Haematology

Haematology

White Blood Cells (Leukocytes)

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Neutrophils, eosinophils and basophils = granulocytes (polymorphonuclear leukocytes)

Monocytes & lymphocyes = mononuclear

Neutrophils

Most numerous (~60% of WBC)

Nucleus divided into lobes

Cytoplasm contains small granules

Stains pink with Romanowsky dyes

Lifespan of 6-10hrs

Exit into tissues - non-specific defence against bacteria and fungi

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Eosinophils

1% of circulating leukocytes 

Large cytoplasmic granules - stain strongly with acidic dye eosin

Nucleus is bilobed

Circulate for 4-5hrs

Exit to tissues –> 

Defence against parasites 

Dampen allergic response

Tissue eosinophils are also capable of responding to bacterial and fungal infection in a similar way to neutrophils.

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Basophils

Least numerous (<1%)

Large granules stain strongly with basic dye methylene blue

Involved in anaphylactic hypersensitivity and inflammatory reactions

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Monocytes

5% of circulating leukocytes

Large cell

Kidney/clefted shaped nucleus

Scattering of delicate azurophilic granules

Circulate for 10hrs

Mature into phagocytic tissue macrophages

Responsible for the removal of aged RBCs and other debris

Process and present antigens to T-lymphocytes 

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(Macrophages are formed in response to an infection or accumulating damaged or dead cells. Large, specialized cells that recognize, engulf and destroy target cells.)

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Lymphocytes

Second most common leukocyte (33%)

Much less cytoplasm - nucleus almost fills cell

Variable lifespan

Receptors on surface recognise foreign substances

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Several types of lymphocyte - click here

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Gram+, anaerobic, non-spore forming, branching rod

Endogenous transmission (dental crevices -bad higiene, dental trauma- ; female genital tract -IUD-)

Dx: branching rods in “sulfur granules”; colonies resemble a molar tooth.

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Not painful but very invasive penetrating tissues, including bone.

Draining abscess (sinus tracts) CULTURE THAT PUS

Disease: ACTINOMYCOSIS in low O2 tissues

Cervicofacil: “Lumpy jaw”, mycetoma on jaw line

Pelvic: from IUD

CNS: solitary abscess

Abdominal: qx, trauma

Thoracic: aspiration

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