Jessica Anderson 3/30/14 Medical Nutrition Therapy Hematology Terminology Agranulocytosis – failure of the bone marrow to make enough white blood cells; acure condition marked by a severe depression of the bone marrow, which produces white blood cells, and by prostration, chills, swollen neck, and sore throat sometimes with local ulceration. Aleukemic Leukemia – a type of leukemia in which the total leukocyte count remains within normal limits or is low and few abnormal forms appear in the peripheral blood; diagnosis requires bone marrow biopsy; it occurs in 30% of all patients with leukemia, regardless of the specific type Anisocytosis – variation in the size of cells that are normally uniform, especially red blood cells Anoxemia – absence of oxygen in the arterial blood; formerly often used to include moderate decrease in oxygen now properly distinguished as hypoxemia Aplasia – lack of development of an organ or tissue; defective development or complete absence of an organ due to failure of development of the embryonic tissues or cells – hematologic disorder in which the normal progression of cell generation and development does not occur Basket Cell – neuron of the cerebral cortex whose fibers form a basket-like nest in which the Purkinje cell rests Blood Dyscrasia – diseased state of the blood, usually one in which the blood contains permanent abnormal cellular elements Chemotaxis – movement toward or away from a chemical stimulus; cellular function, particularly of neutrophils and monocytes, whose phagocytic activity is influenced by chemical factors released by invading microorganisms Coagulation Time – time required for blood to coagulate in a glass tube; measure of the intrinsic system of coagulation; blood maintained at constant temperature and examined regularly until clotting occurs; less sensitive and less often used than the activation coagulation time. Cocatalyst – either of a pair of catalysts that improve each others catalytic activity Complete Blood Count – combination of totals from the red blood cell count, white blood cell count, erythrocyte indices, hematocrit, and differential blood count (i.e. blood profile) Dyscrasia – any morbid general state resulting from the presence of abnormal material in the blood, usually applied to diseases affecting blood cells or platelets Erythremia – chronic form of polycythemia of unknown cause, characterized by an increase in blood volume and red blood cells, bone marrow hyperplasia, redness or cyanosis of the skin, and enlargement of the spleen (AKA Olser-Vaquez disease) Erythrogenic – producing erythrocytes; causing inflammation and reddening of the skin Erythropenia – deficiency in the number of erythrocytes (red blood cells) Extrinsic – of external origin; of or relating to an organ or structure, especially muscle, originating outside the part where it is found or upon which it acts; adventitious Fragility Test – test to measure the resistance of red blood cells (erythrocytes) to hemolysis in hypotonic solutions Hematology – branch of medical science dealing with the blood and blood-forming tissues, including morphology, physiology, and pathology Hematoma- accumulation of clotted blood that develops within an open body space, organ, or tissue as a result of damage to a blood vessel Hemoglobinuria – presence of free hemoglobin in the urine Hemolysis – breakdown of red blood cells and the release of hemoglobin that occurs normally at the end of the lifespan of a red blood cell Hemoptysis- coughing up of blood or bloody sputum from the lungs or airway; defined by 200-600mL of blood coughed up within a period of 24 hours or less Intravascular – within a blood vessel (one or more) *Isotonic – having equal tension; denoting solutions possessing the same osmotic pressure; same osmotic pressure as body fluids Jaundice – condition in which a person’s skin and the whites of the eyes are discolored yellow due to an increased level of bile pigments in the blood resulting from liver disease (sometimes called icterus) Karyolysis – dissolution of a nucleus of a cell by swelling and loss of affinity of its chromatin for basic dyes Macrocyte – abnormally large erythrocyte; especially one associated with pernicious anemia (commonly seen within megaloblastic anemia’s) Mean Corpuscular Hemoglobin (MCH) – expression of the average hemoglobin content of a single cell in picograms, obtained by multiplying the hemoglobin in grams by 10 and dividing by the number of erythrocytes (in millions) Mean Corpuscular Volume (MCV) – average volume of erythrocytes, conventionally expressed in cubic micrometers per red cell; obtained by multiplying the hematocrit by 1000 and dividing by the red cell count (in millions) Megaloblast – abnormally nucleated red blood cell found especially within pernicious anemia or in certain vitamin deficiencies Normoblast – nucleated red blood cell, the immediate precursor of a normal erythrocyte in humans (immature); found in bloodstream in severe pernicious anemia and in some leukemias Pernicious Anemia – disease in which the red blood cells are abnormally formed, due to an inability to absorb vitamin B12; true pernicious anemia refers to a disorder of atrophied parietal cells leading to absent intrinsic factor, resulting in an inability to absorb B12 Poikilocytosis – presence of polikilocytes in blood of erythocytes showing abnormal variation in shape Purpura – condition characterized by hemorrhages in the skin and mucous membranes that result in the appearance of purplish spots or patches; caused by leakage of blood out of a vessel and under the skin Sedimentation Rate – degree of rapidity with which red blood cells sink in a specimen of drawn blood, which when elevated may indicate anemia or inflammation (AKA erythrocyte sedimentation rate) Sickle Cell Anemia – chronic, usually fatal inherited form of anemia marked by cresent shaped red blood cells, occurring almost exclusively in Black, and characterized by fever, leg ulcers, jaundice, and episodic pain in the joints Target Cell – red blood cell having a dark center surrounded by a light band that is itself encircled by a darker ring, and occurring in certain anemias and after splenectomy; cell selectively affected by particular agent, such as virus, drug, or hormone Xanthochromia – pale yellow or straw-colored discoloration of cerebrospinal fluid; caused by presence of hemoglobin breakdown products, indicating that the cerebrospinal fluid has contained blood in the recent past (hemorrhage of the CNS and due to presence of Xanthermatin)