Is this CPD? I suppose it is really – a case I saw today.
Look at how (over time) the haemoglobin has fallen and the red cells have grown
in size.
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McCoy Leonard
X654321
01.01.40 F MUMA Dr T.Viner
H,18.4316157.V
U 01.08.18 Clin. det. pancytopaenia
pancytopaenia
DIFF Microscopy
(Maids) Diagnosis
--------------------------------------------------------------------------------
HBM WBCM PLT
HCT RBCM MCVM MCHM
MCHCM RDW N
220705
13.3 7.70 249 0.424
4.47 94.9 29.8 31.4
13.9 4.86
120417
130 8.70 151 0.385
3.48 110.6 37.4 338
16.0 6.50
240718 F
50 3.83 33 0.159
1.08 147.2 46.3 314
22.4 2.49
010818 F
53 5.76 59 0.163
1.15 141.7 46.1 325
23.2 4.56
L M
E B RETP RETA
IRF NUC GF ESR
220705
2.15 0.32 0.33 0.04
120417
1.60 0.40 0.20 0.00
240718 F
0.93 0.16 0.25 0.00
010818 F
0.43 0.08 0.69 0.00
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Looking down the microscope I could see hypersegmented
neutrophils and Howell-Jolly bodies. I suspect it is a case of megaloblastic
anaemia.
This case jogged the memory - a refresher is always a good thing.
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