I finally got the
results of NEQAS 2506DM forty-two days after it closed. At the time (8 December
2025) I said “Well, there’s something haemolytic going on, isn’t there?
Schistocytes, red cell fragments, nucleated red cells, polychromasia, ghost
cells, spherocytes and were there some occasional odd red cell inclusions?
The platelet count was
down (well, we were told that) and there were some large platelets.
There was one myelocyte
and a couple of dysplastic neutrophils”
It turns out this was a
case of TTP; I spotted that which I needed to spot. Interestingly the expert
opinion made no mention of the myelocyte or dysplastic neutrophils.
As time goes by I find
myself getting more and more frustrated with NEQAS morphology. Bearing in mind
they know what the cases are when they go live there is absolutely no reason at
all why we should have to wait six weeks for feedback on something about which
I have by now totally forgotten…
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