plasma
all parts of blood
serum
fluid remaining if blood is allowed to clot
CBC
complete blood count (total cells)
differential=shows different types of white blood cells
when is blood smear done?
when CBC and diff is abnormal
-pathologist examines blood smear
myeloid progenitors
lymphoid progenitors
give rise to erythrocytes, platelets, granulocytes, and monocytes
give rise to lymphocytes
4 myeloid cell lines
erythroid/megakaryocytic
macrophage/granulocytic
eosinophilic
mast cell/basophilic
how much blood is in the body?
5L (blood and plasma)
hematocrit
ratio of cells to total blood volume
abnormal blood cells
normal=biconcave disk
abnormal=smaller microcyte, target cell, macrocyte, sickle cell, fragments
-useful in diagnosing various disorders
hemoglobin
carries oxygen
how long do RBCs live?
120 days
-spleen removes old ones and recycles Hb
bilirubin
breakdown product of heme-goes to liver, then SI in bile, and the reabsorbed
why do bruises change color?
as heme is converted to bilirubin by macrophages, they change to yellow
types of anemias
iron deficient aplastic-no RBCs megaloblastic sickle cell hemolytic
leukopenia
decrease in WBCs
anemia definition
decrease in RBC (and therefore Hb) mass
hemolysis
destruction of RBCs
first sign of bone marrow failure
anemia
decreased RBC production mechanisms
Sxs of anemia
iron deficiency anemia
what type of anemia results from iron deficiency?
hypochromic microcytic anemia
low hematocrit and Hb
serum iron and ferritin low
aplastic anemia
loss of myeloid progenitor cells in bone marrow–>pancytopenia
causes of aplastic anemia
idiopathic-primary