What Does My Bone Marrow Do?
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Section 8: Hematology CHAPTER 47: ANEMIA
Section 8: Hematology CHAPTER 47: ANEMIA Q.1. A 56-year-old man presents with symptoms of severe dyspnea on exertion and fatigue. His laboratory values are as follows: Hemoglobin 6.0 g/dL (normal: 12–15 g/dL) Hematocrit 18% (normal: 36%–46%) RBC count 2 million/L (normal: 4–5.2 million/L) Reticulocyte count 3% (normal: 0.5%–1.5%) Which of the following caused this man’s anemia? A. Decreased red cell production B. Increased red cell destruction C. Acute blood loss (hemorrhage) D. There is insufficient information to make a determination Answer: A. This man presents with anemia and an elevated reticulocyte count which seems to suggest a hemolytic process. His reticulocyte count, however, has not been corrected for the degree of anemia he displays. This can be done by calculating his corrected reticulocyte count ([3% × (18%/45%)] = 1.2%), which is less than 2 and thus suggestive of a hypoproliferative process (decreased red cell production). Q.2. A 25-year-old man with pancytopenia undergoes bone marrow aspiration and biopsy, which reveals profound hypocellularity and virtual absence of hematopoietic cells. Cytogenetic analysis of the bone marrow does not reveal any abnormalities. Despite red blood cell and platelet transfusions, his pancytopenia worsens. Histocompatibility testing of his only sister fails to reveal a match. What would be the most appropriate course of therapy? A. Antithymocyte globulin, cyclosporine, and prednisone B. Prednisone alone C. Supportive therapy with chronic blood and platelet transfusions only D. Methotrexate and prednisone E. Bone marrow transplant Answer: A. Although supportive care with transfusions is necessary for treating this patient with aplastic anemia, most cases are not self-limited. -
Bone Marrow (Stem Cell) Transplant for Sickle Cell Disease Bone Marrow (Stem Cell) Transplant
Bone Marrow (Stem Cell) Transplant for Sickle Cell Disease Bone Marrow (Stem Cell) Transplant for Sickle Cell Disease 1 Produced by St. Jude Children’s Research Hospital Departments of Hematology, Patient Education, and Biomedical Communications. Funds were provided by St. Jude Children’s Research Hospital, ALSAC, and a grant from the Plough Foundation. This document is not intended to take the place of the care and attention of your personal physician. Our goal is to promote active participation in your care and treatment by providing information and education. Questions about individual health concerns or specifi c treatment options should be discussed with your physician. For more general information on sickle cell disease, please visit our Web site at www.stjude.org/sicklecell. Copyright © 2009 St. Jude Children’s Research Hospital How did bone marrow (stem cell) transplants begin for children with sickle cell disease? Bone marrow (stem cell) transplants have been used for the treatment and cure of a variety of cancers, immune system diseases, and blood diseases for many years. Doctors in the United States and other countries have developed studies to treat children who have severe sickle cell disease with bone marrow (stem cell) transplants. How does a bone marrow (stem cell) transplant work? 2 In a person with sickle cell disease, the bone marrow produces red blood cells that contain hemoglobin S. This leads to the complications of sickle cell disease. • To prepare for a bone marrow (stem cell) transplant, strong medicines, called chemotherapy, are used to weaken or destroy the patient’s own bone marrow, stem cells, and infection fi ghting system. -
Adaptive Immune Systems
