“This image
is taken from a blood film of a man aged 61 years. A blood count sent by the GP
showed that the white cell count was 40 x 10^9/L, Hb of 79 g/L and platelets of
118 x 10^9/L. What are your findings?”
In the absence of any useful clinical
information I felt this was a case of primary myelofibrosis transforming into
something nasty.
It was.
However I feel I must ask myself what I meant by “Grian plts” Bearing in mind nearly two months passed between my looking at the film and getting the results I have no recollection.
|
Rbc Anisopoikilocytosis Nucleated red
cells Polychromasia Spherocytes Tear drop
cells |
Wbc Auer
rods Blast
cells Dohle
bodies Dysplastic
neutrophils Hypersegmented
neutrophils Left shifted
neutrophils Myelocytes |
Plts Grian
plts Grey
plts Megakaryocyte
fragments |
It was.
However I feel I must ask myself what I meant by “Grian plts” Bearing in mind nearly two months passed between my looking at the film and getting the results I have no recollection.
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