The Haemopoietic System and Blood Properties

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Questions and Answers

What is the primary role of albumin in blood plasma?

  • Maintaining osmotic balance (correct)
  • Blood clotting
  • Defense against pathogens
  • Transporting oxygen

If a patient has arterial blood that appears dark purple, what condition might this indicate?

  • Deoxygenation or abnormal hemoglobin (correct)
  • Venous blood contamination
  • Normal arterial blood
  • Increased platelet count

Which of the following is NOT a primary function of blood?

  • Waste removal
  • Hormone production (correct)
  • Nutrient transport
  • Regulation of water balance

What is the role of plasma proteins and hemoglobin in acid-base regulation?

<p>They act as buffers to maintain pH balance (C)</p> Signup and view all the answers

Where does thermoregulation primarily occur due to blood's properties?

<p>Throughout the body due to blood's high specific heat (A)</p> Signup and view all the answers

Which characteristic distinguishes RBCs from other blood cells?

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

A high eosinophil count might suggest which condition?

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

What is diapedesis?

<p>The movement of WBCs through capillary walls (A)</p> Signup and view all the answers

How does the morphology of neutrophils aid in their function?

<p>Their multilobed nucleus facilitates phagocytosis (D)</p> Signup and view all the answers

What is the immediate effect of cytokines secreted by WBCs at the site of an injury?

<p>Promotion of platelet aggregation to reduce blood loss (C)</p> Signup and view all the answers

What change would you expect in the shape of thrombocytes, when activated?

<p>From spherical to disk or oval shaped (A)</p> Signup and view all the answers

How does 5-HT (serotonin) released by platelets contribute to hemostasis?

<p>By promoting vasoconstriction to reduce blood loss (D)</p> Signup and view all the answers

During erythropoiesis, at which stage does hemoglobin synthesis begin?

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

What marks the initiation of the 'pyknosis' during erythropoiesis?

<p>The nucleus begins to condense and disintegrate (A)</p> Signup and view all the answers

What is the primary role of 'heme' portion of hemoglobin, following the destruction of aged RBCs?

<p>Converted into porphyrin, then biliverdin and bilirubin (D)</p> Signup and view all the answers

Which factor contributes to increased RBC count at high altitudes?

<p>Hypoxia stimulating erythropoietin secretion (B)</p> Signup and view all the answers

How does increased sympathetic activity due to hypoxia increase the oxygen carrying capacity of blood?

<p>By stimulating the release of adrenaline and contraction of the spleen (A)</p> Signup and view all the answers

What is the underlying cause of primary polycythemia?

<p>Malignancy of the red bone marrow (B)</p> Signup and view all the answers

Which of the following conditions is characterized by microcytes?

<p>Iron deficiency anemia (B)</p> Signup and view all the answers

What morphological change is associated with crenation of red blood cells?

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

What is the key difference between fetal hemoglobin (HbF) and adult hemoglobin (HbA)?

<p>HbF has a higher affinity for oxygen compared to HbA (D)</p> Signup and view all the answers

What is the role of neuroglobin?

<p>Transports oxygen in the brain (D)</p> Signup and view all the answers

Which statement accurately describes oxygen binding with hemoglobin?

<p>The binding of oxygen to hemoglobin is unstable and reversible. (A)</p> Signup and view all the answers

What is the significance of the oxygen-hemoglobin dissociation curve being shifted to the left for fetal blood?

<p>It enhances oxygen binding at lower partial pressures (C)</p> Signup and view all the answers

During hemoglobin synthesis, where does the production of the globin portion occur?

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

Flashcards

Hemopoietic System

The blood and blood-related system; an example is erythropoiesis.

Blood

A connective tissue in fluid form, consisting of blood cells and plasma.

Erythrocytes

Red blood cells; responsible for oxygen transport.

Leukocytes

White blood cells; play a crucial role in the immune system.

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Thrombocytes

Cell fragments in the blood that help with clotting.

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Serum

Plasma without clotting factors.

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Fibrinogen

A protein in blood plasma that helps with blood clotting.

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Globulin

A blood protein involved in defense and immunity.

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Albumin

A protein in blood plasma responsible for osmotic balance.

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Scarlet Red Arterial Blood

The color of arterial blood due to oxygenation.

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Purple Red Venous Blood

Blood found in veins; it appears this color.

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5 Liters

Normal blood volume in an adult male.

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450 ml Blood Volume (Newborn)

The approximate blood volume in a newborn.

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Slightly Alkaline Blood pH

The acid-base nature of blood.

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Blood Specific Gravity

A measure of the concentration of substances in the blood.

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Blood Viscosity

How viscous/thick blood is as compared to water.

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Nutritive blood function

Supplying the body with nutrients.

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Respiratory Blood Function

Transport of gases for respiration.

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Excretory blood function

The transport and removal of waste products.

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Transport blood function

Transporting hormones and enzymes.

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Blood Water Balance Regulation

Maintaining proper water balance in the body.