Immunology 101 (for the Non-Immunologist) Abhinav Deol, MD Assistant Professor of Oncology Wayne State University/ Karmanos Cancer Institute, Detroit MI Presentation originally prepared and presented by Stephen Shiao MD, PhD Department of Radiation Oncology Cedars-Sinai Medical Center Disclosures Bristol-Myers Squibb – Contracted Research What is the immune system? A network of proteins, cells, tissues and organs all coordinated for one purpose: to defend one organism from another It is an infinitely adaptable system to combat the complex and endless variety of pathogens it must address Outline Structure of the immune system Anatomy of an immune response Role of the immune system in disease: infection, cancer and autoimmunity Organs of the Immune System Major organs of the immune system 1. Bone marrow – production of immune cells 2. Thymus – education of immune cells 3. Lymph Nodes – where an immune response is produced 4. Spleen – dual role for immune responses (especially antibody production) and cell recycling Origins of the Immune System B-Cell B-Cell Self-Renewing Common Progenitor Natural Killer Lymphoid Cell Progenitor Thymic T-Cell Selection Hematopoetic T-Cell Stem Cell Progenitor Dendritic Cell Myeloid Progenitor Granulocyte/M Macrophage onocyte Progenitor The Immune Response: The Art of War “Know your enemy and know yourself and you can fight a hundred battles without disaster.” -Sun Tzu, The Art of War Immunity: Two Systems and Their Key Players Adaptive Immunity Innate Immunity Dendritic cells (DC) B cells Phagocytes (Macrophages, Neutrophils) Natural Killer (NK) Cells T cells Dendritic Cells: “Commanders-in-Chief” • Function: Serve as the gateway between the innate and adaptive immune systems. -
Bone Marrow Biopsy
Helpline (freephone) 0808 808 5555 [email protected] www.lymphoma-action.org.uk Bone marrow biopsy This information is about a test called a bone marrow biopsy. You might have one to check if you have lymphoma in your bone marrow. On this page What is bone marrow? What is a bone marrow biopsy? Who might need one? Having a bone marrow biopsy Is a bone marrow biopsy safe? Getting the results We have separate information about the topics in bold font. Please get in touch if you’d like to request copies or if you would like further information about any aspect of lymphoma. Phone 0808 808 5555 or email [email protected]. What is bone marrow? Bone marrow is the spongy tissue in the middle of some of the bigger bones in your body, such as your thigh bone (femur), breastbone (sternum), hip bone (pelvis) and back bones (vertebrae). Your bone marrow is where blood cells are made. It contains cells called blood (‘haemopoietic’) stem cells. Stem cells are undeveloped cells that can divide and grow into all the blood cells you need. This includes red blood cells, platelets and all the different types of white blood cells. Page 1 of 8 © Lymphoma Action Figure: The different blood cells that develop in the bone marrow What is a bone marrow biopsy? A bone marrow biopsy is a test that involves taking a sample of bone marrow to be examined under a microscope. The samples are sent to a lab where an expert examines them. -
Myelodysplastic Syndromes Overview and Types
cancer.org | 1.800.227.2345 About Myelodysplastic Syndromes Overview and Types If you have been diagnosed with a myelodysplastic syndrome or are worried about it, you likely have a lot of questions. Learning some basics is a good place to start. ● What Are Myelodysplastic Syndromes? ● Types of Myelodysplastic Syndromes Research and Statistics See the latest estimates for new cases of myelodysplastic syndromes in the US and what research is currently being done. ● Key Statistics for Myelodysplastic Syndromes ● What's New in Myelodysplastic Syndrome Research? What Are Myelodysplastic Syndromes? Myelodysplastic syndromes (MDS) are conditions that can occur when the blood- forming cells in the bone marrow become abnormal. This leads to low numbers of one or more types of blood cells. MDS is considered a type of cancer1. Normal bone marrow 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 Bone marrow is found in the middle of certain bones. It is made up of blood-forming cells, fat cells, and supporting tissues. A small fraction of the blood-forming cells are blood stem cells. Stem cells are needed to make new blood cells. There are 3 main types of blood cells: red blood cells, white blood cells, and platelets. Red blood cells pick up oxygen in the lungs and carry it to the rest of the body. These cells also bring carbon dioxide back to the lungs. Having too few red blood cells is called anemia. It can make a person feel tired and weak and look pale. Severe anemia can cause shortness of breath. White blood cells (also known as leukocytes) are important in defending the body against infection. -
