Leukocytes (White Blood Cells)

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Questions and Answers

Which of the following is the primary function of neutrophils?

  • Initiating allergic reactions through histamine release.
  • Transporting oxygen throughout the body.
  • Acting as active phagocytes that engulf and destroy bacteria and some fungi. (correct)
  • Producing antibodies to neutralize pathogens.

What is the typical lifespan of leukocytes?

  • 6 hours to a few days. (correct)
  • Months to years.
  • Approximately 120 days.
  • Several weeks.

Which of the following contributes the greatest percentage to whole blood volume?

  • Leukocytes
  • Granulocytes.
  • Plasma. (correct)
  • Platelets.

Which term refers to the process by which leukocytes differentiate from a common progenitor cell?

<p>Hematopoiesis (D)</p> Signup and view all the answers

What percentage of total leukocytes do neutrophils typically represent?

<p>50-72% (A)</p> Signup and view all the answers

Besides macrophages, what other type of cell falls under the classification of monocytes?

<p>None, macrophages are differentiated monocytes (A)</p> Signup and view all the answers

What is the approximate percentage of leukocytes in whole blood?

<p>Less than 1% (A)</p> Signup and view all the answers

Which of the following reactive oxygen species is produced by neutrophils to degrade pathogens?

<p>Hydrogen peroxide (D)</p> Signup and view all the answers

What are the three main types of leukocytes

<p>granulocytes, lymphocytes, and monocytes/macrophages (B)</p> Signup and view all the answers

In addition to defending against bacteria, against what other organism do leukocytes defend?

<p>some fungi (C)</p> Signup and view all the answers

Where do neutrophils store enzymes used to destroy engulfed bacteria?

<p>Lysosomes (A)</p> Signup and view all the answers

What is the other common name for leukocytes?

<p>White blood cells (A)</p> Signup and view all the answers

Which of the following is a function of macrophages?

<p>Phagocytosis of pathogens (B)</p> Signup and view all the answers

What is the role of colony-forming units (CFU) such as CFU-E and CFU-GM in hematopoiesis?

<p>They are progenitor cells that differentiate into specific blood cell types. (B)</p> Signup and view all the answers

Which of the following is a key characteristic of blood plasma?

<p>It is primarily composed of water and proteins. (A)</p> Signup and view all the answers

What is the main role of lymphocytes in the immune system?

<p>Recognizing and targeting specific pathogens through antibody production and cell-mediated immunity. (B)</p> Signup and view all the answers

How are platelets formed during hematopoiesis?

<p>Fragmenting from megakaryocytes (D)</p> Signup and view all the answers

Which blood component is responsible for blood clotting?

<p>Platelets (A)</p> Signup and view all the answers

What role do tissue cells play in hematopoiesis?

<p>Supporting the hematopoietic process (B)</p> Signup and view all the answers

What is the role of globulins in blood plasma?

<p>Transporting lipids and fat-soluble vitamins (C)</p> Signup and view all the answers

Which of the following is a distinctive characteristic of eosinophils?

<p>Presence of large, coarse granules that stain red with acid dyes (A)</p> Signup and view all the answers

If a patient's lab results show an elevated percentage of basophils, which condition might be suspected?

<p>Allergic reaction (A)</p> Signup and view all the answers

In what manner do eosinophils combat parasitic worm infections?

<p>Releasing digestive enzymes onto the surface of the parasitic worms (C)</p> Signup and view all the answers

Which of the following best describes the lifespan of basophils?

<p>A few hours to a few days (A)</p> Signup and view all the answers

What is the role of the histamine released by basophils?

<p>Acting as a vasodilator to increase blood flow (D)</p> Signup and view all the answers

From which type of progenitor cell do eosinophils differentiate?

<p>Myeloid progenitor cell (C)</p> Signup and view all the answers

What staining characteristic is most consistent with a basophil?

<p>Large, coarse granules that stain purple/black with basic dyes (A)</p> Signup and view all the answers

A patient is diagnosed with a parasitic infection. Which type of leukocyte would be expected to be elevated in their blood?

