Hematopoeisis

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1
Process defined as the formation of blood cells
Hematopoiesis
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Specific cluster of differentiation (CD) marker for classical hematopoietic stem cells
CD34
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Approximate start time of embryonic hematopoietic development after fertilization
nineteenth day
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Theory suggesting each blood cell lineage is derived from its own unique stem cell
Polyphyletic Theory
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Theory suggesting all blood cells are derived from a single progenitor stem cell
Monophyletic Theory
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Identity of the single progenitor stem cell in the Monophyletic Theory
pluripotential stem cell
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The most widely accepted theory among experimental hematologists
Monophyletic Theory
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Chief site of hematopoiesis during the Mesoblastic/Megaloblastic phase
Yolk Sac
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Timing of the first blood cell formation (primitive erythroblasts) in weeks
2 to 8 weeks
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Three types of embryonic hemoglobin produced by primitive erythroblasts
Gower-1, Gower-2, and Portland
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The specific location where yolk sac hematopoiesis occurs, differing from later stages
intravascularly
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Chief site of hematopoiesis during the Hepatic phase
Fetal Liver
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The predominant hemoglobin during the Hepatic phase
Hb F (Fetal hemoglobin)
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The first fully developed organ in the fetus and major site of T cell production
Thymus
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Organs responsible for producing B cells during the Hepatic phase
Kidneys and spleen
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Chief site of hematopoiesis during the Medullary/Myeloid phase
Bone Marrow
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Timing when hematopoiesis starts in the bone marrow cavity
before the 5th month of fetal development
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Age by which the bone marrow becomes the chief site of hematopoiesis
end of 24 weeks' gestation
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Organs in adults that contain hematopoietic tissues other than the bone marrow
lymph nodes, spleen, thymus, and liver
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Cell types developing in the bone marrow
erythroid, myeloid, lymphoid, and megakaryocytic cells
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Avian organ equivalent to the human bone marrow in terms of lymphoid function
Bursa of Fabricius
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Number of RBCs generated per kilogram of body weight daily
2.5 billion
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Number of Granulocytes generated per kilogram of body weight daily
1 billion
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Number of Platelets generated per kilogram of body weight daily
2.5 billion
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Process of replacing red marrow by yellow marrow during development
Retrogression
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Age range when retrogression typically occurs
between 5 and 7 years of age
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Four specific bones where red marrow is restricted in the adult
ribs, sternum, vertebrae, pelvis (and proximal ends of long bones)
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Composition ratio of red and yellow marrow in restricted adult areas
50% red marrow and 50% yellow marrow
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Conditions that may cause yellow marrow to revert back to active red marrow
excessive blood loss and hemolysis
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Characterization of red marrow
hematopoietically active marrow
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Characterization of yellow marrow
hematopoietically inactive marrow (adipocytes)
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Two primary lymphoid organs
bone marrow and thymus
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Primary lymphoid organ where B lymphocytes are derived and fated
bone marrow
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Primary lymphoid organ where T lymphocytes are derived
thymus
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Organ that increases in size during fetal development and undergoes atrophy with aging
Thymus
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Two major secondary (peripheral) lymphoid organs
spleen and lymph nodes
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Two major functions of secondary lymphoid organs
Trapping/concentrating foreign substances and antibody production
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Identity of the largest secondary lymphoid organ
Spleen
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Major organ in the body where antibodies are synthesized and released into circulation
Spleen
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Three bacteria primarily responsible for sepsis in children after a splenectomy
S. pneumoniae, N. meningitidis, and H. influenzae
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Small ovoid, bean-shaped structures normally less than 1 cm in diameter
Lymph Nodes
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Term for a solid tumor neoplasm of lymphoid tissue
lymphoma
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Term for the surgical removal of the spleen
splenectomy
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Term for the enlargement of the spleen
splenomegaly
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Primary risk in adults following a splenectomy
increase in blood-borne bacterial infections or bacteremia
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Minor secondary lymphoid organ that detects and responds to antigens in the respiratory and alimentary secretions
Tonsils
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Clusters of lymphocytes in the lining of the small intestine that detect substances diffusing across the intestinal epithelium
Peyer's patches
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General term for unencapsulated lymphoid tissues underlying mucosal areas
MALT (mucosa-associated lymphoid tissue)
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Organ capable of maintaining hematopoietic stem cells and progenitor cells when bone marrow fails
Liver
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Process of blood cell production occurring outside of the bone marrow
extramedullary hematopoiesis
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Preferred sites for bone marrow aspiration in adults
Posterior superior iliac crest and Anterior superior iliac crest
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Bone marrow collection site preferred for children under 2 years old
Anterior medial surface of the tibia
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Specific bone marrow collection site located in the chest
Sternum
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Examples of neoplasia requiring bone marrow diagnosis and staging
Acute and chronic leukemias, Hodgkin and non-Hodgkin lymphomas, and Metastatic tumors
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Examples of marrow failure (cytopenias) requiring examination
Aplastic anemia, Pure red cell aplasia, and Sickle cell crisis
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Metabolic disorders indicated for bone marrow examination
Gaucher disease and Mast cell disease
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Infections that may be diagnosed via bone marrow
Miliary tuberculosis and Fungal infections
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Recommended minimum number of cells to be counted for a marrow differential
at least 500 cells (preferably 1,000)
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Number of slides used for a 500-cell count marrow differential
2 slides
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Bone marrow procedure that disturbs bone marrow architecture and is used for individual cell morphology
Bone marrow aspirate
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Required duration for retaining bone marrow smears
10 years
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Bone marrow procedure that removes a cylinder of gelatinous red marrow intact
Bone marrow biopsy
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Primary advantage of a bone marrow biopsy over an aspirate
gives a better picture of the real structure of bone marrow architecture
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Definition of the M:E (myeloid-to-erythroid) ratio
proportion of myeloid cells to nucleated erythroid precursors
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Specific cell types excluded from the myeloid cell count in the M:E ratio
monocytic and lymphoid precursors and plasma cells
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Reference range for the M:E ratio in healthy adult individuals
1.5:1 to 3.3:1
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Two primary organs where extramedullary hematopoiesis mainly occurs
liver and spleen
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Clinical conditions that trigger extramedullary hematopoiesis
aplastic anemia, infiltration by malignant cells, overproliferation of a cell line (leukemia), or hemolytic anemias
69
The best source of active marrow for a 20-year-old
Iliac crest
70
Body's response when bone marrow is unable to meet increased demand in severe anemia
Extramedullary hematopoiesis in the liver and spleen
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