1What type of tissue is blood?
A connective tissue
2Blood has a lot of but can form when it clots
Blood has a lot of extracellular fluid but can form fibers when it clots
3What are the three formed elements of blood?
Platelets, erythrocytes, and leukocytes
4What is the fluid element of blood?
Plasma
5What is in the buffy coat?
White blood cells and platelets
6Hematocrit is the percentage of
Hematocrit is the percentage of red blood cells
7If no anticoagulant is added, what is formed?
Serum
8What percentage of whole blood is buffy coat?
1% (only need to know relative numbers)
9What percentage of whole blood is plasma?
55%
10What percentage of blood is erythrocyte?
44%
11What are the components of plasma?
Water (90%), the proteins, then other solutes
12Most abundant to least abundant WBC
Neutrophils, lymphocytes, monocytes, eosinophils, basophils
*"Never Let Monkeys Eat Bananas"
13What does a blood smear tell you?
Morphology, type, and number of cells
14What is blood stained with?
Combination of acid and basic dyes like wright or giemsa
15What are the granulocytes?
1. Neutrophils
2. Eosinophils
3. Basophils
*NEB
16What are the agranulocytes?
1. Lymphocytes
2. Monocytes
17Describe the nucleus and cytoplasm of RBC?
No nucleus, cytoplasm is acidophilic. No organelles, essentially a "bag" of hemoglobin
18The only blood cell whose function does not require them to leave the vasculature?
RBC
19WHat is the lifespan of a RBC
120 days
20What is responsible for the lighter staining middle region of RBC? Why does it have this feature
-The light middle is because of the biconcave shape of the RBC
-It allows for increased surface area for gas exhange and ability to deform readily
21What is the structure of a platelets nucleus and cytoplasm?
-No nucleus
-Tiny cell fragments with pale blue cytoplasm with basophillic granules
22What is the function of platelets?
Form blood clots, vessel repair
23What do platelets come from?
Megakaryocytes
24How long are platelets active?
10 days
25What is another name for a platelet?
Thrombocytes
26What are the two parts of a platelet?
Hyalomere -outer lighter zome with cytoskeletal elements
Granulomere - inner zone with membrane bound granules
27What type of system do platelets have? What does this system do?
-Open canalicular or tubular system
-Helps with rapid degranulation/activation
28What triggers platelet aggregation/clot formation?
Exposure of collagen under endothelium
29What is firbin?
Makes up scaffold of clot
30During clot formation, become trapped in a loose mesh of fibrin fibers
During clot formation, RBC become trapped in a loose mesh of fibrin fibers
31All leukocytes
All leukocytes need to exit blood vessels to reach there site of action in the connective tissue
32Image occlusion: name the hidden labels
33Image occlusion: name the hidden labels
34Granulocytes have what 2 features?
1. Granules
2. Multilobed nuclei
35How is differential count calculated?
# of specific type of leukocyte / total number of leukocytes * 100 = % of cells
36All granulocytes have a primary or non-specific granule which are mostly
All granulocytes have a primary or non-specific granule which are mostly lysosomes
37Each type of granulocyte also has granules
Each type of granulocyte also has SPECIFIC granules
38Are mature granulocytes capable of replication or terminally differentiated?
Terminally differentiated
39Describe the nucleus and cytoplasm of neutrophils?
-Neucleus is segmented (3-5 lobes)
-Cytoplasm has small azurophilic granules
40What is the the function of neutrophils?
-Kills bacteria and fungi, first responders
41What is another name for a neutrophil?
PMN polymorphonucelar neutrophils
42Image occlusion: name the hidden labels
43How long can neutrophils survive?
6-12 hours in blood, 1-4 days in CT
44What 3 things do granules of neutrophils contain?
-Lysosomes, protease,and antibacterial proteins
45How do neutrophils enter the connective tissue?
The postcapillary venule
46How are neutrophils recruited?
By moving margins of vessels and loosing attaching to endothelial and squeezing between to enter CT
47What is the fancy word for the neutrophils squeezing through endothelial?
Transendothelial migration/diapedesis
48What is the word used to describe how neutrophils get to their site?
Chemotaxsis
49What cell type activates the nuetrophils?
Activated macrophage
50When is neutrophilia seen?
When there is a bacterial infection with acute inflammation
51Describe the nucelus and cytoplasm of eosinophils
