[LESSON 1] Platelet Counting

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Crystal Violet (stain) 40% formalin 0.2 mL Sodium citrate 100 mL

Guy and Leake's method diluting fluid composition

2000

Guy and Leake's method's correction factor

Colorless, refractive bodies

Platelets appear _________ in Ammonium oxalate method

Lilac refractive bodies

Platelets appear as _____________ in Guy and Leake's method

Azure granules with scantly light blue cytoplasm

Platelets appear as ________________ when stained

Light blue

Platelets are stained _________ in Rees-Ecker method

Dust Dirt Bacteria Other debris

Platelets cannot be easily differentiated from _______, _______, _______, and _______

Brilliant Cresyl Blue (stain) 0.1 gm 40% formalin 0.2 mL Sodium citrate 100 mL

Rees-Ecker method diluting fluid composition

No. of cells/mm3 = cells counted x 2000

Rees-Ecker method formula

First 30 minutes

Some diluted specimen is only stable for the _____________

1. Platelet count simply platelet aggregation and clotting 2. Imperfect sources of blood 3. Procedure during blood collection 4. Blood in EDTA kept at 20 C is satisfactory only within 5 hours after collection 5. Some diluted specimen is only stable for the first 30 minutes

Sources of error in platelet counting

Punctured

The reservoir in the unopette system is _________ to open access to the reagent

Unopette method

A method that utilizes a premeasured volume of diluent in a chamber into which a specified amount of blood is drawn

<100 platelets

(Brecker-Cronkite method platelet count) Add more squares until 100 platelets are recorded

>50 platelets

(Brecker-Cronkite method platelet count) In 50 RBC squares, repeat procedure with 1:20/1:10 dilution with WBC pipette

>10 platelets

(Brecker-Cronkite method platelet count) Repeat mixing and charging to verify the test

Unopette system

A system of prefilled blood dilution vials containing solutions that will preserve certain cell types while lysing others

+- 10 platelets

Allowable platelet difference on each counting chamber in Brecker-Cronkite method

No. of cells/mm3 = cells counted x 1000

Ammonium oxalate method formula

EDTA

Anticoagulant used in platelet counting

5 hours

Blood in EDTA kept at 20 C is satisfactory only within _______ hours after collection

Ammonium oxalate

Diluting fluid used in Ammonium oxalate method

1% Ammonium oxalate

Diluting fluid used in Brecker-Cronkite method

1:100 dilution

Dilution of Ammonium oxalate method

1:100 dilution

Dilution of Brecker-Cronkite method

1:200 dilution

Dilution of Rees-Ecker method

Rees-Ecker Guy and Leake's Brecker-cronkite Uniopette Van-Allen's

Direct methods of platelet counting

25 RBC squares only

In Guy and Leake's method, platelets are counted in __________

All tertiary 25 squares of the central secondary square with 1mm2 area

In the Ammonium oxalate method, platelets are counted in ______________

All 10 RBC squares of each counting chamber (total of 20 RBC squares)

In the Brecker-Cronkite method, platelets are counted in ______________

All tertiary 25 squares of the central secondary square with 1mm2 area

In the Rees-Ecker method, platelets are counted in ______________

Type of capillary used

In the unopette method, dilution is determined by the _________ since each type have different volumes

Hemocytometer chamber

In the unopette method, the diluted blood is added to a _____________ and cells are counted in a specified area

Dameshek Fonio's Olef Smear estimation

Indirect methods of platelet counting

Platelets

They are characterized by a tendency to aggregate and adhere to foreign surfaces

Platelets

They are small, anucleate, colorless, moderate refractile bodies

Unopette test system

This consists of a self-filling capillary pipette; a straight, thin-wall, uniform-bore plastic capillary tube fitted into a plastic holder; and a plastic reservoir containing a premeasured volume of reagent for diluting

True

True of False: Platelets adhere to glass surfaces / any foreign body

True

True or False: Platelets integrate easily when exposed to air


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