HEMA LEC TRANSES ULTRA-SUMMARIZED.pdf
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â€LESSON 1‬ â€Hematocrit‬ †atio of volume of packed RBC to the‬...
â€LESSON 1‬ â€Hematocrit‬ †atio of volume of packed RBC to the‬ R †AND neutrophils-‬ B â€Slightly less mature neutrophils‬ †THANASIUS KIRCHER‬ A †escribes the worm in the blood‬ D â€volume of whole blood‬ â€unsegmented‬ â€ANTON VAN‬ â€Describes Red Blood Cell‬ â€RBC:Whole Blood‬ â€Left shift‬ Iâ€ncrease in bands that signals‬ â€LEEUWENHOEK‬ â€Hematocrit‬ â€Also called as Packed Cell Volume‬ â€bacterial infection‬ â€Giulio Bizzozero‬ †latelets- petite plaque‬ P â€(PCV)‬ â€Eosinophil‬ â€Round, Bright Orange-red‬ â€James homer Wright‬ â€Wright’s Romanowsky-type‬ â€Buffy Coat‬ â€WBC and Platelet‬ â€Immune system response‬ â€Stain of Blood Cells‬ â€Wright or Wright-Giemsa stain‬ â€The light-colored layer between the‬ E†osinophilia- indicates‬ â€Increase in Eosinophil‬ â€Morphology‬ â€Physical or Cell Appearance‬ â€RBC and plasma‬ â€allergy or parasitic‬ â€Joseph and Wallace‬ â€Patented the 1‬â€st‬ â€electronic counter‬ †ean Cell Volume‬ M â€RBC‬â€Diameter‬â€-wright stain blood film‬ â€Basophil‬ †ark purple, obscure nucleus‬ D â€Coulter‬ â€Discovered Coulter Principle‬ â€(MCV)‬ â€Contains histamines‬ â€Mean Cell‬ †ass of hemoglobin/cell and parallels‬ m †asophilia- hematologic‬ B â€Increase in Basophil‬ â€LESSON 1‬ â€Hemoglobin‬ â€the MCHC‬ â€disease‬ â€RBC‬â€- transports oxygen and carbon dioxide‬ â€(MCH)‬ â€Lymphocyte‬ †ound, larger than‬ R â€SHAPE‬ â€Biconcave, discoid cells filled with‬ â€Mean Cell‬ †BC‬â€staining intensity and amount of‬ R â€RBC—antigens-antibody‬ â€HEMOGLOBIN‬ â€Hemoglobin‬ â€central pallor‬ L†ymphocytosis‬ â€Increase in Lymphocyte‬ â€Concentration‬ â€Lymphopenia‬ â€Decrease inL‬ â€NUCLEUS‬ â€Anucleated or NO TRUE NUCLEUS‬ â€(MCHC)‬ â€Monocytes‬ â€Identify and phagocyte‬ â€Hemoglobin‬ â€Reddish protein‬ â€RBC distribution‬ â€Degree of variation in RBC volume‬ â€Monocyte‬ â€Immature Macrophage‬ â€Color‬ â€Salmon Pink‬ â€width (RDW)‬ â€Size‬ â€7-8 micrometer with a zone of pallor‬ â€Blue-gray‬ â€Anisocytosis‬ â€Variation in DIAMETER of RBC‬ â€Zone of Pallor‬ â€Blank spot in RBC, space ba espasyo‬ †acrophage‬ M â€The most abundant cell type‬ â€Anemia or‬ â€Counted RBC in volume to detect‬ â€Monocytosis‬ â€Increase monocyte‬ †eticulocyte‬â€- indicates the ability of RBC production.‬ R â€Polycythemia‬ â€these‬ â€Leukemia‬ â€Blood Cancer‬ â€Young RBC that contains RNA are called reticulocyte‬ â€Anemia‬ â€Loss of oxygen-carrying capacity‬ â€Chronic Lymphocytic‬ â€Older people‬ â€Polychromatic‬ â€Newly release RBC – from bone‬ â€Decrease hemoglobin concentration‬ â€Leukemia‬ â€Erythrocyte‬ â€marrow‬ â€Hemocytometer‬ â€Diluted blood was transfer to this‬ â€Acute Lymphoblastic‬ â€Childhood leukemia‬ â€Polychromatic‬ â€.5-2.5 percent nakikita sa stain‬ â€Glass Counting Chamber‬ â€Leukemia‬ â€Erythrocyte‬ â€Microscopist observe