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734            Glossary




               in ectious waste – the remains o  materials that harbor disease-                                            krypton – an inert gas used in lasers

                    causing microorganisms                                                                                 Kup  er’s cells – cells in the liver that have the ability to engul  or
               in  ammation – tissue reaction to injury caused by physical or                                                   phagocytize  oreign particles as part o  the mononuclear phago-

                    chemical agents, including microorganisms. Symptoms include                                                 cytic system

                    redness, tenderness, pain, and swelling                                                                kwashiorkor – a severe protein de  ciency seen in in ants and  children

               interleukin 1 (IL-1) – a soluble cell mediator released by macro-

                    phages and activates helper    cells                                                                   L
               interleukin-2 (IL-2) – also called    cell growth  actor                                                    labile – unstable

               interleukins – soluble protein molecules that work with hematopoi-                                          lamb  a – equivalent to microliter (µL) or 1/1,000 o  a milliliter (mL)

                    etic growth  actors to stimulate proli eration and dif erentiation                                     LAP – leukocyte alkaline phosphatase cytochemical stain
                    o  speci  c blood cell lines                                                                           laparotomy – incision in the abdomen

               international normalize   ratio (INR) – the standardized expres-                                            LASER – light ampli  cation by stimulated emission o  radiation

                    sion o  a measurement o  the ef ect o  the anticoagulant war arin                                      lazy leukocyte syn  rome – a genetic disorder that produces a sus-

               internuclear bri  ging (INB) – a morphological  eature seen in                                                   ceptibility to in ections in part because o  poor white blood cell

                    myelodysplastic syndromes                                                                                   mobility to an entry site o  in ection
               intrame  ullary hemolysis (catabolism) – an alternate pathway  or                                           leptocytes – an abnormal red blood cell shape

                    erythrocyte breakdown (hemolysis) that normally accounts  or                                           leukemia – a neoplastic proli erative disease characterized by an

                    less than 10% o  red cell destruction                                                                       overproduction o  immature or mature cells o  various leukocyte
               intravascular catabolism – a term used to re er to the breakdown                                                 types in the bone marrow or peripheral blood

                    o  red blood cells within blood vessels                                                                leukemoi   reaction – an assay used to dif erentiate chronic myelog-

               intravascular hemolysis – erythrocyte breakdown within the blood                                                 enous leukemia  rom a severe in ection or in  ammation that

                    vessels                                                                                                     resembles leukemia

               intrinsic  actor (IF) – substance secreted by the parietal cells o  the                                     leukocyte – white blood cell
                    mucosa in the  undus region o  the stomach                                                             leukocyte a  hesion   e  ciency (LAD) – a de ect that causes abnor-

               intrinsic hemolytic anemia – accelerated breakdown o  red blood                                                  mal binding (adherence) o  phagocytic cells

                    cells due to caused within the cell                                                                    leukocyte alkaline phosphatase (LAP) – a cytochemical stain used

               intrinsic pathway (intrinsic system) – the initiation o  blood clot-                                             to dif erentiate a leukemoid reaction  rom other disorders
                    ting begins with either the intrinsic or the extrinsic pathway. In                                     leukocytopenia – less than the normal re erence range o  total

                    the intrinsic pathway, coagulation begins with the activation o                                             white blood cells (leukocytes)

                     actor XII to XIIa                                                                                     leukocytosis – a signi  cant increase in the total white cell count

               introns – intervening noncoding sequences o  nucleotides that                                               leukoerythroblastosis – an abnormal condition o  increased imma-
                    determines gene  unction                                                                                    ture  orms o  red and white blood cells

               in vitro – in the test tube or outside the body                                                             leukopenia – a severe decrease in the total white cell count

               in vivo – within the living organism                                                                        leukostasis – a pathological   nding o  slightly dilated, thin-walled

               iron   e  ciency anemia – lack o  oxygen-carrying capacity because                                               vessels   lled with leukemic cells
                    o  inadequate hemoglobin in red blood cells                                                            leukotrienes – a newly identi  ed class o  compounds that mediate

               iso – equal. Isotonic saline solution has a concentration o  0.85%,                                              the in  ammatory  unctions o  leukocytes

                    which is equal to the concentration o  sodium chloride in cel-                                         Levey-Jennings chart – a quality control chart used to graphically

                    lular cytoplasm                                                                                             display the assay values o  controls versus time
               isoimmune – possessing antibodies to antigens o  the same system                                            LIF – leukocytosis-inducing  actor. A regulator that in  uences the

               isoimmune hemolytic anemia  –  disruption  o   red  blood  cells                                                 release o  neutrophils  rom the bone marrow into the circula-

                    caused by antibodies that results in a lack o  red blood cells and                                          tory system

                    associated  unctions                                                                                   lipi  s – one o  the three major biochemical classes. T is class
               isolation technique – precautions used to prevent the transmission                                               includes the  atty acids and steroids

                    o  disease either to or  rom a patient or patient specimen                                             lipophilic   yes – stains with an a  nity  or  atty substances

                                                                                                                           lique action – the process o  conversion into liquid  orm
               J                                                                                                           loop-me  iate   isothermal ampli  cation (LAMP) – a molecular


               jaun  ice – a yellow appearance o  the skin, sclerae, and body excretions                                        method

               JH – joining region o  the immunoglobulin heavy chain gene locus                                            Luebering-Rapoport pathway – an important oxygen-carrying path-
                                                                                                                                way o  erythrocytes that permits the accumulation o  2,3-DPG
               K                                                                                                           lumbar puncture – a spinal   uid tap into the vertebral column


               kallikrein – activated Fletcher  actor                                                                      lupus anticoagulant – an antiphospholipid antibody
               karyokinesis – the division o  the nuclear membrane during cel-                                             lympha  enopathy – disease o  the lymph nodes

                    lular division                                                                                         lymphoblastic leukemia – a major  orm o  leukemia characterized

               karyorrhexis – a stage o  cellular degeneration when chromatin is                                                by the presence o  increased numbers o  immature lymphocytes

                    distributed irregularly throughout the cytoplasm                                                            in the peripheral blood, bone marrow, and lymph nodes

               karyotype – the  ull complement o  chromosomes in an organism                                               lymphocyte recirculation – the  ree movement o  lymphocytes
               kb – kilobase pairs, 1,000 bases                                                                                 between the blood and lymphoid tissue

               keratocytes – an abnormally shaped                                                                          lymphocytes – a type o  leukocyte

               kinins – small biologically active peptides                                                                 lymphocytopenia – a severe decrease in the total number o  lym-
               kinin system – a system o  small biologically active peptides                                                    phocytes in the peripheral blood

               Kleihauer-Betke test – a semiquantitative test  or  etal hemoglobin                                         lymphocytosis – a signi  cant increase in the total number o  lym-

               knizocytes – abnormal red blood cell shape                                                                       phocytes in the peripheral blood
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