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Figure 17.1 The major components of whole blood.
Formed elements Plasma • 55% of whole blood • Least dense component Buffy coat • Leukocytes and platelets • <1% of whole blood Erythrocytes 1 Withdraw blood and place in tube. Centrifuge the blood sample. 2 • 45% of whole blood • Most dense component
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b Globin chains Heme group a Globin chains (a) Hemoglobin consists of globin (two alpha and two beta polypeptide chains) and four heme groups. (b) Iron-containing heme pigment.
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Figure 17.5 Erythropoiesis: genesis of red blood cells.
Stem cell Committed cell Developmental pathway Phase 1 Ribosome synthesis Phase 2 Hemoglobin accumulation Phase 3 Ejection of nucleus Proerythro- blast Early erythroblast Late erythroblast Reticulo- cyte Erythro- cyte Hemocytoblast Normoblast
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Homeostasis: Normal blood oxygen levels
Stimulus: 1 Hypoxia (low blood O2- carrying ability) due to O2- carrying ability of blood increases. 5 • Decreased RBC count • Decreased amount of hemoglobin availability of O2 Enhanced erythropoiesis increases RBC count. 4 Kidney (and liver to a smaller extent) releases erythropoietin 2 Erythropoietin stimulates red bone marrow. 3
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Figure 17.7 Life cycle of red blood cells.
Low O2 levels in blood stimulate kidneys to produce erythropoietin. 1 Erythropoietin levels rise in blood. 2 Erythropoietin and necessary raw materials in blood promote erythropoiesis in red bone marrow. 3 New erythrocytes enter bloodstream; function about 120 days. 4 Aged and damaged red blood cells are engulfed by macrophages of liver, spleen, and bone marrow; the hemoglobin is broken down. 5 Figure Life cycle of red blood cells. Hemoglobin Heme Globin Bilirubin Iron stored as ferritin, hemosiderin Amino acids Iron is bound to transferrin and released to blood from liver as needed for erythropoiesis. Bilirubin is picked up from blood by liver, secreted into intestine in bile, metabolized to stercobilin by bacteria, and excreted in feces. Circulation Food nutrients, including amino acids, Fe, B12, and folic acid, are absorbed from intestine and enter blood. Raw materials are made available in blood for erythrocyte synthesis. 6
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Low O2 levels in blood stimulate kidneys to produce erythropoietin.
1 Erythropoietin levels rise in blood. 2 Erythropoietin and necessary raw materials in blood promote erythropoiesis in red bone marrow. 3 New erythrocytes enter bloodstream; function about 120 days. 4
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Figure 17.7 Life cycle of red blood cells (2 of 2).
Aged and damaged red blood cells are engulfed by macrophages of liver, spleen, and bone marrow; the hemoglobin is broken down. 5 Hemoglobin Heme Globin Bilirubin Iron stored as ferritin, hemosiderin Amino acids Iron is bound to transferrin and released to blood from liver as needed for erythropoiesis. Figure Life cycle of red blood cells (2 of 2). Bilirubin is picked up from blood by liver, secreted into intestine in bile, metabolized to stercobilin by bacteria, and excreted in feces. Circulation Food nutrients, including amino acids, Fe, B12, and folic acid, are absorbed from intestine and enter blood. Raw materials are made available in blood for erythrocyte synthesis. 6
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SICKLE CELL ANEMIA
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Differential WBC count (All total 4800 – 10,800/l) Formed elements Figure Types and relative percentages of leukocytes in normal blood. Platelets Granulocytes Neutrophils (50 – 70%) Leukocytes Eosinophils (2 – 4%) Basophils (0.5 – 1%) Erythrocytes Agranulocytes Lymphocytes (25 – 45%) Monocytes (3 – 8%)
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Leukocytes (a) Neutrophil; multilobed nucleus (b) Eosinophil;
bilobed nucleus, red cytoplasmic granules (c) Basophil; bilobed nucleus, purplish-black cytoplasmic granules (d) Small lymphocyte; large spherical nucleus (e) Monocyte; kidney-shaped nucleus
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Figure 17.10a Leukocytes. Neutrophil multilobed nucleus
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Figure 17.10b Leukocytes. Eosinophil bilobed nucleus, red
cytoplasmic granules
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Figure 17.10c Leukocytes. Basophil bilobed nucleus, purplish-black
cytoplasmic granules
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Figure 17.10d Leukocytes. Small lymphocyte large spherical nucleus
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Figure 17.10e Leukocytes. Monocyte kidney-shaped nucleus
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Figure 17.11 Leukocyte formation.
Stem cells Hemocytoblast Myeloid stem cell Lymphoid stem cell Committed cells Myeloblast Myeloblast Myeloblast Monoblast Lymphoblast Figure Leukocyte formation. Developmental pathway Promyelocyte Promyelocyte Promyelocyte Promonocyte Prolymphocyte Eosinophilic myelocyte Basophilic myelocyte Neutrophilic myelocyte Eosinophilic band cells Basophilic band cells Neutrophilic band cells Eosinophils Basophils Neutrophils Monocytes Lymphocytes (a) (b) (c) (d) (e) Agranular leukocytes Some become Granular leukocytes Some become Macrophages (tissues) Plasma cells
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Figure 17.12 Genesis of platelets.
Stem cell Developmental pathway Figure Genesis of platelets. Hemocyto- blast Promegakaryocyte Megakaryoblast Megakaryocyte Platelets
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Figure 17.13 Events of hemostasis.
Step Vascular spasm 1 • Smooth muscle contracts, causing vasoconstriction. Figure Events of hemostasis. Step Platelet plug formation 2 • Injury to lining of vessel exposes collagen fibers; platelets adhere. Collagen fibers • Platelets release chemicals that make nearby platelets sticky; platelet plug forms. Platelets Step Coagulation 3 • Fibrin forms a mesh that traps red blood cells and platelets, forming the clot. Fibrin
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Phase 1 Intrinsic pathway Extrinsic pathway Vessel endothelium ruptures, exposing underlying tissues (e.g., collagen) Tissue cell trauma exposes blood to Platelets cling and their surfaces provide sites for mobilization of factors Tissue factor (TF) XII Ca2+ Figure The intrinsic and extrinsic pathways of blood clotting (coagulation) (1 of 2). XIIa XI VII XIa VIIa IX Ca2+ IXa PF3 released by aggregated platelets VIII VIIIa IXa/VIIIa complex TF/VIIa complex X Xa Ca2+ V PF3 Va Prothrombin activator
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Prothrombin activator Phase 2 Prothrombin (II) Figure The intrinsic and extrinsic pathways of blood clotting (coagulation) (2 of 2). Thrombin (IIa) Phase 3 Fibrinogen (I) (soluble) Fibrin (insoluble polymer) Ca2+ XIII XIIIa Cross-linked fibrin mesh
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Septicemia
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