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Clinical Hematology Atlas - E-Book

Clinical Hematology Atlas - E-Book

Bernadette F. Rodak | Jacqueline H. Carr

(2012)

Additional Information

Book Details

Abstract

An excellent companion to Rodak's Hematology: Clinical Principles & Applications, this atlas is ideal for helping you accurately identify cells at the microscope. It offers complete coverage of the basics of hematologic morphology, including examination of the peripheral blood smear, basic maturation of the blood cell lines, and discussions of a variety of clinical disorders. Over 400 photomicrographs, schematic diagrams, and electron micrographs visually clarify hematology from normal cell maturation to the development of various pathologies.

  • Normal Newborn Peripheral Blood Morphology chapter covers the unique normal cells found in neonatal blood.
  • A variety of high-quality schematic diagrams, photomicrographs, and electron micrographs visually reinforce your understanding of hematologic cellular morphology.
  • Spiral binding and compact size make this book easy to use in a laboratory setting.
  • Coverage of common cytochemical stains, along with a summary chart for interpretation, aids in classifying malignant and benign leukoproliferative disorders.
  • Morphologic abnormalities are presented in chapters on erythrocytes and leukocytes, along with a schematic description of each cell, to provide correlations to various disease states.
  • Body Fluids chapter covers the other fluids found in the body besides blood, using images from cytocentrifuged specimens.
  • Updated information on the subtypes of chronic lymphocytic leukemia (CLL) helps you recognize variant forms of CLL you may encounter in the lab.


