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Overview of Clinical Laboratory Hematology

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Overview of Clinical Laboratory Hematology Overview of Clinical Laboratory Hematology Overview of Clinical Laboratory Hematology Overview of Clinical Laboratory Hematology Overview of Clinical Laboratory Hematology Overview of Clinical Laboratory Hematology Overview of Clinical Laboratory Hematology Overview of Clinical Laboratory Hematology

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Overview of Clinical Laboratory
Hematology
- Platelet count

- Mean platelet volume

- Prothrombin time

- APTT

- Thrombin time

- Fibrinogen assay

- D-dimer assay

- Mixing studies - ANSWER types of coagulation test

.5% to 2.5%; 1.5% to 6% - ANSWER reticulocyte percent



__________ in adults

__________ in neonates

> RBC diameter

> Color of hemoglobin

> RBC shape

> Cytoplasmic inclusions - ANSWER rbc morphology

0.5% to 2% - ANSWER In the wright-stained blood film __________ of RBCs exceeds the 6
to 8 um average diameter

1:200; .85%; Isotonic

1:20; dilute acid solution - ANSWER RBC - _______ dilution; _______ NSS in _________
solution



WBC - _______ dilution; in ________ solution

7.35-7.45 - ANSWER Blood pH range is?

Acute lymphoblastic leukemia - ANSWER Most common form of childhood leukemia

anemia - ANSWER > Means loss if oxygen or oxygen carrying capacity

> Low RBC count

> Low RBC HGB

Anisocytosis - ANSWER extreme RBC volume variability on the Wright-stained blood film as
variation in diameter.

, Overview of Clinical Laboratory
Hematology
anisocytosis - ANSWER variation in size

Anton van Leeuwenhoek - ANSWER gave an account of RBCs.

Athanasius Kircher - ANSWER described "worms" in the blood

Automation or visually - ANSWER > present-day hema lab, RBC, WBC, and platelet
appearance is analyzed through this

> using 500x to 1000x light microscopy examination of cells fixed to a glass microscope slide and
stained with Wright or Wright-Giemsa stain.

Band Cell / Stab Cell - ANSWER > less differentiated or less mature neutrophil

> Pink or lavender staining granules filled with bactericidal secretions

Basophilia - ANSWER > Elevated basophil count

> is rare and often signals a hematologic disease.

Basophils - ANSWER > Are cells with dark purple, irregular cytoplasmic granules that
obscure the nucleus

> its granules contain histamine and various other proteins

blood - ANSWER Red fluid that circulates throughout the body. It is composed of pale-
yellow plasma and three types of cellular elements

blood film examination - ANSWER > It is a specialized, demanding, and fundamental CBC
activity.

> Prepare a "wedge-prep" blood stained using Wright or Wright-Giemsa stain

buffy coat - ANSWER light layer between RBC and plasma; contain WBCs and platelets

Chronic lymphocytic leukemia - ANSWER More prevalent in people older than 65 years

coagulation - ANSWER > It involves the platelets.

> Platelets are a key component of hemostasis, as previously described; plasma coagulation is the

second component.

> In a surgical operation, this test are done to determine has the ability to promote clotting.

> This system employs a complex sequence of plasma proteins, some enzymes, and some enzyme
cofactors to produce clot formation after blood vessel injury

complete blood count - ANSWER Performed on automated profiling instrument and
includes rbc, wbc, and platelet measurements

Cyanmethemoglobin or hemiglobincyanide - ANSWER in using drabkin reagent,
hemoglobin is converted to stable _______________________________ and the absorbance of the
solution is measured in a spectrophotometer at 540 nm wavelength

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