1 / 68

Kennsla í blóðfræði II. hluti

Kennsla í blóðfræði II. hluti. Bergljót Halldórsdóttir, lífeindafræðingur. 10. Tilfelli : Veirusýking (Reactive lymphocytosis) Blóðhagur: Viðmiðunarmörk HBK 12.1 x 10 9 /l 3.8 – 10.2 x 10 9/ l

robyn
Download Presentation

Kennsla í blóðfræði II. hluti

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Kennsla í blóðfræði II. hluti Bergljót Halldórsdóttir, lífeindafræðingur

  2. 10. • Tilfelli: Veirusýking (Reactive lymphocytosis) • Blóðhagur: Viðmiðunarmörk • HBK 12.1 x 109/l 3.8 – 10.2 x 109/l • RBK 3.67 x 1012/l 4.2 – 5.9 x 1012/l • Hb 120 g/l 130 – 175 g/l karlar • 118 – 158 g/l konur • Hct 0.360 l/l 0. 368 – 0.512 l/l • MCV 98 fl 80 – 96 fl • MCH 32.7 pg 26.0 – 32.4 pg • MCHC 333 g/l 323 – 354 g/l • RDW 16.7 10.9 – 15.7 • BFL 200 x 109/l 150 – 400 x 109/l

  3. Reaktivir lymfócytar Stækkun x 400

  4. Reaktivir lymfócytar Stækkun x 400

  5. Reaktivir lymfócytar Stækkun x1000

  6. Reaktivir lymfócytar Stækkun x 1000

  7. Deyjandi reaktivur lymfócyt. Hefur lokið vinnu sinni. Stækkun x 1000

  8. Reaktivir lymfócytar annar deyjandi. Stækkun x 400

  9. Tveir reaktivir lymfócytar og einn neutrófíl stafur. Stækkun x 1000

  10. Reaktivur lymfócyt Stækkun x 1000

  11. Reaktivur lymfócyt Stækkun x 1000

  12. Reaktivur lymfócyt Stækkun x 1000

  13. Blóðstrok BFL: Eðlilegar RBK: Anisocytosis+, poikylocytosis+ HBK: Deilitalning: 20% stafir, 13% segm, 67% lymphocytar (þar af 60% lymphocyta reaktívir)

  14. 11. Tilfelli: Bakteríusýking (Reactive granulocytosis) Blóðhagur: Viðmiðunarmörk HBK 39.9 x 109/l 3.8 – 10.2 x 109/l RBK 3.93 x 1012/l 4.2 – 5.9 x 1012/l Hb 131 g/l 130 – 175 g/l karlar 118 – 158 g/l konur Hct 0.397 l/l 0.368 – 0.512 l/l MCV 98 fl 80 – 96 fl MCH 33.3.pg 26.0 – 32.4 pg MCHC 329 g/l 323 – 354 g/l RDW 12.9 10.9 – 15.7 BFL 398 x 109/l 150 – 400 x 109/l

  15. Bakteríusýking blóðstrok Stækkun x 400

  16. Bakteríusýking blóðstrok Stækkun x 1000 Döhle bodies

  17. Vakúólur í umfrymi granúlócyta. Stækkun x 1000

  18. Döhle bodies og toxiskar granúlur í umfrymi. Stækkun x 1000

  19. Bakteríusýking blóðstrok. Döhle bodies, vacúólur. Stækkun x 1000

  20. Bakteríusýking blóðstrok. Döhle bodies og vacúólur. Stækkun x 1000

  21. Blóðstrok: BFL: Vægt auknar RBK: Anisocytosis+, poikylocytosis+ HBK: Deilitalning: 45% stafir, 53% segment, 1% lymphocytar, 1% monocytar Mjög mikil vinstri hneigð þ.e.fjölgun á stöfum Vacuolur sjást í umfrymi granúlócyta Toxiskar granúlur og Döhle bodies sjást einnig í umfrymi granúlócyta

  22. 12. Tilfelli: Blóðhagur: Viðmiðunarmörk HBK 80 x 109/l 3.8 – 10.2 x 109/l RBK 4.66x1012/l 4.2 – 5.9 x1012/l Hb 112 g/l 130 - 175 g/l karlar 118 – 158 g/l konur Hct 0.350 l/l 0.368 –0. 512 l/l MCV 75 fl 80 – 96 fl MCH 24.0 pg 26.0 - 32.4 pg MCHC 320 g/l 323 – 354 g/l RDW 12.5 10.9 – 15.7 BFL 120 x 109/l 150 – 400 x109/l Krónískt eitlahvítblæði (Chronic lymphocytic leukemia) CLL