rbc here‬ â€Stain slightly BLUE GRAY‬ â€Polycythemia‬ â€Increase RBC counts‬ †LATELETS-‬â€Thrombocytes, Major cell that controls‬ P â€Uses methylene blue dyes to count‬ â€Leads to hyperviscosity‬ â€hemostasis, 2-4mm, Anucleate, and Round‬ â€Vital or SuperVital‬ â€Dyes absorbed by live cells‬ â€Microliter‬ â€Report RBC count, how we count RBC‬ â€Thrombosis‬ â€Clot formation, PT secrets‬ â€Coulter Principle‬ â€Used to count RBC in AUTOMATED‬ â€thrombin to facilitate this‬ â€WHITE BLOOD CELL- LEUKOCYTE‬ â€of direct‬ â€BLOOD CELL ANALYZER‬ â€Hemostasis‬ â€Series of cellular mechanism that‬ â€-‬ â€Protects host from infection‬ â€impedance‬ â€repairs wounds‬ â€-‬ â€Bone marrow or lymphoid tissue- source of wbc‬ â€Visual RBC‬ â€Developed before 1900‬ â€Mean Platelet Volume‬ â€Elevated mpv- presence of larger‬ â€-‬ â€Colorless in unstained suspension‬ â€counting‬ â€(MPV)‬ â€platelets‬ â€WBC Counting dilution‬ â€1:20 – dilute acid solution‬ â€Automated‬ â€1958‬ â€Thrombocytosis-‬ â€Increase in platelet‬ â€and diluent‬ â€particle counters‬ â€Became available in the lab‬ â€indicates inflammation‬ â€Leukopenia‬ â€Decrease wbc‬ â€Hemoglobin‬ â€Relies on a solution of Drabkin‬ â€Essential‬ â€Malignant cancer of platelet‬ â€Leukocytosis‬ â€Increase wbc‬ â€measurement‬ â€Reagent‬ â€Thrombocythemia‬ â€Uncontrolled platelet production‬ â€Neutrophils - segmented‬ â€Engulfs microorganisms‬ â€Hemoglobin is converted to stable‬ â€Thrombocytopenia-‬ â€Decrease in platelet‬ â€Hemiglobincyanide‬ â€Multilobed‬ â€easy bruising‬ â€Drabkin Reagent‬ â€Potassium Cyanide + Potassium‬ â€Pink- Lavender staining‬ â€Ferricyanide‬ â€Neutropenia- indicates‬ â€Decrease in Neutrophil‬ â€Complete Blood Count‬ â€Automated Blood‬ â€Uses formulation of Ionic surfactant‬ â€viral infections‬ â€Complete‬ â€RBC, WBC and platelet measurement‬ â€Cell analyzers‬ â€(detergent) or‬â€SODIUM LAURYL‬ â€Neutrophilia- indicates‬ â€Increase in Neutrophil‬ â€Blood Count‬ â€measurement‬ â€SULFATE‬ â€bacterial infection‬ â€Short draw‬ â€Underfill in other term‬ †esult in poor ratio of anticoagulant and‬ R †NALYZE CELL POPULATIONS‬â€by‬ A †epatic Phase‬ H †egins 5-7 gestational weeks‬ B â€blood‬ â€measuring the cells on laser light‬ â€Occurs‬ â€Clusters of developing erythroblast,‬ S†pecimen‬ â€The specimen must be registered in‬ â€Cytogenetics‬ â€Chromosome analysis in bone marrow‬ â€Extravascularly‬ â€granulocyte, monocyte‬ â€Accession‬ â€WORKLIST‬ â€aspirates‬ â€Flag‬ â€Indication of abnormal blood cell analyzer‬ †olecular‬ M â€Detects chromosomal translocation and‬ †roduction of‬ P â€Decline in primitive hematopoiesis‬ â€- Blood Film Examination should be‬ â€Diagnostic‬ â€gene mutations. Enhance and replace‬ â€Megakaryocytes‬ â€performed‬ â€Techniques‬ â€the advance hematologic methods;‬ †bf(fetal‬ H â€Lymphoid cells begin to appear‬ â€PCR‬â€-polymerase chain reaction‬ â€hemoglobin)-predo‬ â€Blood Film Examination‬ â€Microarray analysis‬ â€minant