Haemocytometry
Ravi Kumudesh
MSc/BSc/Dip(MLT)
Sri Lanka Society for Medical Laboratory Science
1
Hemocytometry
• Hemocytometer
• RBC and WBC
• Thoma pipet
• Unopette
• Dilution problem
• Microscopy
2
Sri Lanka Society for Medical Laboratory
Science
Red Cell and White Cell Counts
• RBC problem: anemia, polycythemia
• WBC problem: leukocytosis, leukopenia
• RBC reference ranges
• Male 4.50 - 6.00 x 106
/µL (x 1012
/L)
• Female 3.70 - 5.20 x 106
/µL (x 1012
/L)
• WBC reference range
• Both 5.0 - 10.0 x 103
/µL (x 109
/L)
3
Sri Lanka Society for Medical Laboratory
Science
Diluting Fluid
• For RBC
– Physiologic saline (0.8% NaCl)
– Hayem’s solution
– Reese-Ecker
• For WBC
– 3% Acetic acid
– 0.1 N HCl
4
Sri Lanka Society for Medical Laboratory
Science
Thoma Pipet
• RBC
– Aspirate to 0.5 or 1.0
– Dilute to 101
– DF = 200 or 100
• WBC
– Aspirate to 0.5 or 1.0
– Dilute to 11
– DF = 20 or 10
• Discard volume of one (1) in
the stem
5
Sri Lanka Society for Medical Laboratory
Science
6
Sri Lanka Society for Medical Laboratory
Science
Improved Neubauer Hemocytometer
7
Sri Lanka Society for Medical Laboratory
Science
Hemocytometer Chamber
• Depth = 0.1 mm
• Grids
– RBC use 5 small squares
in the center large square
– WBC use 4 corner large
squares
– Unopette for WBC use all
9 large squares
8
Sri Lanka Society for Medical Laboratory
Science
Hemocytometer
Chamber
9
Sri Lanka Society for Medical Laboratory
Science
Counting Rule
• Do not count cells touching
– Bottom line
– Right line
10
Sri Lanka Society for Medical Laboratory
Science
11
Sri Lanka Society for Medical Laboratory
Science
12
Sri Lanka Society for Medical Laboratory
Science
RBC Example…
• Aspirate blood to 0.5, then dilute to 101
• DF = 200
• Counted 500 erythrocytes in 5 small squares
RBC = 500 rbc x 25 Sm Sq x DF (200)
5 Sm Sq 0.1 mm3
= 5.00 x 106
/mm3
(µL)
13
Sri Lanka Society for Medical Laboratory
Science
14
Sri Lanka Society for Medical Laboratory
Science
WBC Example…
• Aspirate blood to 0.5, then dilute to 11
• DF = 20
• Counted 160 leukocytes in 4 large squares
WBC = 160 wbc x 1 Lg Sq x DF (20)
4 Lg Sq 0.1 mm3
= 8.0 x 103
/mm3
(µL)
15
Sri Lanka Society for Medical Laboratory
Science
Unopette
• Self-contained reservoir and 20 µL pipet
• Ammonium oxalate diluent
• DF = 100
• Count leukocytes in all 9 large squares
• Special formula to facilitate calculation
16
Sri Lanka Society for Medical Laboratory
Science
Unopette
17
Sri Lanka Society for Medical Laboratory
Science
Unopette WBC Example…
• Counted 70 leukocytes in 9 large squares
• Add 10% of count
• Multiply by DF
WBC = (70 wbc + 7 wbc) x DF (100)
mm3
= 7.7 x 103
/mm3
= 7.7 x 109
/L
18
Sri Lanka Society for Medical Laboratory
Science
Compound
Microscope
• Ocular (adjustable
binocular)
• Mechanical stage
• Condenser
• Objectives (parfocal)
19
Sri Lanka Society for Medical Laboratory
Science
Care of Microscopes
• Carry with care
• Protect long objective lens
• Clean and disinfect stage
• Wipe oil off OIL
• Save lamp life
20
Sri Lanka Society for Medical Laboratory
Science
Sri Lanka Society for Medical Laboratory
Science
21

Haemocytometry by Ravi Kumudesh

  • 1.
