Anicocytosis

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1
refers to the increased number of red cells with variation in size.
Anisocytosis
2
Normal RBCs (normocytes) measure between these diameters.
6-8 um
3
Normal RBCs (normocytes) are usually seen when the MCV is in this range.
80-100 fL
4
RBCs that are larger than normal with a diameter > 8.0 um are called.
Macrocytes
5
Macrocytes are usually seen when the MCV value is.
> 100 fL
6
Macrocyte formation is associated with this specific physiological impairment.
impaired DNA synthesis
7
RBCs that are smaller than normal with a diameter < 6.0 um are called.
Microctyes
8
Microcytes are usually seen when the MCV value is.
< 80 fL
9
Microcyte formation is associated with this specific formation defect.
defective hemoglobin formation
10
List the four ways to detect anisocytosis.
1.) Using the nucleus of a small lymphocyte, 2.) Using the MCV value, 3.) Using the RBC histogram, 4.) (Not listed on page)
11
In a peripheral blood smear (PBS), the size of an RBC is compared to the nucleus of this specific cell.
small lymphocyte
12
This value represents the average volume of individual RBCs.
MCV (Mean Corpuscular Volume)
13
Provide the formula for calculating MCV.

14
Reference range for MCV.
80 – 100 fL
15
Generally, a decreased MCV indicates this.
Microcytic
16
Generally, an MCV within the 80-100 fL range is considered.
Normal MCV
17
Generally, an increased MCV indicates this.
Macrocytic
18
Visual display of cell size on the X-axis and cell frequency or number of cells on the Y-axis.
blood cell histogram
19
Automated hematology analyzers produce histograms for these three cell types.
RBCs, WBCs, and platelets
20
Name the two parameters calculated from an RBC histogram.
MCV and RDW
21
Instruments count cells as RBCs when they fall between these volume sizes.
36 fL and 360 fL
22
RBC histograms can measure cells as small as this volume.
24 fL
23
Cells in the 24 to 36 fL range are not included in this measurement.
RBC count
24
These cells are present in diluted fluid but are statistically insignificant in the RBC count.
Leukocytes
25
If the RBCs are macrocytic, the histogram curve will.
shift to the right
26
If the RBCs are microcytic, the histogram curve will.
shift to the left
27
This term describes a histogram curve indicating two distinct populations of RBCs in a sample.
bimodal
28
Calculated index from the RBC histogram used to help identify anisocytosis and provide information about its degree.
Red Cell Distribution Width (RDW)
29
Two methods provided by most recent hematology analyzers to calculate RDW.
RDW-CV (coefficient of variation) and RDW-SD (standard deviation)
30
Method based on both the width of the RBC distribution curve and the mean RBC size.
RDW-CV
31
Method based on the actual measurement of the width of the RBC distribution curve in fL (femtoliters).
RDW-SD
32
Reference range for RDW-CV in adults.
11.5% to 14.5%
33
Reference range for RDW-SD in adults.
39 to 46 fL
34
Earliest method provided by hematology analyzers to measure red cell variations.
RDW-CV
35
RDW calculation method that is dependent on the width of the distribution curve and the MCV.
RDW-CV
36
Point on the RBC distribution curve where the width for RDW-SD is measured.
20% above the baseline
37
The RDW-SD is considered a better and more reliable measure of erythrocyte variability because it is not influenced by this value.
MCV
38
RDW calculation method preferred for highly abnormal conditions.
RDW-SD
39
Derivation of RDW-CV is associated with these two specific corporations.
Beckman Coulter, Inc and Sysmex Corporation
40
Reference range for RDW in newborns.
14.2 to 19.9%
41
Expected trend of RDW values in newborns as they grow.
Markedly increased, then gradually decreases
42
Age at which a newborn's RDW value typically reaches adult levels.
6 months of age
43
Description of the RDW value if the RBC histogram is wider than normal.
Abnormal
44
Condition associated with Normal RDW and Decreased MCV (microcytic).
Anemia of chronic inflammation (ACI)
45
Condition associated with Normal RDW and Normal MCV (normocytic).
G6PD deficiency
46
Condition associated with Normal RDW and Increased MCV (macrocytic).
Liver disease
47
Condition associated with Increased RDW (anisocytosis) and Decreased MCV (microcytic).
Iron deficiency anemia
48
Condition associated with Increased RDW (anisocytosis) and Normal MCV (normocytic).
Sickle cell anemia
49
Condition associated with Increased RDW (anisocytosis) and Increased MCV (macrocytic).
Megaloblastic anemia
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