<p>Eosinophils (A)</p> Signup and view all the answers

Which of the following represents the typical percentage range of eosinophils in the total leukocyte count (LCC)?

<p>2-4% (C)</p> Signup and view all the answers

If a basophil encounters an allergen, what is its primary response?

<p>Release of histamine (D)</p> Signup and view all the answers

Compared to eosinophils, basophils represent:

<p>A smaller percentage of total leukocytes (D)</p> Signup and view all the answers

What functional characteristic differentiates eosinophils from other leukocytes in their response to parasitic infections?

<p>Eosinophils release digestive enzymes onto parasites too large to be phagocytosed. (D)</p> Signup and view all the answers

How does the presence of histamine affect blood vessels during an inflammatory response?

<p>It dilates blood vessels, increasing blood flow. (B)</p> Signup and view all the answers

Concerning their formation and lifespan, what contrasts eosinophils and basophils?

<p>Eosinophils have a longer lifespan (approximately 5 days) compared to basophils (hours to a few days). (B)</p> Signup and view all the answers

How might a differential leukocyte count help distinguish between a bacterial infection and a parasitic infection?

<p>Bacterial infections typically show increased neutrophils, while parasitic infections show increased eosinophils. (B)</p> Signup and view all the answers

Which statement correctly connects a cell type with its approximate proportion in the total leukocyte count?

<p>Basophils constitute 0.5-1% of leukocytes. (D)</p> Signup and view all the answers

How does the mechanism of eosinophils in combating parasitic worms differ from that of neutrophils in combating bacteria?

<p>Eosinophils release digestive enzymes externally, while neutrophils primarily phagocytize bacteria. (D)</p> Signup and view all the answers

How does the function of histamine released by basophils relate to the inflammatory process?

<p>Histamine promotes inflammation by increasing blood vessel permeability and vasodilation. (B)</p> Signup and view all the answers

If a bone marrow sample showed an increase in myeloid progenitor cells differentiating into eosinophils, what condition might be suspected?

<p>Parasitic infection or allergic reaction (D)</p> Signup and view all the answers

In terms of clinical significance, what is the key distinction between eosinophils and basophils regarding their roles in immune responses?

<p>Eosinophils are primarily involved in parasitic defense, while basophils are involved in allergic reactions. (C)</p> Signup and view all the answers

Monocytes differentiate into which of the following cell types upon migrating from the bloodstream into tissues?

<p>Macrophages (C)</p> Signup and view all the answers

Which process are monocytes and macrophages directly involved in, beyond their phagocytic activity?

<p>Angiogenesis (A)</p> Signup and view all the answers

What is the typical duration that monocytes remain in circulation before migrating into tissues?

<p>1-3 days (C)</p> Signup and view all the answers

Which of the following is a primary function of monocytes and macrophages?

<p>Phagocytosing dead cells and bacteria (C)</p> Signup and view all the answers

Which of the following best describes the origin and development of mast cells?

<p>Generated in the bone marrow with terminal differentiation and proliferation in target tissue (B)</p> Signup and view all the answers

Which of the following conditions might be suspected if a patient's blood test reveals a monocyte percentage outside the normal range?

<p>Tuberculosis (D)</p> Signup and view all the answers

What is the primary mechanism by which mast cells contribute to allergic reactions and inflammation?

<p>Release of histamine from secretory granules (B)</p> Signup and view all the answers

What role do eosinophils play in the context of leukocyte recruitment?

<p>They recruit other types of leukocytes. (D)</p> Signup and view all the answers

Which statement correctly describes the maturation location of mast cells?

<p>Undergo terminal differentiation and proliferation in target tissues. (B)</p> Signup and view all the answers

Which role do monocytes play in the context of viral infections?

<p>Acting as the first line of defense against viruses (B)</p> Signup and view all the answers

What is the typical percentage range of monocytes and macrophages combined within the total leukocyte count (LCC)?

<p>3-8% (A)</p> Signup and view all the answers

Which of the following scenarios would most likely result in a decreased monocyte count?

<p>Bone marrow suppression (C)</p> Signup and view all the answers

For which type of immunological response would an elevated mast cell count most likely be observed?

