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White Blood Cells
White Blood Cells
WBCs
Granular Leucocytes Agranular
T NKB
G
R
A
N
U
L
O
P
O
I
E
S
I
S
M
O
N
O
C
Y
T
E
SERIES
.
.
.
.
.
Morphologic Characteristics of the Blast cells in
Romanowsky stains.
Features Myeloblast Lymphoblast
Size 10-18 亮m 10-18 亮m
Nucleus Round or oval Round or oval
Nuclear Chromatin Fine meshwork Slightly clumped
Nuclear Membrane Very fine Fairly dense
Nucleoli 2-5 1-2
Cytoplasma Scanty, blue,Agranular,Auer rods my
be seen
Scanty, clear blue, Agranular
.
.
.
.
.
.
.
.
.
.
.....
Normal White Blood cells Count in Healthy.
TLC Absolute Count
Adult 4000-11000/亮l
Infant (Full term, at birth) 10,000-25,000/亮l
Infants(1 yrs) 6,000-16,000/亮l
Children (4-7 yrs) 5,000-15,000/亮l
Children (8-12 yrs) 4,500-13,5000/亮l
DLC ( In Adults) Absolute Count
Polymorphs (40-75%) 2,000-7,500/亮l
Lymphocytes ( 20-50%) 1,500-4,000/亮l
Monocytes (2-10%) 200-800/ 亮l
Eosinophils (1-6%) 40-400/亮l
Basophils (<1%) 10-200/亮l
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
Polymorphs
 Morphology
 Normal Function
Chemotaxis
Phagocytosis
Killing
Lobes
Cytoplasm
Granules
12-15亮m
White Blood Cells
Pathologic Variations
 Variation in count
Neutrophilia:-
 Acute infection
 Inflammation
 Intoxication,
 Acute haemorrhage
 Myeloproliferative
disorders
Neutropenia:-
 Certain infection
Overwhelming
 bacterial infection
 Drugs, Chemical
and Physical agents
 Certain haematological
and other disease,
 Anaphylactic shock
 Rare hereditary
Congenital or
Familial disorders.
Variation in Morphology
 Granules
 Vacuoles
 D哥hle bodies
 Nuclear Abnormalities
Sex Chromatin
A shift to left
A shift to right
Pelger-Hut anamoly
 Defective Function:- Chemoatxic,
Phagocytosis,
and Killing.
Lymphocytes
 Morphology
T lymphocytes
B lymphocytes
NK cells
 Pathologic Variations
Lymphocytosis
Lymphopenia
Monocytes
 Morphology
 Functions
Phagocytosis
Immunologic function
As mediator of inflammation
 Pathologic Variations
Certain Bacterial infection
viral infection
Protozoal and rickettsial infection
Haematopoietic disorder
Malignancies
Granulomatous ds.
Collagen vascular ds.
Eosinophils
 Morphology
 Pathology Variations
Eosinophilia
Allergic Disorder
Parasites infestations
Skin diseases
L哥effers syndrome
PIE syndrome
Trophical Eosinophilia
Hematopoietic disorder
Malignancies
Eosinopenia
Adrenal steroid and ACTH induce
Basophils
 Morphology
 Pathologic Variations
Chronic myeloid leukaemia
Polycythaemia Vera
Myeloscrlerosis
Myxoedema
Ulcerative colitis
Following Splenectomy
Hodgkins ds.
Urticaria pigmentosa
White Blood Cells
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White Blood Cells

  • 6. Morphologic Characteristics of the Blast cells in Romanowsky stains. Features Myeloblast Lymphoblast Size 10-18 亮m 10-18 亮m Nucleus Round or oval Round or oval Nuclear Chromatin Fine meshwork Slightly clumped Nuclear Membrane Very fine Fairly dense Nucleoli 2-5 1-2 Cytoplasma Scanty, blue,Agranular,Auer rods my be seen Scanty, clear blue, Agranular . . . . . . . . . . .....
  • 7. Normal White Blood cells Count in Healthy. TLC Absolute Count Adult 4000-11000/亮l Infant (Full term, at birth) 10,000-25,000/亮l Infants(1 yrs) 6,000-16,000/亮l Children (4-7 yrs) 5,000-15,000/亮l Children (8-12 yrs) 4,500-13,5000/亮l DLC ( In Adults) Absolute Count Polymorphs (40-75%) 2,000-7,500/亮l Lymphocytes ( 20-50%) 1,500-4,000/亮l Monocytes (2-10%) 200-800/ 亮l Eosinophils (1-6%) 40-400/亮l Basophils (<1%) 10-200/亮l . . . . . . . . . . . . . . . . . . . .
  • 8. Polymorphs Morphology Normal Function Chemotaxis Phagocytosis Killing Lobes Cytoplasm Granules 12-15亮m
  • 10. Pathologic Variations Variation in count Neutrophilia:- Acute infection Inflammation Intoxication, Acute haemorrhage Myeloproliferative disorders Neutropenia:- Certain infection Overwhelming bacterial infection Drugs, Chemical and Physical agents Certain haematological and other disease, Anaphylactic shock Rare hereditary Congenital or Familial disorders.
  • 11. Variation in Morphology Granules Vacuoles D哥hle bodies Nuclear Abnormalities Sex Chromatin A shift to left A shift to right Pelger-Hut anamoly Defective Function:- Chemoatxic, Phagocytosis, and Killing.
  • 12. Lymphocytes Morphology T lymphocytes B lymphocytes NK cells Pathologic Variations Lymphocytosis Lymphopenia
  • 13. Monocytes Morphology Functions Phagocytosis Immunologic function As mediator of inflammation Pathologic Variations Certain Bacterial infection viral infection Protozoal and rickettsial infection Haematopoietic disorder Malignancies Granulomatous ds. Collagen vascular ds.
  • 14. Eosinophils Morphology Pathology Variations Eosinophilia Allergic Disorder Parasites infestations Skin diseases L哥effers syndrome PIE syndrome Trophical Eosinophilia Hematopoietic disorder Malignancies Eosinopenia Adrenal steroid and ACTH induce
  • 15. Basophils Morphology Pathologic Variations Chronic myeloid leukaemia Polycythaemia Vera Myeloscrlerosis Myxoedema Ulcerative colitis Following Splenectomy Hodgkins ds. Urticaria pigmentosa