reagent numbers
- Very low/hard to discern
- Turtles-more basophils
- Round and oval- avian/reptiles
Mast cells
Tissue cells- can find in circulation occasionally- Mastocytemia Located at feather edges
- High numbers means neoplasia (5%+)
- Dogs can have Mast at 1-2% without neoplasia -inflammation, necrosis, anemia.
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