22 January 2018 (Monday) - Platelet Clumps



Here’s an interesting case


LORCA Gabriel             M0000000           09.01.55 M CDU  
X,18.0009127.Z         22.01.18  Clinical details  acute diverticulitis

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            HBM   WBCM    PLT    HCT   RBCM   MCVM   MCHM  MCHCM    RDW      N
161110     15.1   8.20    175  0.482   5.02   96.0   30.1   31.3   12.5   6.09
110915      159   6.90    186  0.473   5.32   88.9   29.9    336   12.9   4.00
200118 F    157  18.79    167  0.457   5.14   88.9   30.5    344   12.5  16.76
220118 F    136   7.78     83  0.406   4.52   89.8   30.1    335   12.4   6.49

              L      M      E      B    NUC   NUCA    ESR     GF
161110     1.35   0.54   0.20   0.02                            
110915     2.00   0.60   0.20   0.00                            
200118 F   0.84   1.17   0.00   0.02                            
220118 F   0.82   0.28   0.17   0.02   



Look at that platelet count. Half of what it has been previously. Microscopy revealed why.



That result wasn’t correct. The platelet count wasn’t reduced at all; because the platelets were clumped the analyser wasn’t able to count them.
In such a case no result can be issued for a platelet count.

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