24 January 2020 (Friday) - Look At This...



I saw this in a blood film today, and fetched everyone to come and have a look

MOUSE M              D1234567           01.02.33 M TW12   Dr D Duck
R,20.3005334.Q       R 24.01.20  Clinical details  UGI bleed, possible pneumonia

            HBM   WBCM    PLT    HCT   RBCM   MCVM   MCHM  MCHCM    RDW      N
220120 F     97  10.41    125  0.289   2.88  100.3   33.7    336   18.6   8.29
230120 F     90   9.16    117  0.267   2.58  103.5   34.9    337   19.1   7.44
230120 F     90   9.40    132  0.276   2.69  102.6   33.5    326   19.2   7.92
240120 F     94   7.59    134  0.285   2.74  104.0   34.3    330   19.3   6.18

              L      M      E      B   NRBC    ESR     GF
220120 F   1.10   0.89   0.09   0.04   0.05              
230120 F   0.78   0.83   0.08   0.03   0.07              
230120 F   0.62   0.72   0.09   0.05   0.08              
240120 F   0.54   0.79   0.05   0.03   0.06              


What’s caused the basophilic stippling in this case? I don’t really know. But from this link https://www.ncbi.nlm.nih.gov/pubmed/6202140 and this link https://en.wikipedia.org/wiki/Basophilic_stippling​ (good old wikipedia!!) basophilic stippling would seem to be a rather non-specific finding, and has been replaced by more specific tests in cases of suspected lead poisoning.


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