Table of Contents

Section Title Page Action Price
Front cover Cover
Clinical hematology atlas iii
Copyright iv
Dedication v
Reviewers vii
Preface ix
Organization ix
Evolve x
Acknowledgments xi
Table of contents xiii
Commonly used abbreviations in hematology xv
1 Introduction to peripheral blood smear examination 1
Wedge smear preparation 2
Making the peripheral blood smear 2
Staining of peripheral blood smears 2
Peripheral smear examination 5
10× examination 5
40× or 50× examination 6
100× examination 7
Summary 10
2 Hematopoiesis 11
3 Erythrocyte maturation 19
Pronormoblast 21
Proerythroblast 21
Rubriblast 21
Size: 21
Nucleus: 21
Nucleoli: 21
Chromatin: 21
Cytoplasm: 21
N/c ratio: 21
Reference interval: 21
Bone marrow: 21
Peripheral blood: 21
Basophilic normoblast 23
Basophilic erythroblast 23
Prorubricyte 23
Size: 23
Nucleus: 23
Nucleoli: 23
Chromatin: 23
Cytoplasm: 23
N/c ratio: 23
Reference interval: 23
Bone marrow: 23
Peripheral 23
Polychromatic normoblast 25
Polychromatic erythroblast 29
Rubricyte 29
4 Megakaryocyte maturation 33
Megakaryoblast (mk-i) 35
Promegakaryocyte (mk-ii) 37
Megakaryocyte (mk-iii) 39
Platelet 41
5 Neutrophil maturation 43
Myeloblast 46
Promyelocyte (progranulocyte) 48
Neutrophilic myelocyte 50
Neutrophilic metamyelocyte 52
Neutrophilic band 54
Segmented neutrophil 56
Polymorphonuclear neutrophil 56
Size: 56
Nucleus: 56
Nucleoli: 56
Chromatin: 56
Cytoplasm: 56
Granules: 56
Primary: 56
Secondary: 56
N/c ratio: 56
Reference interval: 56
Bone marrow: 56
Peripheral blood: 56
6 Monocyte maturation 59
Monoblast 61
Promonocyte 63
Monocyte 63
Macrophage (histiocyte) 67
7 Eosinophil maturation 69
Eosinophilic myelocyte 71
Eosinophilic metamyelocyte 73
Eosinophilic band 75
Eosinophil 75
8 Basophil maturation 79
Basophil 79
9 Lymphocyte maturation 83
Lymphoblast 85
Prolymphocyte 87
Lymphocyte 87
Plasma cell 91
10 Variations in size and color of erythrocytes 93
Variations in size 93
Anisocytosis 95
Variation in color of erythrocytes 96
11 Variations in shape and distribution of erythrocytes 97
Acanthocyte 98
Spur cell 98
Description: 98
Associated with: 98
Schistocyte 99
Schizocyte 99
Color: 99
Shape: 99
Associated with: 99
Echinocyte 100
Burr cell 100
Description: 100
Associated with: 100
Spherocyte 101
Target cell 102
Codocyte 102
Color: 102
Shape: 102
Associated with: 102
Sickle cell 103
Drepanocyte 103
Color: 103
Shape: 103
Composition: 103
Associated with: 103
Hemoglobin c crystal 104
Hemoglobin sc crystal 105
Elliptocyte/ovalocyte 106
Tear drop cell 107
Dacryocyte 107
Description: 107
Associated with: 107
Stomatocyte 108
Rouleaux versus autoagglutination 109
12 Inclusions in erythrocytes 111
Howell-jolly bodies 112
Basophilic stippling 113
Pappenheimer bodies 114
Siderotic granules 114
Color: 114
Shape: 114
Number per cell: 114
Composition: 114
Associated with: 114
Cabot rings 115
Inclusions with supravital stain 116
Stained with new methylene blue 116
13 Diseases affecting erythrocytes 119
Microcytic/hypochromic anemia 120
Iron deficiency anemia 120
β-thalassemia minor 121
β/β + β/β 0 β/δβ 0 β/δβ lepore 121
β-thalassemia major 122
β 0 β 0 β + β + β 0 β + δβ lepore /δβ lepore 122
α-thalassemia**α-Thalassemia minor (−−/αα,−α/−α) has red cell morphology similar to β-thalassemia minor and ... 122
Hemoglobin h 122
−−/−α 122
Hemoglobin bart hydrops fetalis syndrome 123
−−/−− 123
Macrocytosis 124
124
Nonmegaloblastic 124
Megaloblastic anemia 125
Aplastic anemia 126
Immune hemolytic anemia 127
Hemolytic disease of the fetus and newborn 128
Hereditary spherocytosis 129
Hereditary elliptocytosis 130
Microangiopathic hemolytic anemia 131
Hemoglobin cc disease 132
Hemoglobin ss disease 133
Hemoglobin sc disease 134
14 Nuclear and cytoplasmic changes in leukocytes 135
Hyposegmentation of neutrophils 136
Hypersegmentation of neutrophils 137
Vacuolation 138
DÖhle body 139
Toxic granulation 140
Hypogranulation/agranulation 141
Reactive lymphocytes 142
15 Acute myeloid leukemia 145
Approach to acute myeloid leukemia 146
Acute myeloid leukemia, minimally differentiated 147
Fab††French-American-British classification of acute leukemia. m0 147
Morphology 147
Peripheral blood: 147
Bone marrow: 147
Cytochemistry 147
Myeloperoxidase: 147
Sudan black b: 147
Nonspecific esterase: 147
Genetics 147
Immunophenotype 147
Acute myeloid leukemia without maturation 148
Fab m1 148
Morphology 148
Peripheral blood: 148
Bone marrow: 149
Cytochemistry 149
Myeloperoxidase: 149
Sudan black b: 149
Nonspecific esterase: 149
Genetics 149
Immunophenotype 149
Acute myeloid leukemia with maturation 150
Fab m2 150
Morphology 150
Peripheral blood: 150
Bone marrow: 150
Cytochemistry 151
Myeloperoxidase: 151
Sudan black b: 151
Genetics 151
Immunophenotype 151
Acute promyelocytic leukemia 152
Acute promyelocytic leukemia—microgranular variant 152
Acute myelomonocytic leukemia 154
Fab m4 154
Morphology 155
Peripheral blood: 155
Bone marrow: 155
Cytochemistry 155
Myeloperoxidase: 155
Specific esterase: 155
Nonspecific esterase: 155
Genetics 155
Immunophenotype 155
Acute myeloid leukemia with inv(16) (p13.1q22) or t(16;16)(p13.1;q22); cbfb-myh11 156
Fab m4eo 156
Morphology 157
Peripheral blood: 157
Bone marrow: 157
Cytochemistry 157
Myeloperoxidase: 157
Nonspecific esterase: 157
Specific esterase: 157
Genetics 157
Immunophenotype 157
Acute monoblastic and monocytic leukemia 158
Acute erythroid leukemia 160
Fab m6a 160
(erythroid/myeloid leukemia) 160
16 Precursor lymphoid neoplasms 163
Acute lymphoblastic leukemia, small blasts 165
Acute lymphoblastic leukemia, large blasts 166
17 Myeloproliferative neoplasms 167
Chronic myelogenous leukemia, bcr-abl1 positive 170
Leukocyte alkaline phosphatase 172
Polycythemia vera 174
Essential thrombocythemia 175
Primary myelofibrosis 176
18 Myelodysplastic syndromes 177
Dyserythropoiesis 179
Dysmyelopoiesis 182
Dysmegakaryopoiesis 184
19 Mature lymphoproliferative disorders 187
Chronic lymphocytic leukemia 188
B cell prolymphocytic leukemia 190
Morphology 190
Peripheral blood: 190
Bone marrow: 190
Immunophenotype 190
Hairy cell leukemia 191
Plasma cell myeloma 192
Burkitt leukemia/lymphoma 194
Lymphoma 194
Morphology 195
20 Morphologic changes after myeloid hematopoietic growth factors 197
21 Microorganisms 201
Plasmodium species 202
Babesia species 203
Loa loa 204
Trypanosomes 205
Fungi 206
Bacteria 207
22 Miscellaneous cells 209
Hematologic manifestations of systemic disorders 210
Cells occasionally seen in bone marrow 213
Artifacts in peripheral blood smears 216
23 Normal newborn peripheral blood morphology 219
24 Body fluids 223
Cells commonly seen in cerebrospinal fluid 226
Cells sometimes found in cerebrospinal fluid 227
Cells sometimes found in cerebrospinal fluid after central nervous system hemorrhage 227
Organisms sometimes found in cerebrospinal fluid 231
Cells sometimes found in serous body fluids (pleural, pericardial, and peritoneal) 232
Mesothelial cells 234
Multinucleated mesothelial cells 235
Malignant cells sometimes seen in serous fluids 237
Crystals sometimes found in synovial fluid 239
Other structures sometimes seen in body fluids 244
Index 245
A 245
B 245
C 246
D 246
E 246
F 247
G 248
H 248
I 248
L 248
M 249
N 250
O 251
P 251
R 252
S 252
T 252
U 253
V 253
W 253
Y 253