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The morphology of blood cells
Prepared by Dr. Huda Mawlood Taher
Composition of the blood
• The circulating blood is composed of
plasma , cells and platelets. • The cells are red cells (or erythrocytes), white cells (or leucocytes) . • Blood cells can be identified in blood films stained with a mixture of basic and acidic dyes. White blood cells • White blood cells are divided into granulocytes and Non granulocytes cells. • There are three types of granulocyte named according to their staining characteristics in blood films, They are neutrophils,eosinophils and basophils. • Non granulocytes are divided into lymphocytes and monocytes. Neutrophils
• are the commonest type of
white blood cells found in blood smear, they make up 60-70% of total amount of white blood cells .They are involved in the defense against infections. Eosinophil • Are easily recognized in stained smears with their large, red-orange granules. Generally low in number (1-3%), they most often increase in number in individuals with allergic and parasitic infections. Basophil • Have lots dark blue granules . • Are the least often seen type of WBC (1%). • Basophils contain anticoagulant heparin which prevents blood from clotting too quickly. also contain histamine, which promotes blood flow to tissues. Lymphocyte • Lymphocytes are the smallest WBCs. • A small amount of cytoplasm and often a smooth, round nucleus. • Are the second most common white blood cells(20-50%). Monocyte • Monocytes are the largest type of WBCs. • They have a large placed nucleus, which is kidney bean shaped. • The cytoplasm is abundant, sky blue in colour. • They can ingest particles such as cellular debris, bacteria, or other insoluble particles . Red blood cells(erythrocytes) • Red blood cells are transporting oxygen from the lungs to all other parts of the body and returning carbon dioxide to the lungs . • They are biconcave discs. Platelets(thrombocytes) • Platelets are also apparent between the red cells containing small purple staining granules. • Platelets play a major role in blood clotting. Blood film Blood film :- is a thick or thin layer of blood smeared on a glass microscope slide and then stained in such a way as to allow the various blood cells to be examined microscopically. Blood film smear two types:- A- Thick Blood Smear B- Thin Blood Smear A- Thick Blood Smear Thick blood smears are most useful for detecting the parasite is causing the infection For a thick blood film:- 1-Placing a drop of the blood on a glass slide 2- Then spread the blood with the corner of another slide to make a square or a circular patch of moderate thickness (it should be possible to read through it). 3-Dry the slide, Thick films should not be fixed (to allow haemolysis)! 4- After that stained the slide with Romanowsky stain(Leishman stain) this stain is a mix of both acidic and basic dyes that are used to distinguish cellular components. 5-Viewed under a microscope using magnification up to 1000x. Thick blood smear B- Thin Blood Smear Thin blood smears helps to counted and differentiated cell For a thin blood film:- • 1-Thin Blood films are made by placing a drop of blood on one end of a slide, and using a spreader slide to disperse the blood over the slide's length. The aim is to get a region, called a monolayer. • 2-Then slide is left to air dry, after which the blood is fixed to the slide by immersing it briefly with methanol (The fixative is essential for good staining and presentation of cellular detail). • 3-After fixation, the slide is stained with Romanowsky stain (Leishman stain) to distinguish the cells from each other. • 4-Viewed under a microscope using magnification up to 1000x. Individual cells are examined and their morphology is characterized and recorded