<p>Responses to allergens causing allergic reactions (C)</p> Signup and view all the answers

How do monocytes contribute to the inflammatory response?

<p>Through their general presence and activation in inflamed tissues (D)</p> Signup and view all the answers

A patient is undergoing treatment for cancer and experiences bone marrow suppression. Which of the following leukocyte counts would be expected to decrease as a direct result of this condition?

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

Mast cells constitution within the leukocytes is:

<p>Less than 0.2% (A)</p> Signup and view all the answers

In what circumstances would an increased number of eosinophils be expected to be present in the blood?

<p>During allergic reactions (D)</p> Signup and view all the answers

How does the function of monocytes change as they differentiate into macrophages?

<p>Macrophages have an increased capacity for phagocytosis and antigen presentation compared to monocytes. (C)</p> Signup and view all the answers

Which of the following is a process that both monocytes/macrophages and mast cells participate in?

<p>Initiating an immune response (A)</p> Signup and view all the answers

Why might eosinophils recruit other leukocytes to defend against parasites?

<p>To amplify the immune response and enhance the killing of the parasite. (C)</p> Signup and view all the answers

Which of the following is a primary characteristic of lymphocytes?

<p>Large, dark nucleus with a small amount of cytoplasm. (D)</p> Signup and view all the answers

What is the main function of B-lymphocytes?

<p>Producing antibodies after differentiating into plasma cells. (D)</p> Signup and view all the answers

Which of the following describes the process by which antibodies facilitate the engulfment of pathogens?

<p>Opsonization, enhancing pathogen recognition by phagocytes. (A)</p> Signup and view all the answers

How do T-lymphocytes contribute to the immune response?

<p>By directly attacking cells infected by viruses or tumor cells. (D)</p> Signup and view all the answers

A patient undergoing an organ transplant is at risk of rejection. Which type of lymphocyte is primarily responsible for this?

<p>T-lymphocytes (C)</p> Signup and view all the answers

What role do natural killer (NK) cells play in the immune system?

<p>Attacking a wide variety of infected body cells and detecting early signs of cancer. (B)</p> Signup and view all the answers

What is the approximate size range of lymphocytes?

<p>6-14 μm (B)</p> Signup and view all the answers

Where do T-lymphocytes primarily mature?

<p>Thymus (A)</p> Signup and view all the answers

What is the ultimate result of the agglutination process facilitated by antibodies?

<p>Enhanced phagocytosis due to clumping of pathogens. (B)</p> Signup and view all the answers

How do NK cells contribute to immune defense during pregnancy?

<p>Specialized NK cells in the placenta protect against infection. (C)</p> Signup and view all the answers

Once stimulated, what type of cell do B-lymphocytes differentiate into?

<p>Plasma cells (D)</p> Signup and view all the answers

Which action best describes how antibodies neutralize toxins?

<p>By blocking the active sites on toxins, preventing them from binding to cells. (D)</p> Signup and view all the answers

What is the primary role of T-lymphocytes in protecting against tumors?

<p>Directly attacking and destroying tumor cells. (D)</p> Signup and view all the answers

What characteristic of NK cells allows them to respond to a wide variety of infected cells without prior sensitization?

<p>Their capacity to recognize cells lacking MHC class I molecules. (B)</p> Signup and view all the answers

Where do lymphocytes spend the majority of their time?

<p>Located within lymphoid tissues and lymph. (C)</p> Signup and view all the answers

Which of the following terms describes immunoglobulins, the molecules secreted by plasma cells?

<p>Antibodies (D)</p> Signup and view all the answers

Which best describe the relationship between antibodies (Abs) and antigens (Ags)?

<p>ABs act against Ags (A)</p> Signup and view all the answers

What is the role of macrophages recruitment by natural killer cells?

<p>Enhancing the immune response. (B)</p> Signup and view all the answers

Which of the following cells is not classified as a lymphocyte?

<p>Erythrocytes (B)</p> Signup and view all the answers

What is the primary mechanism through which antibodies contribute to the destruction of bacteria?

<p>Facilitating phagocytosis through opsonization and agglutination. (D)</p> Signup and view all the answers

Flashcards

Leukocytes

Leukocytes, also known as WBCs, constitute less than 1% of whole blood volume.