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Thermoregulatory blood function

Maintaining a stable body temperature.

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Acid-Base Balance

Plasma proteins and hemoglobin regulate it.

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Storage blood function

Stores substances like proteins and glucose.

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Study Notes

Haemopoietic System

  • This system involves blood and blood-related components
  • Erythropoiesis is an example

Blood

  • Connective tissue in fluid form
  • It consists of blood cells and plasma.
  • Blood cells include:
    • Red blood cells (RBCs or erythrocytes)
    • White blood cells (WBCs or leucocytes)
    • Platelets (thrombocytes)

Plasma

  • Plasma without clotting factors is called serum
  • Consists of:
    • 90-92% water
    • 6-8% proteins
  • Proteins include:
    • Fibrinogen (for blood clotting)
    • Globulin (for defense)
    • Albumin (for osmotic balance)

Properties of Blood

  • Colour varies:
    • Arterial blood is scarlet red
    • Venous blood is purple red
  • Volume:
    • 5 liters in males
    • 4.5 liters in females
    • 450 ml in newborns
  • Reaction and pH is slightly alkaline, around 7.4
  • Specific gravity of total blood ranges from 1.052 to 1.061
  • Viscosity is approximately 5 times more viscous than water

Functions of Blood

  • Nutritive function: transports glucose, amino acids, lipids, and vitamins to different body parts
  • Respiratory function: transports oxygen from alveoli to tissues and carbon dioxide from tissues to alveoli
  • Excretory function: transports waste products formed in tissues during metabolic activities
  • Transport of hormones and enzymes: hormones secreted by ductless glands are released directly into the blood
  • Regulation of water balance, helping maintain water content
  • Regulation of body temperature via thermoregulation due to its high specific heat, where heat gain equals heat loss
  • Regulation of acid-base balance: plasma proteins and hemoglobin act as buffers
  • Storage function: stores substances like proteins, glucose, sodium, and potassium, releasing them when needed
  • Defense function: WBCs provide a defensive function

Red Blood Cells (RBCs)

  • Non-nucleated, except in camels
  • Count: 4-5.5 million per cubic mm, 5 million in males
  • Morphology:
    • Biconcave, disc, and dumbbell shaped
    • Thin in the center
    • Thick at the periphery

White Blood Cells (WBCs)

  • Nucleus present
  • Granules may or may not be present
  • Classification:
    • Granulocytes: neutrophils, basophils, eosinophils
    • Agranulocytes: monocytes, lymphocytes

WBC Morphology

  • Neutrophils are multi-lobed
    • 2-5 lobes present.
    • Cytoplasm stains with both eosin and methylene blue
    • Indicates purple color in the cytoplasm
  • Eosinophils are bilobed and stained by eosin
    • Red-colored cytoplasm
  • Basophils are bilobed and stained by methylene blue
    • Blue-colored cytoplasm
  • Monocytes have a large, kidney-shaped nucleus without granules, located peripherally or centrally
  • Lymphocytes have a bean or oval-shaped nucleus covering the cell, without granules
  • WBC count: Diameter & Life span (days): Percentage
    • Neutrophils: 10-12μm, 2-5 days, 50-70%
    • Eosinophils: 10-14μm, 1-12 days, 2-4%
    • Basophils: 8-10μm, 1. 12-15 days, 0-1%
    • Monocytes: 14-18μm, 2-5 days, 2-6%
    • Lymphocytes: 7-12μm, 1/2-1 day, 20-30%
  • Total leukocyte count (TLC) is 4-11 thousands/mm³
  • WBCs exhibit diapedesis, squeezing through capillaries

WBC Properties

  • Exhibit amoeboid movement
  • Haemotaxis- Chemotaxis

WBC Functions

  • Defense mechanism: neutrophils defend against foreign particles
  • Platelet activation: secreted platelets activating factors for platelet aggregation during injury
  • Eosinophils: defense against parasites, increase during allergic conditions
  • Detoxification of foreign protein
  • Basophils: play a role in healing processes and acute hypersensitivity reactions
  • Monocytes: phagocytic and defensive in nature
  • Lymphocytes: provide immunity
    • T-lymphocytes: cell-mediated immunity
    • B-lymphocytes: humoral immunity

Thrombocytes (Platelets)

  • Non-nucleated
  • Diameter: 2.5 μm
  • Volume: 7.5 cubic μm
  • Spherical or rod-shaped
  • Transform into a disk or oval shape when inactivated
  • Count: 2.5 lac/mm³
  • Range: 2-4 lac/mm³

Thrombocytes Properties

  • Adhesion: the property of sticking to a rough surface
  • Aggregation: grouping of platelets after adhesion
  • Agglutination: coagulation/clumping together of platelets, forming a clot

Thrombocytes Functions

  • Role in blood clotting - formation of intrinsic prothrombin activator
  • Role in clot retraction: involves actin, myosin, and thrombostenin for clot contraction and size reduction
  • Prevention of blood loss (Hemostasis): Platelets have 5-HT, causing blood vessel constriction
  • Repair of ruptured blood vessels
  • Role is defense mechanism

