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Learn to identify and understand erythrocytes, platelets, neutrophils, and more in blood smears and tissues. Discover cell development sequences and components of bone marrow. Define key terms and interpret various cell types.
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Histology for PathologyHematopoietic Elements Theresa Kristopaitis, MD Associate Professor Director of Mechanisms of Human Disease Kelli A. Hutchens, MD, FCAP Assistant Professor Assistant Director of Mechanisms of Human Disease Loyola Stritch School of Medicine
Objectives • On a peripheral blood smear identify the following cells: erythrocytes, platelets, neutrophils, eosinophils, basophils, lymphocytes and monocytes. • On a peripheral blood smear identify neutrophil band cells (also known as stab cells) and state the clinical significance of their presence. • On H&E stained sections, identify neutrophils, eosinophils, lymphocytes. • On H&E sections identify plasma cells. • On a stained section identify the 3 major components of bone marrow (bone trabeculae, hematopoietic cells, adipose tissue). • List the sequence of development of a granulocytes – focusing on the neutrophil. • On a section of bone marrow, identify a megakaryocyte. • Define “blast cell”.
Granulocytes – Peripheral Blood Smear Neutrophil Eosinophil Basophil
Agranulocytes – Peripheral Blood Smear Lymphocyte Monocyte
Peripheral Blood Smear Red blood cells Platelets
H&E Stained Sections Eosinophils Neutrophils
Bone Marrow Bone Hematopoietic cells Adipose (fat) cells
Based on this representative section of normal bone marrow, what is the age the patient?
Granulocytopoiesis B C E F A G Neutrophilic series A = Myeloblast B = Myelocyte (large cell, rounded nucleus) C = Late myelocyte or early metamyelocyte (nucleus beginning to indent) E = Metamyelocyte (indented nucleus) G = Band cell (much thinner nucleus) F = Segmented (mature) neutrophil
Megakaryocyte(Mega = Giant)Fragments of cytoplasm break off to become platelets