Main types of leukocytes

Granulocytes, lymphocytes, monocytes, and macrophages.

Leukocyte lifespan

A few hours to a few days.

Hematopoiesis

The production of blood cells and platelets.

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Most numerous leukocytes

Neutrophils are the most abundant leukocytes, typically making up 50-70% of all leukocytes.

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Neutrophil defense

Neutrophils primarily defend against bacteria and some fungi.

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Neutrophil function

Neutrophils are phagocytes that engulf bacteria and destroy them using enzymes stored in lysosomes and produce reactive oxygen species to degrade pathogens.

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Eosinophil function

White blood cells that target parasites too large for phagocytosis, releasing digestive enzymes.

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Basophil function

Granulocytes containing histamine that act as a vasodilator.

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Eosinophil abundance

White blood cell type that constitutes 2-4% of leukocytes.

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Basophil abundance

White blood cell type that constitutes 0.5-1% of leukocytes.

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Eosinophil lifespan

The lifespan of eosinophils is approximately 5 days.

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Basophil lifespan

The lifespan of basophils ranges from a few hours to a few days.

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Monocytes

Agranular leukocytes that differentiate into macrophages in tissues.

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Macrophages

Phagocytic cells that engulf pathogens and cellular debris; derived from monocytes.

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Monocytes + Macrophages (3-8% LCC)

The combined percentage of monocytes and macrophages in the total leukocyte count.

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Monocyte Circulation Time

Monocytes circulate in the bloodstream for a short period before migrating into tissues

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Monocyte Differentiation

The differentiation process where monocytes mature into macrophages, accompanied by proliferation.

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Angiogenesis

A vital process involving the formation of new blood vessels.

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Histamine

Released from secretory granules by mast cells during allergic reactions and inflammation.

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Mast Cells Frequency

A type of leukocyte that is present in low numbers.

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Defense Against Parasites

Recruiting other types of leukocytes

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Inflammatory Response

Response to tissue injury, infection, or other stimuli to promote healing.

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Allergic Reactions

An immune response to allergens involving histamine release.

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High Monocyte Count Possible Causes

Viral and fungal infections, tuberculosis, some leukemias, other chronic diseases.

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Low Monocyte Count Possible Causes

Radiation exposure, drug toxicity, vitamin B12 deficiency, systemic lupus erythematosus.

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High Neutrophils Count Possible Causes

Bacteria infection, burns, stress, inflammation.

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Low Neutrophils Count Possible Causes

Radiation exposure, drug toxicity, vitamin B12 deficiency, systemic lupus erythematosus (SLE).

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High Lymphocytes Count Possible Causes

Viral infections, some leukemias, infectious mononucleosis.

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Low Lymphocytes Count Possible Causes

Prolonged illness, HIV infection, immunosuppression, treatment with cortisol.

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T-Lymphocytes

A type of lymphocyte that matures in the thymus, recognizes specific foreign proteins, and attacks infected or cancerous cells.

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T-Lymphocyte Function

Lymphocytes responsible for rejecting transplanted organs and stimulating B-cells to produce antibodies.

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Natural Killer (NK) Cells

attack a wide variety of infected body cells and detect/control early signs of cancer.

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B-Lymphocytes

destroy bacteria by inactivating their toxins and differentiate into plasma cells that secrete antibodies when stimulated by an antigen.

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Antibodies (Abs)

Immunoglobulins that act against antigens through agglutination or opsonization.

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Agglutination

A process where antibodies cause antigens to clump together.

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Opsonization

A process where antibodies coat pathogens to enhance phagocytosis.

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Lymphocytes Types

A type of lymphocyte with three subtypes: B-lymphocytes, T-lymphocytes, and natural killer T-cells.

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Lymphocyte Characteristics

White blood cells characterized by a large nucleus and a small amount of cytoplasm.

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Plasma Cell

A cell that secretes antibodies when stimulated by an antigen.