hemoglobin‬ â€-‬ â€Preparation of wedge-prep blood film‬ â€FISH‬â€- Fluorescence in situ hybridization‬ â€-‬ â€Stain using wright or wright-giemsa stain‬ â€DNA sequencing systems‬ †ajor site of blood cells production‬ M â€WBC count‬ â€40x or 50x objective—400x or 500x‬ â€G6PD assay‬ â€Phenotypically detects RBC enzyme‬ â€(second trimester of fetal life only)‬ â€magnification‬ â€deficiency‬ T†hymus‬ â€Site of T-cell production‬ â€PT count‬ â€100x OIO - 1000 magnification‬ S†ickle Cell‬ â€Detect and diagnose sickle cell anemia‬ â€Kidney and Spleen‬ â€Produce B-cells‬ â€Solubility‬ â€Medullary‬ â€Occurs in the inner bone cavity‬ â€Endothelial Cells‬ â€screening‬ â€(Myeloid) Phase‬ â€-‬ â€Forms the INNER SURFACE OF BLOOD VESSEL-‬ â€Erythrocyte‬ †etects inflammation and intensity of‬ D â€Measures level of‬ â€Begins between 4-5 month‬ â€nasa loob ng ugat‬ â€sedimentation‬ â€RBC? measures how quickly red blood‬ â€erythropoietin‬ â€-‬ â€Maintains normal blood flow‬ â€rate (ESR)‬ â€cells (erythrocytes) settle to the bottom‬ â€of a test tube.‬ †SC and Mesenchymal cells migrate‬ H â€Coagulation‬ â€into the core of the bone‬ â€-‬ â€Platelets are the key components for coagulation‬ â€Hematology Quality Assurance and Quality Control‬ †yeloid to‬ M â€3:1 to 4:1 (normal adult levels)‬ â€Fibrinolysis‬ â€Restore vessel patency‬ â€Moving Average‬ â€Internal standard methodology‬ â€Erythroid ratio‬ â€Enzyme-cofactor‬ â€Clot formation‬ â€Enzyme to enzyme‬ â€HEMATOPOIESIS‬ â€Adult Hematopoietic Tissue‬ â€Prothrombin time/ Partial‬ â€Assess deficiencies. Monitor‬ â€HEMATOPOIETIC DEVELOPMENT‬ â€Bone marrow‬ â€Contains developing erythroid,‬ â€Thromboplastin time‬ â€anticoagulant therapy‬ â€Hematopoiesis‬ â€Renewal of blood cell‬ â€myeloid, megakaryocytic, and‬ â€Hematopoietic stem cell‬ â€Capable of self renewal and‬ â€lymphoid cells‬ â€Advanced Hematology Procedure‬ â€differentiate into different‬ â€Primary lymph‬ â€Bone marrow and thymus‬ â€Bone Marrow‬ â€Analyze nucleated cells that are‬ â€blood cell‬ â€nodes‬ â€Where T and B lymphocytes derived‬ â€Aspirates/Biopsy‬ â€immature precursor to blood cells-‬ â€Secondary Lymph‬ â€Spleen, lymph nodes, malt (mucosa‬ â€myeloid, erythroid‬ â€Fetal Development‬â€- the cell will initiate in the‬ â€nodes‬ â€associated lymphoid tissue)‬ â€Biopsy specimen‬ â€Enhanced by HEMATOXYLIN AND EOSIN‬ â€1.‬ â€Yolk Sac‬ â€H/E‬ â€2.‬ â€Aorta-gonad mesonephros region (Mesoblastic‬ S†pleen, Liver, Thymus‬â€- adult hematopoietic tissue‬ â€May reveal bone marrow structure‬ â€Phase)‬ â€BONE MARROW‬ â€Cytochemical‬ â€Differentiate abnormal myeloid,‬ â€3.‬ â€Fetal Liver (Hepatic Phase)‬ â€Bone marrow‬ â€Located inside the cortical bones‬ â€stains‬ â€erythroid, and lymphoid‬ â€4.