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12




                                                        Haematology








             Normal Sequence of Development of Cells of Haematopoietic System (Flowchart 12.1)


                                       Pluripotent haematopoietic cell
                                CFU-GEMM
                     C o m m o    n m  e t s   d i o l e y  m    l l e c    C o m m o  y l   n  m p h  e t s   d i o  m  l l e c

                   CFU-GM        CFU-Eo      CFU-E &
                                             CFU-Meg
                 Granulocytic monocytic  Eosinophiloblast  Erythrocyte-  Pro-B  Pro-T
                      stem cell                megakaryocytic      cell      cell
                                                 stem cell
                                    Eosinophil
                                                                   Early    Early
                                                                   B cell  thymocyte
                  Myeloblast  Monoblast
                                         Pronormoblast  Megakaryoblast
                                                                   Pre-B  Common
                 Promyelocyte  Promonocyte                         cell   thymocyte
                                            Early       Promega-
                                          (basophilic   karyocyte
                  Myelocyte  Monocyte     normoblast)              B cell  Mature
                                                      Megakaryocyte         T cell
                Metamyelocyte             Intermediate            Plasma
                                         (polychromatic)           cell
                                          normoblast    Platelet
                  Stab form
                                             Late
                  Neutrophil            (orthochromatic)
                                          normoblast

                                          Reticulocyte

                                          Erythrocyte
                   FLOWCHART 12.1.  Normal development of cells of Haematopoietic system.

             Normal reference haematological values are listed in Table 12.1.

               TABLE 12.1.   Normal haematological values

               Haemoglobin (Hb)                            Adult male: 155 6 25 g/L
                                                           Adult female: 140 6 25 g/L
               Mean corpuscular volume (MCV)               86 6 10 fL
               Mean corpuscular haemoglobin (MCH)          29.5 6 2.5 pg
               MCH concentration (MCHC)                    325 6 25 g/L
               RBC diameter                                6.7–7.7 microns
                                                                                          Continued
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