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Define:
Hemogram or Erythrogram
A record of the findings from an examination of the blood, especially w/ reference to the #s, proportions, and morphological features of the formed elements.
includes the RBC count, mean corpuscular volume, hematocrit, hemoglobin concentration and erythrocyte indices.
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Define:
Anemia
- Decreased blood cell mass
- Results in decreased PCV, hemoglobin concentration, and erythrocyte # below the refrance range.
- PCV most commonly used as an interpretive value
- Book: Decrease in O2- carrying capacity of the blood due to a decrease in #, Vol, or Hb content of RBCs
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Define:
regenerative anemia
- Blood smear evaluation will show: Macrocytosis, Polychromatic, Anisocytosis
- Reticulocytes present in an effort from the bone marrow to increase RBC production and release.
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Define:
nonregenerative anemia
- Blood analysis will show defective or decreased erythropoiesis and lack of circulating immature RBCs
- Bone marrow not responding sufficiantly
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Define:
reticulocytes: aggregate and punctate
- Reticulocytes are immature RBCs
- Aggregate develope before punctate, have more have more ribosomes left over to stain
- Punctate have only a few (<5?)
- Cats have both kinds, only count aggs.
- won't see in horses
- Count to asses anemia
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Define:
Polychromatophils
RBCs that have a faint to obvious blue tint, these are usually immature RBCs and if stained with the stain for reticulocites will aften be revealed as such.
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Define:
Reticulocytosis
Finding excess amounts of reticulocytes in the blood, could be a regenerative response to anemia
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Define:
Erythropoiesis
- The production of RBCs
- bone marrow to systemic
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Define:
Polycythemia
- a.k.a. erythrocytosis
- An increase in the #, Vol., and/or Hb content.
- Can make blood more viscous slowing circulation and decreasing oxygenation
- Absolute = increase in RBCs
- Relative = loss of plasma vol.
- Absolute Primary: polycythemia vera, slight increase in WBCs too normal RBCs
- Absolute secondary: may be response to hypoxemia & erythropoietin stimulation (animals moved to higher elevation), heart failure, heart defects, thrombosis
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What portions of the hemogram and evaluated to determine anemia?
- MCH (Mean Corpuscular Vol)
- MCHC (Mean Corpuscular Hb Concentration
- PCV
- Hb
- indices
- total proteine
- reticulocytes
- WBCs
- RBC
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How would a regenerative anemia be identified on a blood smear?
- Reticulocytosis, doing a reticulocyte count to determine if the bone marrow is responding adiquitely
- polychromasia, NRBCs, anisocytosis, w/ increased MCV
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What common species have both types of reticulocytes?
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What are the typical causes of regenerative Animea?
- Hemorrage - loss of blood
- Hemolysis - destroyed RBCs
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What are the typical causes of nonregenerative anemia?
- Nutrient Deficiency - no "building blocks"
- Marrow Failure - Primary: outside of BM (kidneys) Secondary: toxic BM, neoplasia
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What species does not develop reticulocytosis?
Horses
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Why is the reticulocyte percentage corrected in dogs?
To see how much faster than normal the animal is producing reticulocytes.
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What classification schemes are used to definitively Dx anemia?
Morphological Classification - groups together anemias based on cellular size and Hb content
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What types of anemias are associated with defective erythropoiesis?
- Primary: hypoplastic or aplastic anemia, may be due to marrow infection, toxins, neoplasia, or BM exaustion from overstimulation.
- Secondary: Dz process outside the bone marrow
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Explain the relationship between the MCV and regenerative anemias.
in regenative anemias the MCV should be up due to the immature RBCs which are larger than normal RBCs
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Define:
Leukogram
Evaluation of the WBCs in systemic circulation
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Define:
Inflammation
Defensive response of body tissues initiated by release of histamine from damaged cells.
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Define:
-penia
insufficiant or low
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Define:
-cytosis
A condition in which there is more than the usual number of cells.
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Difine:
-philia
- a higher than normal amount
- a.k.a. -cytosis
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Define:
Phagocytosis
Cell eating
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Define:
Pinocytosis
Cell drinking
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Define:
Chemotaxis
the phenomenon in which somatic cells, bacteria, and other single-cell or multicellular organisms direct their movements according to certain chemicals in their environment.
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Define:
left shift-degenerative and regenerative
- Left-shift: where immature WBCs can be seen in the blood as more are produced.
- Degenerative: Immature > mature
- Regenerative: Immature <, = mature
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Define:
Heterophil
- The Avian, Reptilian, and certain fish equivilant to the mammalian nutrophil.
- Contains prominant eosinophilic granules
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Humoral immune response
Immune response involving production of specific antibody
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Cellular immune response
Immune system mechanism involving actions of the cells of the immune system rather than antibodies
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Where are the leukocytes produced?
in the bone marrow
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Neutrophils in body defense?
Neutrophils - attracted to chemicles released, phagoytosis, release enzyes to break down large particles- attracts other WBCs
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Eosinophils in body defense?
- Drawn to Histamine
- activated by paracites, attaches to and kills
- can neutralize toxins
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Basophils in body defense?
- May devolope receptors for allergens and release their granules when stimulated
- ganules have histamine, dopamine, seratonin, heparin, peroxidase, & other enzymes
- responsible for hypersensative allergi reactions.
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Lymphocytes in body defense?
- 3 types - B, T, & null
- B - antibody producing
- T - cell mediated immune response
- null - perhaps natural killer cells
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Monocytes in body defense?
- Main phagocytes
- Present items to lymphocytes
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What is the role of the leukocytes is initiation and mediation of inflammation?
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