Your Blood Cells
Page 1 of 2 Original Date The Johns Hopkins Hospital Patient Information 12/00 Oncology ReviseD/ RevieweD 6/14 Your Blood Cells Where are Blood cells are made in the bone marrow. The bone marrow blood cells is a liquid that looks like blood. It is found in several places of made? the body, such as your hips, chest bone and the middle part of your arm and leg bones. What types of • The three main types of blood cells are the red blood cells, blood cells do the white blood cells and the platelets. I have? • Red blood cells carry oxygen to all parts of the body. The normal hematocrit (or percentage of red blood cells in the blood) is 41-53%. Anemia means low red blood cells. • White blood cells fight infection. The normal white blood cell count is 4.5-11 (K/cu mm). The most important white blood cell to fight infection is the neutrophil. Forty to seventy percent (40-70%) of your white blood cells should be neutrophils. Neutropenia means your neutrophils are low, or less than 40%. • Platelets help your blood to clot and stop bleeding. The normal platelet count is 150-350 (K/cu mm). Thrombocytopenia means low platelets. How do you Your blood cells are measured by a test called the Complete measure my Blood Count (CBC) or Heme 8/Diff. You may want to keep track blood cells? of your blood counts on the back of this sheet. What When your blood counts are low, you may become anemic, get happens infections and bleed or bruise easier. -
Terminology Resource File
Terminology Resource File Version 2 July 2012 1 Terminology Resource File This resource file has been compiled and designed by the Northern Assistant Transfusion Practitioner group which was formed in 2008 and who later identified the need for such a file. This resource file is aimed at Assistant Transfusion Practitioners to help them understand the medical terminology and its relevance which they may encounter in the patient’s medical and nursing notes. The resource file will not include all medical complaints or illnesses but will incorporate those which will need to be considered and appreciated if a blood component was to be administered. The authors have taken great care to ensure that the information contained in this document is accurate and up to date. Authors: Jackie Cawthray Carron Fogg Julia Llewellyn Gillian McAnaney Lorna Panter Marsha Whittam Edited by: Denise Watson Document administrator: Janice Robertson ACKNOWLEDGMENTS We would like to acknowledge the following people for providing their valuable feedback on this first edition: Tony Davies Transfusion Liaison Practitioner Rose Gill Transfusion Practitioner Marie Green Transfusion Practitioner Tina Ivel Transfusion Practitioner Terry Perry Transfusion Specialist Janet Ryan Transfusion Practitioner Dr. Hazel Tinegate Consultant Haematologist Reviewed July 2012 Next review due July 2013 Version 2 July 2012 2 Contents Page no. Abbreviation list 6 Abdominal Aortic Aneurysm (AAA) 7 Acidosis 7 Activated Partial Thromboplastin Time (APTT) 7 Acquired Immune Deficiency Syndrome -
Automatic Blood Cell and CRP Counter with Three-Part Differential
FEATURE ARTICLE Automatic Blood Cell and CRP Counter with Three-Part Differential Measurement of White Blood Cells The LC-170 CRP FEATURE ARTICLE Automatic Blood Cell and CRP Counter with Three-Part Differential Measurement of White Blood Cells, The LC-170 CRP Yasuo Yamao WBC, RBC, Hct Electrical impedance method Hgb CRP Cyanmethemoglobin method Latex immunoturbidmetry WBC (White blood cells) LYM% MON% GRA% CRP quantitative LC-170CRP (Lymphocyte %) (Monocyte %) (Granulocyte %) analysis LYM# MON# GRA# (C-reactive protein) (Lymphocyte No.) (Monocyte No.) (Granulocyte No.) RBC (Red blood cells) PLT (Platelets) Hgb(Hemoglobin) Pct (Plateletcrit) Hct (Hematocrit) MPV (Mean Platelet Volume) MCV (Mean Corpuscular Volume) PDW (Platelet Distribution Width) MCH (Mean Corpuscular Hemoglobin) MCHC (Mean Corpuscular Hemoglobin Concentration) RDW (Red Blood Cell Distribution Width) Example of results Abstract The LC-l70 CRP automatic blood cell and CRP counter, developed by Horiba, is capable of simultaneously measuring all 19 C-reactive protein (CRP) density parameters and counting red blood cells, platelets, and three types of white blood cell: lymphocytes, monocytes, and granulocytes. As clinicians demand ever-higher precision measurements, a need has developed for clinical test machines having excellent operational and cost performance. This compact machine should make a powerful tool for initial diagnosis of inflammatory and infectious diseases, especially at small- and mid-size medical institutions. 