‬ â€Bone Marrow (Medullary Phase)‬ â€Trabeculae‬ â€Provide supports for developing blood cells‬ â€The stains are:‬ â€Red Marrow‬ â€Developing blood cells and progenitors‬ â€- Phosphatase, Alkaline Phosphatase,‬ †esoblastic Phase‬ M †egins around 19‬â€th‬ â€day‬ B â€(Active)‬ â€Myeloperoxidase, Sudan Black B,‬ â€Occurs‬ â€Forms PRIMITIVE ERYTHROBLAST‬ â€Yellow‬ â€Adipocyte with undifferentiated‬ â€Periodic Acid-Schiff‬ â€INTRAVASCULARLY‬ â€Marrow‬ â€mesenchymal and MACROPHAGE‬ â€This is replaced by Flow Cytometry and‬ â€(Inactive)‬ â€Immunophenotyping‬ †roduces hemoglobin needed for‬ P â€oxygen delivery‬ â€Retrogression‬ â€Replace active marrow by adipocyte. Bale‬ â€Immunostaining‬ â€Identification of CELL LINES. Detects‬ â€yung red marrow magiging yellow marrow‬ â€Methods‬ â€LINEAGE-SPECIFIC ANTIGENS‬ â€Angioblast‬ â€Surrounds the cavity of yolk sac- will‬ â€form blood vessel‬ â€Marrow‬ â€The ratio of red marrow to yellow R:Y‬ â€Flow Cytometer‬ â€May be quanti or quali, Generate‬ â€Cellularity‬ â€perimeters of CBC‬ †orta Gonad‬ A â€Give rise to Hematopoietic stem cells‬ â€Region‬ E†ndothelial‬ L†ines the inside of blood vessels‬ â€Cords of Billroth‬ †s rbc pass through here –‬ A â€Erythropoiesis‬ â€Cells‬ â€Maintains the flow of particles leaving‬ â€decrease in the flow of blood-‬ â€Erythrocyte‬ †ed Blood Cell‬ R â€hematopoietic spaces in vascular sinuses‬ â€stagnations and depletion of rbc‬ â€Erythroblast‬ â€Nucleated RBC precursor‬ â€Adipocyte‬ â€Fat cells- large globules‬ â€glucose supply‬ â€Also called as normoblast‬ â€Secretes cytokines (growth‬ †ethods for removing‬ M †progenitor sa‬ 2 â€BURST FORMING UNIT-ERYTHROID‬ â€factors)—stimulate HSC‬ â€abnormal rbc‬ â€erythroid cell line‬ â€COLONY FORMING UNIT- ERYTHROID‬ †acrophages‬ M â€Phagocytosis‬ â€- Culling‬ â€Cells are phagocytized‬ â€BURST FORMING‬ â€Give rise to large colonies- capable of‬ â€Osteoblast‬ â€Form bones‬ â€UNIT-ERYTHROID‬ â€multisubunit colonies‬ â€Osteoclast‬ â€Destroy and restore bones‬ â€- Pitting‬ S†plenic macrophages remove‬ â€Reticular‬ â€Forms a supporting lattice for developing‬ â€inclusions or damage surface‬ †OLONY FORMING‬ C â€Gives rise to smaller colonies‬ â€Adventitial‬ â€blood cells‬ â€member from the RBCS‬ â€UNIT- ERYTHROID‬ â€cells‬ â€Pronormoblast‬ F†irst identifiable RBC Precursor‬ â€Stromal Cells‬ S†ecretes semifluid extracellular fluids-‬ â€Lymph Nodes‬ â€Erythrokinetics‬ â€Describes the dynamics of RBC‬ â€anchor of blood cells‬ â€-‬ â€Bean shaped‬ â€production and destruction‬ â€Regulates hsc and progenitor cell survival‬ â€Lymph‬ F†luid portion of blood that‬ â€-‬ â€Looking rbc in bm and the‬ â€and differentiation‬ â€escapes into connective tissue‬ â€factors that affect their‬ â€Low protein- high water- absence‬ â€number‬ E†rythroblast‬ â€Develop in small clusters‬ â€of RBC‬ â€Megakaryocy‬ â€Facilitates the release of platelets in the‬ L†ymphatic vessel- carry‬ â€Lymph node filter lymph and exit‬ â€Erythron‬ †ollection of all stages of‬ C â€te‬ â€lumen of sinus‬ â€lymph to lymph node‬ â€via the efferent lymphatic vessels‬ â€erythrocytes‬ â€Immature‬ â€Proceed along differentiation as they move‬ â€myeloid‬ â€closer to vascular sinuses‬ â€Hypoxia‬ â€Kulang sa oxygen content yung body‬ â€Hematopoietic stem cells and cytokines‬ â€Pag nagka hypopaxia ka- madedetect‬ â€(granulocytic)‬ â€cells‬ â€Stem Cell theory‬ â€Hematopoietic progenitor cells‬ â€ni peritubular fibroblast tas‬ â€Theory that describes the‬ â€divided into:‬ â€poproduce ng erythropoietin‬ â€origin of hematopoietic‬ â€- Noncommitted HSC‬ †eritubular‬ P â€Primary oxygen sensing system of‬ T†HE MATURE BLOOD CELLS OF THE BONE MARROW‬ â€progenitor‬ â€- Committed progenitor cells‬ â€Fibroblast (in‬ â€body‬ â€EVENTUALLY ENTER THE PERIPHERAL CIRCULATION‬ â€MARROW CIRCULATION‬ â€kidney)‬ †onophyletic theory‬â€-‬ M †ll blood cells derive from‬ A â€Erythropoietin‬ †rowth factor that signals the‬ G â€Nutrient artery‬ â€Supplies blood to marrow‬ â€PLURIPOTENT‬ â€SINGLE PROGENITOR STEM‬ â€development of erythroid cells‬ â€Periosteal Artery‬ â€Nutrients to osseous bone and‬ â€CELLS—called pluripotent‬ â€-‬ â€Promotes release of‬ â€marrow‬ â€hematopoietic stem cells‬ â€developing precursor‬ â€Hematopoietic cells‬ â€Located in an endosteal bed. Receive‬ â€Polyphyletic theory‬ â€Blood cells is derived from its‬ â€nutrients from nutrient artery‬ â€own unique stem cells‬ †easurement of‬ M †erformed on plasma‬ P †SC‬ H â€Capable of self renewal‬ â€erythropoietin‬ â€Measured by chemiluminescence‬ â€Liver‬ â€Undifferentiated HSC`‬ â€Can be differentiated to‬ â€Liver‬ S†ite of blood cell production (4-5 weeks‬ â€myeloid or lymphoid lineages‬ â€MICROENVIRONMENT OF THE BONE MARROW‬ â€gestation)‬ L†ineage‬â€- specific‬ â€T- cell, B-cell, dendritic lineage,‬ â€Macrophage‬ â€Major cellular anchor‬ â€Hepatocyte‬ â€Functions in protein synthesis. Coagulation,‬ â€progenitor cells‬ â€natural killer‬ â€iron recycling‬ â€- Common lymphoid‬ â€18-21 days- to produce mature RBC from BFU-E‬ â€Kupffer cells‬ â€Maintain contact with the endothelial cell‬ â€progenitor cells‬ †ranulocyte, Erythrocyte,‬ G â€Normoblastic Proliferation‬ â€Pagpaparami ng rbc from‬ â€lining‬ â€Monocytic, Megakaryocytic‬ â€immature to mature‬ -†Common myeloid‬ â€Features to identify RBC‬ â€Nuclear Chromatin pattern-‬ â€Spleen‬ â€progenitor cells‬ â€texture, density‬ â€Storage site for‬ â€Filters of circulating blood‬ â€homogeneity‬ â€HSC’s fate‬ S†elf Renewal, Differentiation‬ â€platelets‬ â€Nuclear Diameter‬ â€Apoptosis‬ â€30% of total platelet‬ â€Contains 350 Ml OF BLOOD‬ â€Nucleus to Cytoplasm ratio‬ â€counts‬ â€Presence or absence of‬ â€nucleoli‬ †ytoplasmic Color‬ C †ivision:‬â€No division- bc of‬ D †ucleus- completely‬ N â€Pronormoblast‬ †RONORMOBLAST‬ P â€Nucleus:Cytoplasm – 8:1‬ â€condensation of chromatin‬ â€condensed or nearly so‬ â€(RUBRIBLAST)‬ â€Nucleus is- round to oval‬ â€Location‬â€: Bone Marrow‬ †ivision‬â€: Mitosis - gives rise‬ D â€2 nucleoli‬ †ytoplasm: salmon pink-‬ C †ellular Activity‬â€: Hgb‬ C â€to 2 daughter pronormoblast‬ â€Purple Red Chromatin‬ â€nearly complete hgb‬ â€production continues‬ â€production‬ â€Ì€â€¬ â€Location‬â€: Bone marrow‬ â€Nucleus will ejected‬ †ytoplasm- dark blue coz of‬ C â€-‬ â€Residual‬ †asophilic‬ B †ellular Activity‬â€: globin‬ C â€conc. Of ribosomes and rna‬ L†oss of VIMENTIN‬â€â€”protein‬ â€ribosomes and‬ â€Pronormoblast‬ â€production begins‬ â€that holds organelle in the‬ â€rna makes the‬ â€- Proteins necessary for iron‬ â€cytoplasm‬ â€stain slightly‬ â€and protoporphyrin synthesis‬ â€Nonmuscle myosin of the‬ â€bluish hue-‬ â€are produced‬ â€membrane‬ â€degraded in the‬ â€Length‬â€: more than 24 hours‬ â€Length‬â€: 48 hours‬ â€end‬ †olychromatic‬ P â€RETICULOCYTE‬ â€There is NO NUCLEUS‬ â€normoblast‬ †ASOPHILIC NORMOBLAST‬ B †:C – 6:1‬ N â€(PRORUBRICYTE)‬ â€1 nucleoli‬ †ivision‬â€: No division‬ D â€Division‬â€: Mitosis- 2 daughter‬ â€Location‬â€: Bone marrow (1-2‬ †ytoplasm: color is that of‬ C â€cell‬ †ucleus‬ N â€days) – Peripheral Blood (1‬ â€hgb with a bluish tinge‬ â€- Chromatin condense that‬ â€day before reaching maturity)‬ â€(residual ribosomes and‬ †ore than 1 division is‬ M â€reveals clumps along‬ â€- It is retained in spleen for‬ â€rna)‬ â€possible‬ â€periphery‬ â€pitting(pagtanggal ng mga‬ â€- End of this stage- salmon‬ L†ocation‬â€: Bone Marrow‬ â€pink ang kulay ng cytoplasm‬ †rthochromatic‬ O â€inclusion bodies gamit ng‬ â€Cellular activity‬â€: Hemoglobin‬ †hromatin – deep purple‬ C â€Normoblast‬ â€splenic macrophages)-‬ â€can be detected, but the‬ â€red‬ â€biconcave discoid mature‬ â€organelles mask the minute‬ â€Cytoplasm- deeper, richer‬ â€RBC‬ â€amount of hbg pigmentation‬ â€blue‬ L†ength of time‬â€: more than 24‬ †ellular Activity‬â€: complete‬ C â€hours‬ â€production of hgb‬ â€POLYCHROMATIC‬ †:C – 4:1(early stage) to 1:1‬ N E†NDORIBONUCLEASE‬â€- digest‬ â€NORMOBLAST‬ â€(end of stage)‬ â€ribosomes‬ â€(POLYCHROMATOPHILIC‬ â€RETICULOCYTE‬ L†ength‬â€: 3 days, 2 days in bm,‬ â€RUBRICYTE)‬ â€No nucleoli‬ â€1 day in pb‬ †ivision‬â€: Last stage where‬ D â€Erythrocyte‬ â€No nucleus‬ â€mitosis occur‬ †ucleus- Variation in‬ N â€Location‬â€: Bone Marrow‬ â€chromatin pattern, show‬ â€Division:‬â€Cannot divide‬ â€some openness – condense‬ â€Cytoplasm- biconcave‬ â€Cellular Activity:‬â€Hgm‬ L†ocation and Length:‬ â€-‬ â€Measures 7-8mm‬ â€synthesis increase, rna and‬ â€in the end‬ â€Peripheral blood for 120‬ â€-‬ â€1.5-2.5mm‬ â€organelles are still present‬ â€days-4 months max‬ â€thickness‬ â€Ribosomes contribute blue‬ †ytoplasm—pink (stain hgb‬ C â€Erythrocyte‬ â€can be seen- murky‬ †ellular activity:‬â€deliver‬ C â€-‬ â€Salmon pink‬ â€color to cytoplasm‬ â€oxygen‬ â€gray-blue)‬ -†Condensation of nucleus‬ Iâ€nside is hgb‬ â€and disappearance of‬ †ytoplasm- refer to this‬ C â€Deformed shape is helpful for‬ â€nucleoli – decline in‬ â€combination of multiple‬ â€enter circulation‬ â€transcription of DNA‬ â€color-‬â€many color loving‬ L†ength of time‬â€: 30 hours‬ â€ORTHOCHROMIC‬ â€N:C – 1:2‬ â€NORMOBLAST‬ â€(METARUBRICYTE)‬