Bilobed nucelus, cytoplasm has ACIDOPHILIC granules with crystaline cores
52What are the 4 functions of eosinophils?
1. Kills parasitic worms
2. Removes antigen-antibody complex
3. Chronic inflammation (asthma)
4. Counteract the basophils
53What is responsible for the strong eosinophillic staining of eosinophils?
Major Basic protein (MBP)
54*Potential Test Question* Which of the cells has a flattened crystaline core?
Eosinophils
55What two conditions is eosinophillia associated with?
1. Allergic reaction
2. Parasitic worm infection
56Describe the nucleus and cytoplasm of basophils?
Bilobed with large blue and black granules that obsure nucleus
57What are the 3 function of basophils?
-Contain histamine, heparain, serotonin
-Augments mast cell action
-Functions in allergic reaction and IgE mediated response and increses Vascular permeability
58What role do basophils have in vascular permeability?
They increase it
59Describe the nucelus and cytoplasm of the lymphocyte?
-Round, intensely dark nucleus
-Light and small blue rim of cytoplasm
60What is the function of a lymphocyte?
-Mediates cellular (T) and humoral immuntiy (B) (i.e. plasma cells)
-Main functional cell of immune system
61What are the 3 main divisions of the immune system?
1. T lymphocytes
2. B lymphocytes
3. Natural killer cells (kill viruses and cancer cells)
62What do B lymphocytes become?
Plasma cells
63Describe the appearance of the nucleus and cytoplasm of monocytes?
-Indented C shaped nucleus (With ALOT of variability) with pale blue-grey cytoplasm
64What is the function of a monocytes?
-Differeniates into macrophages
-Antigen presenters
65What are 3 things that monocytes give rise to?
1. Macrophage
2. Microglia
3. Osteoclasts
66Where do we made red blood cells?
Bone marrow
67When does hematopoisesis begin?
Week 3 of development
68Where does hematopoisesis begin? What forms?
In the yolk sac "blood islands" are formed
69What are the 3 steps of hematopoesis?
1. Formation of blood islands from mesenchyme
2. Cells flatten to form lining of blood vessel
3. Cells differentiate into primative blood cells
70What is the progression of where hematopoiesis occurs?
Yolk sac to liver/spleen to bone marrow
71All bones, liver, and spleen retain the potential to revert
All bones, liver, and spleen retain the potential to revert to red, active marrow
72Image occlusion: name the hidden labels
73What are the 5 components of red bone marrow?
1. Stroma with recticular fibers/fibroblasts
2. Cords or hemopoietic islands
3. Mekgakaryocytes
4. Sinusoidal capillaries (leaky/large)
5. Adipose with many macrophages
74What is red marrow? What does it contain?
Active!
Developing in RBC and WBC and sinusodial capillaries
75What is yellow marrow? What does it contain!
Fat marrow!
Has adipose
76How are platelets formed?
Forms from megakaryoctes
77Describe megakaryoctes. What do they become?
-Polyploid nucleus with 30x DNA of normal cell
-Mature pieces break off and become platelets
78Image occlusion: name the hidden labels
79Megakaryocytes extend their cellular projections into . Small cytoplasmic pieces pinch off into blood, forming
Megakaryocytes extend their cellular projections into sinusoidal capillaries . Small cytoplasmic pieces pinch off into blood, forming platelets
80What are the three erythroposiesis stages?
1. Basocphillic
2. Polychromatic
3. Orthochromatic
81What are the three granulopoiesis stages?
1. Myelocyte
2. Metamyelocyte
3. Band
82Identify this developing cell

Eosinophillic myelocyte
83Identify this developing cell

Eosinophillic metamyelocyte
84Identify this developing cell

Esosinophillic band cell
85Identify this developing cell

Neutrophillic myelocyte
86Identify this developing cell

Neutrophillic metamyelocyte
87Identify this developing cell

Neutrophilic band cell
88Identify this developing cell

Basophilic erythroblast
89Identify this developing cell

Polychromatic erythroblast
90Identify this developing cell

Orthochromatic normoblast
91As the cell matures, what is the general trend?
The nucelus gets smaller and darker
92Why do developing erythrocytes change over time?
They start off looking blue (RNA) and then end up red (hemoglobin)
93Developing circular cells are most likely....
RBC
94What is the last immature form of RBC? What does it contain?
Reticulocyte, retains ribosome
95Recticulocytes are examined for what disease?
Anemia
96What is chronic myelogenous leukemia?
Increased proliferation of all 3 granulocytes