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Dr Sandeep singh
 Smear prepration.
 Types of WBC and their counts
 Applied aspects.
 To draw a peripheral blood smear, stain it
with Leishman's stain and do the
differential count( DLC) of the given
blood sample.
 Crucial in the body defense against pathogens
Capable of phagocytosis.
 These are complete cells, with a nucleus and
organelles
 They lack Hb so they are colorless (i.e. white)
 Able to move into and out of blood vessels
• Can respond to chemicals released by
damaged tissues.
•Granules in their cytoplasm can be stained
inflammatory and allergic reactions.
• Neutrophils, Eosinophil, and Basophils
Agranulocytes
Lack visible cytoplasmic granules
Lymphocytes and Monocyte
 Normal levels =4,000 to 11,000 cells/mm3
Abnormal leukocyte levels
 Leucocytosis -Above 11,000 leukocytes/ml
Generally indicates an infection / Leukemia
• Leucopenia - low leukocyte level
Commonly caused by certain drug

Differential leukocyte count is performed on stained
blood film.
 Material required
 Glass slides
 Blood sample
 Leishman's stain
 Buffer water (pH = 6.8)
 Cedar wood oil
 Microscope with oil immersion objective
 Place a small drop of blood on one end of a clean slide, in
the middle. Hold a second slide (i.e., spreader) above the
first, right angle of 30 to 450.
 Move the spreader forward rapidly, thus spreading the
blood over the slide in a thin film.
 Leave the slide to air dry. A properly made film should dry
quickly; if the film is not dried rapidly there will be
rouleaux formation of RBC and the cells will appear
shrunken.
 A good blood film should not cover the entire surface of the
slide. It should be even, smooth and should be having three
parts i.e., head, body and tail.
 Dried film should be stained with Leishman's stain.
 Pour the Leishman's stain over the film to cover it completely. Keep it for two
minutes.
 After one minute, buffer water is added gently to the stain already on the blood
film to cover the slide completely (it is approximately double the volume of
stain).
 Allow the diluted stain to act for about 8 to 10 minutes.
 Wash the film in buffer water or distilled water. The film should be rose pink in
colour.
 Allow the film dry and focus under low power of microscope. Then put a drop
of cedar wood oil and see under oil immersion objective.
 Count the WBCs in a zig-zag fashion across the breadth of film, in the body
and tail junction area of film, until 100 leukocytes are counted.
 To record them draw a large square and divide it into 100 small squares.
Identify one cell and write in each square. Count different WBCs coming
across. The result thus obtained is directly in percentage.
N
L
RESULT:
Polymorph % =
Lymphocyte % =
Eosinophil % =
Monocyte % =
Basophil % =
differentialleucocytecount.pptx
differentialleucocytecount.pptx

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differentialleucocytecount.pptx

  • 2.  Smear prepration.  Types of WBC and their counts  Applied aspects.  To draw a peripheral blood smear, stain it with Leishman's stain and do the differential count( DLC) of the given blood sample.
  • 3.  Crucial in the body defense against pathogens Capable of phagocytosis.  These are complete cells, with a nucleus and organelles  They lack Hb so they are colorless (i.e. white)  Able to move into and out of blood vessels • Can respond to chemicals released by damaged tissues.
  • 4.
  • 5. •Granules in their cytoplasm can be stained inflammatory and allergic reactions. • Neutrophils, Eosinophil, and Basophils
  • 6. Agranulocytes Lack visible cytoplasmic granules Lymphocytes and Monocyte
  • 7.  Normal levels =4,000 to 11,000 cells/mm3 Abnormal leukocyte levels  Leucocytosis -Above 11,000 leukocytes/ml Generally indicates an infection / Leukemia • Leucopenia - low leukocyte level Commonly caused by certain drug
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  • 13.  Differential leukocyte count is performed on stained blood film.  Material required  Glass slides  Blood sample  Leishman's stain  Buffer water (pH = 6.8)  Cedar wood oil  Microscope with oil immersion objective
  • 14.  Place a small drop of blood on one end of a clean slide, in the middle. Hold a second slide (i.e., spreader) above the first, right angle of 30 to 450.  Move the spreader forward rapidly, thus spreading the blood over the slide in a thin film.  Leave the slide to air dry. A properly made film should dry quickly; if the film is not dried rapidly there will be rouleaux formation of RBC and the cells will appear shrunken.  A good blood film should not cover the entire surface of the slide. It should be even, smooth and should be having three parts i.e., head, body and tail.  Dried film should be stained with Leishman's stain.
  • 15.  Pour the Leishman's stain over the film to cover it completely. Keep it for two minutes.  After one minute, buffer water is added gently to the stain already on the blood film to cover the slide completely (it is approximately double the volume of stain).  Allow the diluted stain to act for about 8 to 10 minutes.  Wash the film in buffer water or distilled water. The film should be rose pink in colour.  Allow the film dry and focus under low power of microscope. Then put a drop of cedar wood oil and see under oil immersion objective.  Count the WBCs in a zig-zag fashion across the breadth of film, in the body and tail junction area of film, until 100 leukocytes are counted.  To record them draw a large square and divide it into 100 small squares. Identify one cell and write in each square. Count different WBCs coming across. The result thus obtained is directly in percentage.
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  • 19. N L RESULT: Polymorph % = Lymphocyte % = Eosinophil % = Monocyte % = Basophil % =