lab number 4 blood film

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    Preparation, staining and

    examination of blood film

    M. Sc. Program

    541 CLSLab-4-

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    Blood film

    Blood film should be made on clean

    glass slides.

    Films may be spread by hand or byautomated slid-spreader.

    Blood film prepared from fresh blood(EDTA).

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    STEPS FOR BLOOD FILM

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    The shape of blood film

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    Staining of blood films Romanowsky stains are universally employed for routine

    staining of blood films. It depends on two components, namely, azure

    B(trimethylthionin) and eosine Y(tetrabromo-fluorescein).

    The original Romanowsky combination was polychrome

    methylene blue and eosine. The presence of basic grouping on the haemoglobin molecule

    results in its affinity for acidic dyes and its staining by eosin.The nucleic acids uptake of the basic dye azure B.

    Granules in cytoplasm of neutrophil are weekly stained by the

    azure complexes( eosinophilic granules-alkalin groupingwhich stains with acidic component of dye wherase basophilicgranules which has an affinity for the basic component ofdye).

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    Types of Romanowsky stains

    Leishmansstain

    May-Grunwald stain

    Jennersstain

    Giemsasstain

    Jenner-Giemsa May-Grunwald-Giemsa

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    Red cell morphology

    In health, the red cells have round smoothcontours and have diameters of 6.0 to8.5m.

    Abnormalerythropoiesis: Anisocytosis (size: micro or macro).

    Poikilocytosis (shape)

    Basophilic stippling

    Acanthocytosis, target cell and sicklecell.

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    Erythrocyte inclusion (Howell-

    jolly bodies, Pappenheimer bodies

    According HB: hypochromatic

    and hyperchromatic.

    Spherocytosis, elliptocytosis (cellmembrane of red cell).