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Study Notes

  • Lymphocytes constitute 20-25% of leukocytes (LCC)
  • Lymphocytes have a large, dark nucleus and a small amount of blue cytoplasm
  • Lymphocytes circulate mostly in lymphoid tissues and lymph, remaining in the blood for only a few hours
  • There are 3 types of Lymphocytes: B-lymphocytes, T-lymphocytes, and natural killer T-cells

T-Lymphocytes

  • Mature in the thymus
  • Recognize specific foreign proteins
  • Attack cells that have been infected by viruses or tumor cells
  • Responsible for the rejection of transplanted organs
  • Stimulate B-cells to produce antibodies (Abs)

Natural Killer Cells

  • Attack a wide variety of infected body cells
  • Detect and control early signs of cancer
  • Specialized NK cells found in the placenta protect against infection during pregnancy
  • Recruit macrophages and other immune cells to enhance immune response

B-Lymphocytes

  • Main role is to destroy bacteria and inactivate their toxins
  • Differentiate into plasma cells that secrete antibodies (Abs) when stimulated by an antigen (AG)
  • Antibodies (Abs) are immunoglobulins that can act against antigens (AGs) through agglutination or opsonization

Cauchy's Integral Formula - Theorem

  • If $f$ is analytic on a simply connected domain $D$, and $\gamma$ is a simple closed curve in $D$ oriented counterclockwise, then for any $z_0 \in D$ not on $\gamma$: $$ f(z_0) = \frac{1}{2\pi i} \int_\gamma \frac{f(z)}{z-z_0}dz $$

Proof of Cauchy's Integral Formula

  • $f(z)/(z-z_0)$ is analytic on $D - {z_0}$ since $z_0$ is not on $\gamma$
  • Let $C_\epsilon$ be a circle of radius $\epsilon$ centered at $z_0$ contained in $D$ oriented counterclockwise
  • $\frac{f(z)}{z-z_0}$ is analytic on the region between $\gamma$ and $C_\epsilon$
  • By the deformation invariance theorem: $$ \int_\gamma \frac{f(z)}{z - z_0} dz = \int_{C_\epsilon} \frac{f(z)}{z - z_0} dz $$
  • Parametrize $C_\epsilon$ by $z(t) = z_0 + \epsilon e^{it}$ for $0 \le t \le 2\pi$, $z'(t) = i\epsilon e^{it}$ $$ \int_{C_\epsilon} \frac{f(z)}{z - z_0} dz = \int_0^{2\pi} \frac{f(z_0 + \epsilon e^{it})}{\epsilon e^{it}} i\epsilon e^{it} dt = i \int_0^{2\pi} f(z_0 + \epsilon e^{it}) dt $$
  • Then, $$ i \int_0^{2\pi} f(z_0 + \epsilon e^{it}) dt - 2\pi i f(z_0) = i \int_0^{2\pi} f(z_0 + \epsilon e^{it}) - f(z_0) dt $$ $$ \left| i \int_0^{2\pi} f(z_0 + \epsilon e^{it}) - f(z_0) dt \right| \le \int_0^{2\pi} |f(z_0 + \epsilon e^{it}) - f(z_0)| dt $$
  • Since $f$ is continuous at $z_0$, for any $\varepsilon > 0$, there exists $\delta > 0$ such that if $|z - z_0| < \delta$, then $|f(z) - f(z_0)| < \varepsilon$
  • Choose $\epsilon < \delta$. Then $|f(z_0 + \epsilon e^{it}) - f(z_0)| < \varepsilon$
  • Then, $$ \int_0^{2\pi} |f(z_0 + \epsilon e^{it}) - f(z_0)| dt \le \int_0^{2\pi} \varepsilon \ dt = 2\pi \varepsilon $$
  • Because we can make this integral arbitrarily small, it must be zero $$ i \int_0^{2\pi} f(z_0 + \epsilon e^{it}) dt - 2\pi i f(z_0) = 0 $$ $$ \int_{C_\epsilon} \frac{f(z)}{z - z_0} dz = 2\pi i f(z_0) $$ $$ \int_\gamma \frac{f(z)}{z - z_0} dz = 2\pi i f(z_0) $$
  • Thus, $$ f(z_0) = \frac{1}{2\pi i} \int_\gamma \frac{f(z)}{z-z_0}dz $$