20 Technical Reports 1 Introduction 2 Measurement Principles To prevent an explosion of medical costs as Japanese The LC-170 CRP uses the electrical impedance method society ages and fewer children are born, the Ministry of to count blood cells, the cyanmethemoglobin method to Health, Labor, and Welfare is pursuing a thorough reform measure hemoglobin concentration, and latex of the medical insurance system, including “preventing immunoturbidimetry to measure CRP concentration. -
The Bridge Between Bone Marrow Adipocytes and Hematopoietic Cells Ziru Li and Ormond A
EDITORIALS Stem cell factor: the bridge between bone marrow adipocytes and hematopoietic cells Ziru Li and Ormond A. MacDougald Department of Molecular & Integrative Physiology, University of Michigan Medical School, Ann Arbor, MI, USA. E-mail: ZIRU LI - [email protected] doi:10.3324/haematol.2019.224188 hite adipocytes serve as an energy reservoir to in the bone marrow supernatant, which indicates that store excessive calories in the form of lipid BMAT is a primary source of SCF in bone marrow.5 Wdroplets and protect other tissues or organs from Deficiency of SCF in BMAT reduces the bone marrow cellu- ectopic lipid accumulation. Brown adipocytes express larity, hematopoietic stem and progenitor cells (HSPC), com- uncoupling protein 1 and are integral to adaptive thermoge- mon myeloid progenitors (CMP), megakaryocyte-erythro- nesis. Whereas the functions of adipocytes in either white or cyte progenitor (MEP) and granulocyte-monocyte progeni- brown adipose tissues are well documented, our knowledge tors (GMP) under steady-state condition. Consistent with of bone marrow adipocytes (BMA) remains in its infancy. these changes in the progenitor cells of bone marrow, mice Bone marrow adipose tissue (BMAT) occupies approximate- deficient for adipocyte SCF develop macrocytic anemia and ly 50-70% of the bone marrow volume in human adults.1 It reduction of neutrophils, monocytes and lymphocytes in cir- is a dynamic tissue and responds to multiple metabolic con- culation. In contrast to results in this study, Zhou et al. ditions. For example, BMAT -
An Audit- Indications and Diagnosis of Bone Marrow Biopsies at a Tertiary Care Hospital in Saudi Arabia
Hematology & Transfusion International Journal Research Article Open Access An audit- indications and diagnosis of bone marrow biopsies at a tertiary care hospital in Saudi Arabia Abstract Volume 6 Issue 5 - 2018 Objective: We conducted the study to observe the common indications of bone marrow Fatma Said Al Qahtani, Naveen Naz Syed biopsy and frequencies of various disorders diagnosed on bone marrow examination Department of Pathology, King Khalid University Hospital, in our center. Kingdom of Saudi Arabia Materials and methods: It was a descriptive retrospective audit conducted at the Fatma Said Al Qahtani, MBBS, KSUFpath, Division of Hematology, Department of Pathology at King Khalid University Hospital Correspondence: Assistant Professor and Consultant Hematopathologist, Division in Riyadh. All bone marrow biopsies performed and reported from January 2014 till of Hematology, Department of Pathology, College of Medicine, December 2015 on patients of all age groups and both genders were analyzed. King Saud University, King Khalid University Hospital, Riyadh, Results: Total 481 bone marrows were examined during this two years’ time period. Kingdom of Saudi Arabia, Tel: 00966-568074991, All relevant information were extracted and analyzed including reasons of referral and Email [email protected] provisional diagnosis made by clinicians. Ages ranged from 5 weeks to 99 years old, Received: August 26, 2018 | Published: October 17, 2018 and male to female ratio 1.4:1. The common indication of bone marrow biopsy is for diagnosis and management of acute leukemia, then for staging of lymphoma and work up of pancytopenia. Acute leukemia followed by myeloproliferative diseases was most frequently diagnosed malignant disorders and idiopathic thrombocytopenic purpura was common benign hematological finding on bone marrow examination. -