  23. Klessufrumur CLL blóðstrok Stækkun x 400

  24. Klessufrumur CLL blóðstrok Stækkun x 1000

  25. Klessufrumur CLL blóðstrok Stækkun x 1000

  26. CLL blóðstrok Stækkun x 1000

  27. Cll mergur Stækkun x 1000

  28. Blóðstrok: BFL: Í færra lagi RBK: Poikilocytosis+, Hypochromia++, microcytosis+++ HBK: Gífurlega aukin. Deilitaling: 3% segment, 97% lymphocytar (þar af 10% “klessufrumur”) Mergstrok:Pakkaður af fullþroska lymphocytum

  29. 13. Tilfelli: Bráða eitlahvítblæði (Akute lymphoblastic leukemia) ALL Blóðhagur: Viðmiðunarmörk HBK 89 x 109/l 3.8 – 10.2 x 109/l RBK 3.38 x 1012/l 4.2 – 5.9 x1012/l Hb 84 g/l 130 - 175 g/l karlar 118 – 158 g/l konur Hct 0.260 l/l 0.368 –0.512 l/l MCV 77 fl 80 – 96 fl MCH 24.9 pg 26.0 - 32.4 pg MCHC 323 g/l 323 – 354 g/l RDW 12.5 10.9 – 15.7g BFL 20 x 109/l 150 – 400 x109/l

  30. ALL blóðstrok Stækkun x 400

  31. All blóðstrok Stækkun x 1000

  32. All blóðstrok Stækkun x 1000

  33. All mergur Stækkun x 1000

  34. All mergur Stækkun x 1000

  35. Blóðstrok Blóðflögur: Fáar RBK: Anisocytosis+, poikilocytosis+ HBK: Veruleg aukning. Deilitalning: 95% blastar, 5% lymfócytar Mergstrok: Mergur pakkaður af blöstum Minnkað hlutfall fitu og mergs

  36. 14. Tilfelli: Krónískt hvítblæði (Chronic myelogen leukemia) CML Blóðhagur: Viðmiðunarmörk HB 99 x 109/l 3.8 – 10.2 x 109/l RBK 3.04 x 1012/l 4.2 – 5.9 x1012/l Hb 84 g/l 130 - 175 g/l karlar 118 – 158 g/l konur Hct 0.276 l/l 0.368 –0. 512 l/l MCV 91 fl 80 – 96 fl MCH 27.5 pg 26.0 - 32.4 pg MCHC 303 g/l 323 – 354 g/l RDW 20 10.9 – 15.7 BFL 30 x 109/l 150 – 400 x 109/l

  37. CML blóðstrok Stækkun x 400 CM

  38. CML blóðstrok Stækkun x 400

  39. CML blóðstrok Stækkun x 1000

  40. CML blóðstrok Stækkun x 1000

  41. CML blóðstrok Stækkun x 1000

  42. CML blóðstrok Stækkun x 1000

  43. CML blóðstrok Stækkun x 1000

  44. CML blóðstrok Stækkun x 1000

  45. CML blóðstrok Stækkun x 1000

  46. CML blóðstrok Stækkun x 1000

  47. Blóðstrok: BFL: Fækkaðar RBK: Anisocytosis+, poikylocytosis+++, dropafrumur++, spherocytar +, polychromasia+ HBK: Veruleg aukning á öllum forstigum granúlócyta. Deilitalning: 2% myeloblastar, 2% promyelocytar, 23% myelocytar, 15% metamyelocytar, 24% stafir, 33% segment, 1% lymphocytar Normóblastar: 2 á hundrað talin HBK Mergur: Gríðarlega hypercellular (öll forstig) Deilitalning svipuð og í eðlilegum merg

  48. CML mergur Stækkun x 1000

  49. 15. Tilfelli: Bráða hvítblæði (Akute myelogen leukemia) AML Blóðhagur: Viðmiðunarmörk HBK 150 x 109/l 3.8 – 10.2 x 109/l RBK 2.35 x 1012/l 4.2 – 5.9 x1012/l Hb 80 g/l 130 - 175 g/l karlar 118 – 158 g/l konur Hct 0.240 l/l 0.368 –0. 512 l/l MCV 102 fl 80 – 96 fl MCH 34 pg 26.0 - 32.4 pg MCHC 333 g/l 323 – 354 g/l RDW 12.9 10.9 – 15.7 BFL 10 x 109/l 150 – 400 x109/l

  50. AML blóðstrok Stækkun x 400

More Related