The circulatory system consists of the blood, blood vessels, and the heart
Blood is primarily a transport medium for substances to and from body tissues
Blood travels within five main types of vessels: arteries, arterioles, capillaries, venules, and veins
The pumping action of the heart circulates blood to the body's cells
The cardiovascular system refers only to the heart and blood vessels
Blood is considered a specialized type of connective tissue
Blood contains cells, cell fragments, ground substance (plasma), and dissolved protein fibers (fibrin strands during clot formation)
Blood transports oxygen, carbon dioxide, nutrients, hormones, and wastes
Circulating blood helps maintain homeostasis by regulating pH, adjusting body temperature, and maintaining osmotic pressure of cells
Blood can clot to prevent excessive loss from the cardiovascular system and helps protect the body against disease
Blood is a viscous substance that varies in color from bright scarlet to a dull purplish red depending on the oxygen it carries
The average volume of blood in the body is 5-6 L in adult males and 4-5 L in adult females
Blood has two components: formed elements (cells and cell fragments) and plasma
Formed elements in blood include red blood cells (erythrocytes), white blood cells (leukocytes), and platelets
Red blood cells are non-nucleated biconcave discs containing hemoglobin
White blood cells occur in various forms, with two major groups: granulocytes and agranulocytes
Wright's stain is the stain most commonly used to examine blood cells. This stain contains eosin,an acid dye, and methylene blue, a basic dye.
Nuclei, granules, and other cellular structures staindifferently with these dyes, a characteristic that helps in the identification of specific types of white bloodcells.
The most numerous cells are the red blood cells, which function in the transport of oxygen andcarbon dioxide.
RBCs appear as small, round, non-nucleated, biconcave discs about 7 - 8 μm in diameter.
Red blood cells have an affinity for eosin and usually stain red or pink.
The granulocytes are white blood cells that contain visible granules of different sizes and colors.
There are three types of granulocytes: neutrophils, eosinophils and basophils.
Neutrophils form 60 - 70% of the leukocyte population.
Neutrophils are phagocytic, functioning inthe destruction of pathogenic micro-organisms and other foreign matter.
Neutrophils range in size from10-12 μm in diameter and are easily identified by the nucleus which is normally segmented into three to sixlobes.
The neutrophil is so named because it reacts only weakly with either theacidic eosin or the basic methylene blue dyes of the Wright's stain
Eosinophils range from 10-12 μm in diameter and compose 2 - 4% of the leukocyte population
Eosinophils play a role in the control of local responses associated with allergic reactions. They are alsoimportant in the defense against multicellular parasites.
reddish-orange globular granules are evident in the cytoplasm. These granules have an affinity forthe eosin in the stain; hence, the term “eosinophil”
eosinophil's nucleus is usually segmented into two lobes
Basophils:
Form 0.5 - 1% of the leukocyte population
Involved in allergic reactions, releasing heparin and histamine that enhance the inflammatory response
Range from 8-10 μm in diameter
Contains large, dark purple granules that obscure the S-shaped nucleus
Granules have an affinity for the basic methylene blue dye, hence the term "basophil"
Agranulocytes:
White blood cells that lack visible cytoplasmic granules
Two types: lymphocytes and monocytes
Lymphocytes:
Most numerous of the agranular leucocytes, forming 20 - 25% of the leukocyte population
Produce antibodies and other agents involved in the immune process
Three sizes: small lymphocytes (6-9 μm), large lymphocytes (10-14 μm)
Nucleus is dark blue, round or oval in shape, may be slightly indented
Thin rim of pale to dark blue cytoplasm may be visible
Monocytes:
Largest of the white blood cells, compose 3 - 8% of the leukocyte population
About 12-20 μm in diameter
Highly phagocytic, often sprawled out on a smear with pseudopodia evident
Transform into macrophages after invading infected tissue sites
Macrophages can engulf large particles such as whole red blood cells, malarial parasites, and necrotic tissue
Nucleus is large, light staining, blue-violet, round, kidney-shaped, or convoluted
Large amount of cytoplasm present, may appear mottled due to vacuoles and lysosomes
Platelets:
Number about 150,000 to 400,000 per cubic millimeter of blood
Disc-shaped, 2-4 μm in diameter
Contain many granules but no nucleus
Help stop blood loss from damaged vessels by forming a platelet plug
Help promote blood clotting
The purpose of a differential white blood cell count is to determine the percentage of each of thefive types of leukocytes in a sample of blood.
Leukemia refers to a group of cancerous conditions characterized by an uncontrolled proliferation of leukocytes
Increased percentage of a particular cell type differentiates the variety of leukemia: granulocytic, lymphocytic, monocytic
In all leukemias, the bone marrow is occupied by cancerous leukocytes so other cell types are not formed