04 hema non

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  • 8/11/2019 04 hema non

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    Parameter to differentiate IDA & ACD FEP

    Decreased in IDA

    Increased in ACD

    Hb SC Hb S, hb C, hb F

    Sero test for german measles IgG

    IgM

    Latex agglutination

    Complement fixation

    MDS FAB

    RA

    RARS

    RAEB

    CMMOL

    RAEBT

    MDS WHO

    RA/RCUD/RN/RT

    RARS

    RAEBT 1

    RAEBT 2

    MDSNU

    MDS DEL 5Q

    Indention stage start Metamyleocyte

    Hb production begins Prorubricyte

    Pink hb, blue rna, polychromatic erythroblast Rubricyte

    Overall blue, polychromatophilia

    Polychromatic red cell

    Reticulocyte

    Meg csf BM

    In reponse to megakaryocyte mass in BM

    Thrombopoietin Kidney, liver, spleen

    In response to platelet demand in circulation

    Haptoglobin Intravascular hemolysis

    Extravascular

    Variant lymphocyte plasmacytoid L Type 1

    T cell differentiation Thymus

    FAB cell line Cell morph = romanowsky

    Differentiation = cytochemical

    WHO Immunophenotyping = cell line

    Cytogenetic = classify leukemia

    Hemoglobin 4 heme, 4 globin

    Sickle cell Decreased OFT

    Resistant to malaria

    spherocytosis Increased OFT

    Increased autohemolysis

    Major protein Spectrin

    SEA ovalocytosis / stomatoctosis HE Resistant to malaria

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    Embden meyerhoff PK def

    Pentose phosphate G6PD def

    Hereditary stomatocytosis/xerocytosis Autohemolysis test : not corrected

    Hereditary pyropikilocytosis Increased autohemolysis test

    G6PD def Lyons hypothesis, male is resistant to malaria

    Oslers disease Polycytemia vera

    Pancytosis, panmyelosis

    Normo normo, rpi>3 a) PRCA = N/N, rpi3

    d) AOTA

    Vcs tech, wbc differential Coulter LH750

    Size in rbc MCV

    FAB ALL L1

    Small, homogenous, children, PAS

    L2

    Large, heterogenous, adult, similar to aml ml2

    L3

    Large, homogenous, adult, children, burkitt, oil red

    Hairy cell Pancytopenia, fried egg, trap,

    Tell LGLL RA, FELTY SYNDROME

    REED STERNBERG CELL Hodgkin lymphoma, giant cell, owl eye,

    Lacunar cell Tumor cell, cytoplasmic clearing

    Popcorn cell Multilobed nucleus, indistinct nucleoli

    Sezary cell Cutaneous T lymphoma

    Mycosis fungioides Sezary cell

    Cerebriform nucleus

    Patutrier microabscess

    HAM acidified serum test PNH confirmation

    (+) secondary aplastic anemia

    Sugar water screening test 9-10% sucrose, hemolysis (+)

    CD 45 Highest in

    Lowest in

    Embrionic Mesoblastic stage

    Gower 1, portland, gower 2

    Weak acetic acid dilute Rbc

    Correct for nrbc & wbc Cell dyn abott

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    Basket cell 22% albumin, before smear, for leukemic,destroyed neutrophil

    Smudge cell 22% albumin,

    Dense granules Serotonin, calcium , adp, atp

    PTP 1week after platelet transfusion

    Anti HPA1a

    Bleeding 2-12 days after transfusion

    NAIT ALLOIMMUNE

    anti HPA1a

    NAT Mom, SLE

    decreased platelets in babies

    Stormorken syndrome Platelet express phosphatidylserine without prior stim

    ulation

    Scott syndrome Abnormal calcium

    Phospholipid scramblinh

    Platelet cannot undergo flip flop effect

    Cannot bind coagulation factor

    Beta thromboglobulin

    Pf4

    Thrombospondin