    Haemocytometry Ravi Kumudesh MSc/BSc/Dip(MLT) Sri LankaSociety for Medical Laboratory Science 1
  • 2.
    Hemocytometry • Hemocytometer • RBCand WBC • Thoma pipet • Unopette • Dilution problem • Microscopy 2 Sri Lanka Society for Medical Laboratory Science
  • 3.
    Red Cell andWhite Cell Counts • RBC problem: anemia, polycythemia • WBC problem: leukocytosis, leukopenia • RBC reference ranges • Male 4.50 - 6.00 x 106 /µL (x 1012 /L) • Female 3.70 - 5.20 x 106 /µL (x 1012 /L) • WBC reference range • Both 5.0 - 10.0 x 103 /µL (x 109 /L) 3 Sri Lanka Society for Medical Laboratory Science
  • 4.
    Diluting Fluid • ForRBC – Physiologic saline (0.8% NaCl) – Hayem’s solution – Reese-Ecker • For WBC – 3% Acetic acid – 0.1 N HCl 4 Sri Lanka Society for Medical Laboratory Science
  • 5.
    Thoma Pipet • RBC –Aspirate to 0.5 or 1.0 – Dilute to 101 – DF = 200 or 100 • WBC – Aspirate to 0.5 or 1.0 – Dilute to 11 – DF = 20 or 10 • Discard volume of one (1) in the stem 5 Sri Lanka Society for Medical Laboratory Science
  • 6.
    6 Sri Lanka Societyfor Medical Laboratory Science
  • 7.
    Improved Neubauer Hemocytometer 7 SriLanka Society for Medical Laboratory Science
  • 8.
    Hemocytometer Chamber • Depth= 0.1 mm • Grids – RBC use 5 small squares in the center large square – WBC use 4 corner large squares – Unopette for WBC use all 9 large squares 8 Sri Lanka Society for Medical Laboratory Science
  • 9.
    Hemocytometer Chamber 9 Sri Lanka Societyfor Medical Laboratory Science
  • 10.
    Counting Rule • Donot count cells touching – Bottom line – Right line 10 Sri Lanka Society for Medical Laboratory Science
  • 11.
    11 Sri Lanka Societyfor Medical Laboratory Science
  • 12.
    12 Sri Lanka Societyfor Medical Laboratory Science
  • 13.
    RBC Example… • Aspirateblood to 0.5, then dilute to 101 • DF = 200 • Counted 500 erythrocytes in 5 small squares RBC = 500 rbc x 25 Sm Sq x DF (200) 5 Sm Sq 0.1 mm3 = 5.00 x 106 /mm3 (µL) 13 Sri Lanka Society for Medical Laboratory Science
  • 14.
    14 Sri Lanka Societyfor Medical Laboratory Science
  • 15.
    WBC Example… • Aspirateblood to 0.5, then dilute to 11 • DF = 20 • Counted 160 leukocytes in 4 large squares WBC = 160 wbc x 1 Lg Sq x DF (20) 4 Lg Sq 0.1 mm3 = 8.0 x 103 /mm3 (µL) 15 Sri Lanka Society for Medical Laboratory Science
  • 16.
    Unopette • Self-contained reservoirand 20 µL pipet • Ammonium oxalate diluent • DF = 100 • Count leukocytes in all 9 large squares • Special formula to facilitate calculation 16 Sri Lanka Society for Medical Laboratory Science
  • 17.
    Unopette 17 Sri Lanka Societyfor Medical Laboratory Science
  • 18.
    Unopette WBC Example… •Counted 70 leukocytes in 9 large squares • Add 10% of count • Multiply by DF WBC = (70 wbc + 7 wbc) x DF (100) mm3 = 7.7 x 103 /mm3 = 7.7 x 109 /L 18 Sri Lanka Society for Medical Laboratory Science
  • 19.
    Compound Microscope • Ocular (adjustable binocular) •Mechanical stage • Condenser • Objectives (parfocal) 19 Sri Lanka Society for Medical Laboratory Science
  • 20.
    Care of Microscopes •Carry with care • Protect long objective lens • Clean and disinfect stage • Wipe oil off OIL • Save lamp life 20 Sri Lanka Society for Medical Laboratory Science
  • 21.
    Sri Lanka Societyfor Medical Laboratory Science 21