estudio de los hematies
TRANSCRIPT
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DR VICTOR LEZAMAHOSPITAL BELEN
ESTUDIO EN LAMINA DE SANGRE PERIFERICA
Dr. Víctor LezamaHospital Belén Trujillo
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
Normal blood - 20X Normal blood - dense area - 20XNormal blood - thin area - 20X
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DR VICTOR LEZAMAHOSPITAL BELEN
Normal Platelets in number and morphology. Normocytic, normochromic RBC. Normal EDTA anticoagulated blood - 100X
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DR VICTOR LEZAMAHOSPITAL BELEN
HIPOCROMIA MICROCITOSIS
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DR VICTOR LEZAMAHOSPITAL BELEN
Leptocyte (hypochromic microcytic red cell), Blood smear
May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
One lymphocyte with kidney shaped nucleus, 1 polychromatophilic RBC
in lower quadrant (reticulocyte) - 100X
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DR VICTOR LEZAMAHOSPITAL BELEN
Elliptocyte, Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
Haemolytic uraemic syndrome Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
Poikilocyte (DIC), Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
Elliptocyte, Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
ECHINOCYTES, or burr cells, Hematie con espículas finas
y regularmente espaciadas (Uremia, deficiencia de piruvato quinasa etc.)
Water Artifact
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DR VICTOR LEZAMAHOSPITAL BELEN
ECHINOCYTES, or burr cells, Hematie con espículas finas
y regularmente espaciadas (Uremia, deficiencia de piruvato quinasa etc.)
Water Artifact
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
Thalassemia, Bone marrow smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
Bood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
Tear Drop Cell, Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
Haemolytic uraemic syndrome Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
Basophilic Stippling, Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
Howell-Jolly's body, Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
One hypersegmented neutrophil, 1 possible hypersegmented neutrophil, 1 small lymphocyte,
macrocytic red cells. Buffy coat of pernicious anemia blood - 100X
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
One monocyte with vacuoles, 1 large lymphocyte with indented nucleus,
1 small lymphocyte - 100X
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
DENOMINADOS “ATIPICOS” PORQUE SON GRANDES (ABUNDANTE CITOPLASMA) Y TIENEN UN NUCLEOLO DENTRO DE SU NUCLEO. EL CITOPLASMA TIENDE A SER INDENTADO AL SER RODEADO POR LOS HEMATIES. ESTOS LINFOCITOS ATIPICOS SON ASOCIADOS CON MONONUCLEOSIS INFECCIOSA
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
N. Policromatófilo Normoblasto Basófilo Linfocito Pequeño
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DR VICTOR LEZAMAHOSPITAL BELEN
One band neutrophil, 2 Plasmacytoid Lymphs which have a distorted shape. Infectious mononucleosis blood - 100X
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DR VICTOR LEZAMAHOSPITAL BELEN
Four reactive monocytes; composite. Infection - 100X
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
Malaria, Blood smear, May-Giemsa stain, x1000
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DR VICTOR LEZAMAHOSPITAL BELEN
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DR VICTOR LEZAMAHOSPITAL BELEN
ANOMALIA DESCRIPCION ASOCIACION A PATOLOGIAALTERACIONES DE LA FORMAEsquistocito Hematíes fragmentados de Anemia Hemolítica Microangiopática(Cel. Fragmentada) 2 a 3 um. (TTP,CID, Sind. Urémico Hemolítico.)
Hemólisis por Prótesis ValvularHemoglobinuria de la Marcha
Dacriocito En forma de lágrima o pera Mielofibrossis(Cel. en Gota) Anemias MieloptísicasEsferocito Hematíe en forma esférica Esferocitosis Hereditaria
sin aclaramiento central Anemia Hemolítica InmunePostransfusional
Eliptocito Hematíes en forma elíptica Inespecífico, Eliptocitosis HereditariaTalasemiasDeficiencia de Hierro
Ovalocito Hematíes de forma oval Inespecífico, anemia megaloblásticaDrepanocito Hematíes falciformes Enfermedades Sickle Cell (Sickle Cell)Target Cell Hematíes con un área con Enf. Obstructiva Hepática(Cel.Tiro al Blanco) mayor contenido de Hb. Que Hemoglobina S, C.
se sitúa en la zona central clara Talasemia
Equinocito Hematíes con espículas cortas Uremia(Crenocitos) distribuidas regularmente en Deficiencia de Piruvato Kinasa
la superficie de los hematíes Bajo Nivel de Potasio del HematíeAcantocito Espículas con proyecciones que Trastornos Hepáticos por Alcoholismo(spike) varían en tamaño y longitud. Estados de Mala AbsorciónEstomatocito Posee una hendidura central en Estomatocitoisis Hereditaria
forma de boca Esferocitosis HereditariaAlcoholismo, CirrosisEnf. Obstructiva Hepática
Trastornos RelacionadosAlteraciones de los Hematies y sus
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DR VICTOR LEZAMAHOSPITAL BELEN
ANOMALIA DESCRIPCION ASOCIACION A PATOLOGIA
Inclusiones Eritrocitarias y ReticulocitariasPunteado Basófilo Precipitación de ribosomas de Intoxicación por plomo
color azul grisáceo. ReticulocitosisCuerpos de Fragmentos nucleares de forma Post-esplenectomizadosHowell-Jolly redonda color violaceo de 1um Anemia Hemolítica
de diámetro Anemia MegaloblásticaCuerpos de Heinz Hemoglobina desnaturalizada Hemoglobinopatías
observable con coloración cristal Anemia Hemolítica inducida por Fármacosvioleta
Anillos de Cabot Remanentes de la memb. Nuclear Hemólisis"Filamentos Reticulares"Restos de RNA ReticulocitosParásitos Plasmodium
Bartonella Baciliforme
Alteraciones de los Hematies y susTrastornos Relacionados