Nomina Histologica Veterinaria, First Edition
NOMINA HISTOLOGICA VETERINARIA Submitted by the International Committee on Veterinary Histological Nomenclature (ICVHN) to the World Association of Veterinary Anatomists Published on the website of the World Association of Veterinary Anatomists www.wava-amav.org 2017 CONTENTS Introduction i Principles of term construction in N.H.V. iii Cytologia – Cytology 1 Textus epithelialis – Epithelial tissue 10 Textus connectivus – Connective tissue 13 Sanguis et Lympha – Blood and Lymph 17 Textus muscularis – Muscle tissue 19 Textus nervosus – Nerve tissue 20 Splanchnologia – Viscera 23 Systema digestorium – Digestive system 24 Systema respiratorium – Respiratory system 32 Systema urinarium – Urinary system 35 Organa genitalia masculina – Male genital system 38 Organa genitalia feminina – Female genital system 42 Systema endocrinum – Endocrine system 45 Systema cardiovasculare et lymphaticum [Angiologia] – Cardiovascular and lymphatic system 47 Systema nervosum – Nervous system 52 Receptores sensorii et Organa sensuum – Sensory receptors and Sense organs 58 Integumentum – Integument 64 INTRODUCTION The preparations leading to the publication of the present first edition of the Nomina Histologica Veterinaria has a long history spanning more than 50 years. Under the auspices of the World Association of Veterinary Anatomists (W.A.V.A.), the International Committee on Veterinary Anatomical Nomenclature (I.C.V.A.N.) appointed in Giessen, 1965, a Subcommittee on Histology and Embryology which started a working relation with the Subcommittee on Histology of the former International Anatomical Nomenclature Committee. In Mexico City, 1971, this Subcommittee presented a document entitled Nomina Histologica Veterinaria: A Working Draft as a basis for the continued work of the newly-appointed Subcommittee on Histological Nomenclature. This resulted in the editing of the Nomina Histologica Veterinaria: A Working Draft II (Toulouse, 1974), followed by preparations for publication of a Nomina Histologica Veterinaria. -
Essential Thrombocythemia Facts No
Essential Thrombocythemia Facts No. 12 in a series providing the latest information for patients, caregivers and healthcare professionals www.LLS.org • Information Specialist: 800.955.4572 Introduction Highlights Essential thrombocythemia (ET) is one of several l Essential thrombocythemia (ET) is one of a related “myeloproliferative neoplasms” (MPNs), a group of closely group of blood cancers known as “myeloproliferative related blood cancers that share several features, notably the neoplasms” (MPNs) in which cells in the bone “clonal” overproduction of one or more blood cell lines. marrow that produce the blood cells develop and All clonal disorders begin with one or more changes function abnormally. (mutations) to the DNA in a single cell; the altered cells in l ET begins with one or more acquired changes the marrow and the blood are the offspring of that one (mutations) to the DNA of a single blood-forming mutant cell. Other MPNs include polycythemia vera and cell. This results in the overproduction of blood cells, myelofibrosis. especially platelets, in the bone marrow. The effects of ET result from uncontrolled blood cell l About half of individuals with ET have a mutation production, notably of platelets. Because the disease arises of the JAK2 (Janus kinase 2) gene. The role that this from a change to an early blood-forming cell that has the mutation plays in the development of the disease, capacity to form red cells, white cells and platelets, any and the potential implications for new treatments, combination of these three cell lines may be affected – and are being investigated. usually each cell line is affected to some degree.