Lifespan & Variations

  • Lifespan: 10 days
  • Range: 8-11 days

Physiological & Pathological Variation: Cell Creation

  • Pluripotent Haemopoietic Stem Cells
  • Lymphoid Stem Cell
  • Erythropoiesis process of origin, development, and maturation of blood erythrocytes

Erythropoiesis Sites

  • Before birth:
    • Mesoblastic stage in the first 2 months of intrauterine life
    • Formed from the mesenchyme of the yolk sac
    • Hepatic stage from the 3rd month of intrauterine life
    • The liver is the main RBC producing site, along with the spleen and lymphoid organs
    • Myeloid stage in the last 3 months, involving bone marrow and the liver
  • After birth:
  • Up to 20 years of age, RBCs are produced from the red bone marrow of all bones, especially long and flat bones
  • After 20 years, RBCs are produced from membranous bones like the vertebrae, sternum, ribs, scapula, iliac and skull bones, and the ends of long bones

Stages of Erythropoiesis

  • CFU-E cells transform into:
    • Proerythroblast
    • Early normoblast
    • Intermediate normoblast
    • Late normoblast
    • Reticulocyte
    • Mature erythrocyte
    • Proerythroblast
      • First cell derived from CFU-E
      • Diameter : 20μm
      • Nucleus is large and occupies the whole cell
      • Does not contain haemoglobin
      • But synthesis of haemoglobin is started here, but seen in intermediate normoblast.
      • Cytoplasm is basophilic in nature
  • Early normoblast, Small than proerythroblast
    • Diameter: 15 μm
    • The nucleoli disappear
      • Cytoplasm is basophilic erythroblast
      • Condensation of chromatin network
    • Intermediate Normoblast Smaller is a normoblast
      • Diameter: 10.12 ym
      • Haemoglobin starts appearing
      • Nucleus is present
      • Condensation occus further
      • Give a polychromatic
  • Late Normoblast Diameter is 8 to 10 ym
  • At starting nucleu becomes very small and very much condensed chromation network
  • Quantity of hermoglobin increases and cytoplasm becomes acidophilio so the cell is K/s

Reticulocyte Immature Red Blood Cell Due of disintegrated Matured erythrocyte Reticulocytes network appear Having cave shape

Factors Responsible for Erythropoiesis

  • Physiological variations in RBC include:
  • Increase in RBC count: polycythemia- Increased RBC Volume

Age Factors

  • At birth Rbc count is 8-10 millionImm Sex

Female and male some count of Red Blood Cells

High altitude levels

Hypoxia-kidney and Borie levels Sycete -Enythroporitin

Volume factors

Muscular- Muscular exercise Hypoxia- sympathetic

  • Sympathetic activity released releases are activity

  • Emotional condition a and exercise

  • High temperature environments RCD volumes

  • B decrease class Anemia

  • High barometic pressure -Deep Sea

  • Sleep activity

  • pregnancy

Pathological variations: Cell creation

primary polycythemia A plastic Disse- RBC volumes

Types of Polycythemia

Secondary and some conditions

Respitary disorders Chronic (CO Poisoning)

  • Phosphorus and arsenic count

Anemia factors

  • Venos blood size

RBC Size in

Microcytes

Irdam anemias

  • Prolonged Forced

Increased cosmotic pressure

Marrocytes

Megol ablastic anomias Decreased Cosmatic pressure

Factors in RBC shape with Anemia

Anisotytes

Occurs in perritious a nemici

Crenation

shurinkage

Hypertomic conditions

Pherocyotosis

Hypotonic and

Hypertomic condition

  • Elliptocytes

In certain shapes is

  • Sickle cell - anemia
  • Crescenting shape Sickle cell

Potilocytosis

  • Membrane shaped

puntuale basophilism

Stratiod appearance

Striated

Tireside materials

RBC Structure variations

  • Leads poisuring

  • Rings or twisted stands

  • Gables

HOWELL

  • BOD/Es"

Lenkaporisin

  • Plari polent Hemopoilic

Plasty -

colony

  • Myloblast
  • Blaral
  • Monocle

Promy elolyte # Promocytes

  • Neteiphall
  • Osiophil

E - Meter

Basophil

B *meter cyte

hemopriph

Heralds and

  • Hemopriph

Hemes -

Factors for

  • Jeen

Forms of

types of

A - adull

Fetal HOB

High affinity

Note

  • Fetal volume

Dissociation

  • Dissociation Curvof shift of lefl-

Heamoglobin

  • RBC Matter to

  • RBC-36%

Hormonal contents

  • RCD- 95% and 34% to west Weight

Normol hermegoblobin contents

12-14- and 16g10t

types of Aoe

  • Sex factor Rbc is destroyed
  • RBC Split

Hema d

  • Irion stored"
  • U- Reutired synthesies Synthise B and Bile

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