I got the results of NEQAS 2506 BF today…
2506 BF1 was in my opinion unremarkable.
It was the blood film from a healthy 53-year-old woman
who had a full blood count as part of pre-operative assessment before routine
elective surgery. The numerical
parameters of the full blood count were all within normal limits, as were the
blood film appearances.
2506 BF2 I said:
Fragments (Consensus finding
#1)
Thrombocytopenia (Consensus
finding #2)
Acanthocytes (Consensus
finding #4)
Hypochromic/polychromatic
(Consensus finding #3)
Spherocytes (Consensus finding
#6)
This was the blood film from a
57-year-old man with a Thrombotic microangiopathy (TMA) – i.e. the combination
of a microangiopathic haemolytic anaemia (MAHA) and thrombocytopenia.
One needed action, one
didn’t. I spotted the salient features. I’m claiming that as a result.
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