AVINASH
BVN13007
MORPHOLOGY
OF RED BLOOD
CELL.
Erythrocytes
INTRODUCTION:-
Red cell morphology can be defined as the
appearance of the erythrocytes on a Giemsa
stained smear.
Careful examination of the red cells for the
purpose of identifying abnormalities is part
of the differential procedure.
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Why?
Differentiating normal morphology from
abnormal and artificial morphology.
Provide valuable diagnostic information to
the physician,
Provide a quality control mechanism to
verify red cell indices values as determined
by automated or manual methods.
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How:-
Assess RBC morphology by examining the
smear in the feathered (thinner) edge where
the RBC are randomly distributed and, for
the most part, lie singly, with occasional
doublets.
This area is referred to as the "critical area."
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How:-
If the area is too thin, the red cells will
appear flat and somewhat square
(cobblestone effect) with no central pallor.
If the area examined is too thick, the cells will
be too close together to evaluate the
morphology of individual cells.
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How
To begin the red cell morphology
examination, use the low power (10X)
objective to locate the "critical area."
The oil immersion objective (100X) is used
for the actual evaluation.
FUNCTIONAL MORPHOLOGY.
Like other cells
bounded by cell
membrane but Non-
Nucleated.
Cytoplasm contains
pigmented protein –
Haemoglobin
It is Chromoprotein –
colour giving protein.
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NORMAL SIZE
Diameter – 4.1-7.5 μm
Thickness – 2 μm at
periphery & 1 μm at
center
Surface area – 57-140
μm
2
Lowest in Goat
Highest in Man
Volume - 80 μm
3
(78-86)
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Diameter of RBC in various species:-
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Species Size (μm)
GOAT 4.1
SHEEP 5.0
CATTLE & HORSE 5.6
PIG 6.2
CAT 6.5
DOG 7.3
MAN 7.5
NORMAL SHAPE
Circular, biconcave disc.
Advantages of biconcave shape –
Flexible , capillaries minimum
diameter – 3.5 μm.
Greater surface area
Can withstand changes of osmotic
pressure
Allow easy exchange of O2 & CO2 &
rapid diffusion of other substances.
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SHAPE OF RBC ACCORDING TO
DIFFERENT SPECIES :-
DOG :- Cells are large (7.3microns),uniform
in size and have central pallor (biconcave
disc).
COW:- Average diameter is 5.6-6 microns .
Red cells may appear flat disc with little or
no central depression (no central pallor).
SHEEP:- Average diameter 5.0 microns ,flat
disc ,with little central depression
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Cont…
CAT:- Cells average 6.5 microns in diameter
,Shallow concaving ,only very slight central
pallor , slight anisocyte (variation in size of
RBC) . Up to 1 % of the cells may contain
Howell-jolly bodies(nuclear remnants ) .
HORSE:- Erythrocyte have rouleaux formation,
Shallow concaving ,Average diameter 5.6
microns ,uniform in size no central pallor .
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CAT HORSE
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Cont…
GOAT:- Erythrocyte are the smallest 4
microns and most variables in shape ,very
shallow or flate surfaced RBC.
CAMEL :- Erythrocytes normal elliptical in
shape and lake of cental depression .
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CAMEL
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Cont…
DEER:- Sickle shaped.
POULTRY ( COLD BLOODED ANIMALS):-
Amphibians and birds have mature
erythrocyte is elliptical cell with an elliptical
central nucleus .
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DEER BIRDS
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Erythrocyte
Indices
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RED CELL INDICES
Mean corpuscular
volume
Mean corpuscular
Haemoglobin
Mean corpuscular
haemoglobin
concentration.
Colour index.
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MEAN CORPUSCULAR VOLUME
Average volume of single red
blood cell.
MCV = PCV x 10
--------------
RBC count/mm3
= 45X10/5 = 90 μm3
Normal value 78-94 μm3
Decreased in Microcytosis
Increased in Macrocytosis
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MEAN CORPUSCULAR
HAEMOGLOBIN
Average weight of haemoglobin in each RBC
MCH = Hb gm% X 10
-----------------
RBC count/mm3
= 15X10/5X10
12
= 30 pg
normal range – 27-33 pg
Increases – Spherocytosis & megaloblastic anaemia
Decreases - anaemia
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MEAN CORPUSCULAR
HAEMOGLOBIN CONCENTRATION.
Amount of Hb expressed as percentage of the volume
of RBC.
MCHC = Hb gm%
------------------- X 100
PCV/100ml
= 15/45 X 100 = 33.3%
Normal value – 30-33%
Decreases – Iron deficiency anaemia
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COLOUR INDEX.
Ratio of Haemoglobin to RBC
CI = % of normal Hb
---------------------
% of normal RBC count
= 100/100 = 1
Normal range= 0.85-1.15
Insignificant
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REFRENCES:-
VETERINARY CLINICAL PATHOLOGY
4
TH
EDITION
EMBERT H. COLES
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