Cytology · MU Pleven

Topic 34 - Blood and lymph – blood and lymph plasma: contents, antibodies.

Covers blood as a specialised connective tissue, its main functions and the composition of whole blood, then goes into plasma in detail: its water, protein, electrolyte and nutrient content, osmotic pressure and pH, and the plasma proteins including albumins, globulins, fibrinogen and lipoproteins. The note also describes the formed elements, with figures for erythrocytes, leukocytes and platelets, and includes one picture of the leukocyte types.

Inside: 7 sections · 1 labelled picture · 15 flashcards · 5 min

Topic 34 of 59 in the MU Pleven syllabus for Cytology (Medicine, Year 1). The free AceMed note covers it in 7 sections, about 692 words (5 min of reading), with 15 flashcards.

In this note

  1. TOPIC 34 - Blood and lymph – blood and lymph plasma: contents, antibodies.
  2. Blood as a tissue
  3. Functions of blood:
  4. Blood plasma
  5. Erythrocytes (RBC)
  6. Leukocytes (WBC)
  7. Thrombocytes (Platelets)

Blood as a tissue

  • Specialised form of CT
  • Liquid intercellular substance – plasma
  • Formed elements of blood (blood cells):
  • Erythrocytes (RBC) (96%)
  • Leukocytes (WBC) (3%)
  • Thrombocytes (Platelets) (1%)

Functions of blood:

  1. 1. Transports nutrients, gases, hormones and waste products of metabolism
  2. 2. Removes toxins from the body
  3. 3. Maintain body temperature
  4. 4. Buffer – pH control and homeostasis
  5. 5. Defence – leukocytes and antibodies
  6. 6. Blood clotting – prevention of haemorrhage

Composition of blood:

  • 4.6 litres in man (7-8% of body weight)
  • Plasma 55%
  • Blood cells 45%

Haematocrit:

  • 0.4-0.5 in men
  • 0.35-0.45 in women

Blood plasma

  • 55% of whole blood

Composition:

  • 92% water
  • 7-8% proteins
  • 1-2% electrolytes
  • nutrients (glucose, amino acids, fatty acids, vitamins, gases, metabolites)
  • Osmotic pressure – 0.85% NaCl
  • pH: 7.35-7.45

Serum = plasma – fibrinogen

  • Plasma proteins:
  • Albumins (60% - maintain osmotic pressure)
  • Globulins - α, β, γ (20%)
  • Fibrinogen – blood clotting
  • Lipoproteins – LDL, HDL
  • Complement proteins

Erythrocytes (RBC)

  • Total number – 25 × 10¹²/L blood (~4–6 million/mm³)
  • Size: 7.5 ± 0.5 μm
  • Diameter: 0.8 μm in centre; 2.6 μm at rim
  • Total surface: 140 μm² (≈ 2500 m² total)
  • Life cycle in blood – 120 days (140 in men; 109 in females)
  • Flexible, biconcave discs, allowing movement through capillaries
  • Lack nucleus
  • Haemoglobin makes up 90% of dry content: 120–180 g/L
  • Haemoglobin types:
  • HbA1 (96–97%)
  • HbA2 (2%)
  • HbF (1–2% in newborns; 80% in adults)
  • HbS – sickle cell anaemia
  • Plastic plasmalemma (membrane):
  • 40% lipids – including phospholipids, glycolipids, and cholesterol
  • 50% proteins – most are integral membrane proteins
  • 10% carbohydrates
  • Main function:
  • O₂ – oxyhaemoglobin
  • CO – carboxyhaemoglobin
  • CO₂ – carbaminohaemoglobin

Reticulocytes

  • Young erythrocytes = polychromatophilic erythrocytes
  • Morphological characteristics:
  • Reticular network of rRNA polyribosomes
  • Basophilic nuclear fragments of DNA
  • Mitotic spindle remnants

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