Cauchy's Integral Formula for Derivatives - Theorem

  • If $f$ is analytic on a simply connected domain $D$, let $\gamma$ be a simple closed curve in $D$ oriented counterclockwise, then for any $z_0 \in D$ not on $\gamma$ and any $n \ge 0$: $$ f^{(n)}(z_0) = \frac{n!}{2\pi i} \int_\gamma \frac{f(z)}{(z-z_0)^{n+1}} dz $$

Proof of Cauchy's Integral Formula for Derivatives

  • Proof by induction. The formula holds for $n = k$ $$ f^{(k)}(z_0) = \frac{k!}{2\pi i} \int_\gamma \frac{f(z)}{(z-z_0)^{k+1}} dz $$
  • Show that $$ f^{(k+1)}(z_0) = \frac{(k+1)!}{2\pi i} \int_\gamma \frac{f(z)}{(z-z_0)^{k+2}} dz $$
  • By definition $$ f^{(k+1)}(z_0) = \lim_{h \to 0} \frac{f^{(k)}(z_0 + h) - f^{(k)}(z_0)}{h} $$
  • Using the inductive hypothesis $$ f^{(k+1)}(z_0) = \lim_{h \to 0} \frac{\frac{k!}{2\pi i} \int_\gamma \frac{f(z)}{(z - (z_0 + h))^{k+1}} dz - \frac{k!}{2\pi i} \int_\gamma \frac{f(z)}{(z-z_0)^{k+1}} dz}{h} $$ $$ = \frac{k!}{2\pi i} \lim_{h \to 0} \int_\gamma \frac{1}{h} \left[ \frac{f(z)}{(z - (z_0 + h))^{k+1}} - \frac{f(z)}{(z-z_0)^{k+1}} \right] dz $$
  • Consider $$ \frac{1}{h} \left[ \frac{1}{(z - (z_0 + h))^{k+1}} - \frac{1}{(z-z_0)^{k+1}} \right] = \frac{1}{h} \left[ \frac{(z-z_0)^{k+1} - (z - (z_0 + h))^{k+1}}{(z - (z_0 + h))^{k+1} (z-z_0)^{k+1}}\right] $$
  • Using the binomial theorem $$ (z-(z_0 + h))^{k+1} = (z-z_0 - h)^{k+1} = \sum_{j=0}^{k+1} \binom{k+1}{j} (z-z_0)^{k+1-j} (-h)^j $$ $$ = (z-z_0)^{k+1} + (k+1)(z-z_0)^k (-h) + \binom{k+1}{2} (z-z_0)^{k-1} (-h)^2 + \dots + (-h)^{k+1} $$ $$ (z-z_0)^{k+1} - (z - (z_0 + h))^{k+1} = (k+1)(z-z_0)^k h - \binom{k+1}{2} (z-z_0)^{k-1} h^2 + \dots - (-h)^{k+1} $$ $$ \frac{(z-z_0)^{k+1} - (z - (z_0 + h))^{k+1}}{h} = (k+1)(z-z_0)^k - \binom{k+1}{2} (z-z_0)^{k-1} h + \dots - (-h)^{k} $$
  • Taking the limit as $h \to 0$ $$ \lim_{h \to 0} \frac{(z-z_0)^{k+1} - (z - (z_0 + h))^{k+1}}{h} = (k+1)(z-z_0)^k $$
  • So, $$ \lim_{h \to 0} \frac{1}{h} \left[ \frac{1}{(z - (z_0 + h))^{k+1}} - \frac{1}{(z-z_0)^{k+1}} \right] = \frac{(k+1)(z-z_0)^k}{(z-z_0)^{k+2}(z-z_0)^{k+1}} = \frac{(k+1)}{(z-z_0)^{k+2}} $$
  • Therefore, $$ f^{(k+1)}(z_0) = \frac{k!}{2\pi i} \int_\gamma f(z) \frac{(k+1)}{(z-z_0)^{k+2}} dz = \frac{(k+1)!}{2\pi i} \int_\gamma \frac{f(z)}{(z-z_0)^{k+2}} dz $$

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