20 November 2016 (Sunday) - 1604 DM

The results of the latest digital morphology became available. The case was “A 39 year old female presents unwell at the emergency department. Hb 120g/L, WBC 6.5 x 10*9/L, Platelets 150 x 10*9/L. The analyser fails to produce a differential so a blood film is examine”

I first looked at the image some time ago and I said there was left shift with toxic granulation and some early myeloid cells.

Your Observations: Rank Morphological Feature Participants who selected this feature 1 Blast cells 63.6% 2 Promyelocytes 36.5% 3 Toxic granulation 19.8% 4 Reactive lymphocytes/Plasmacytoid lymphs/Turk cells 20.5% 5 Clumps 36.1% Considering the morphological features you have selected which of the following diagnostic categories do you think might be most likely. Acute Leukaemia Chronic Myeloproliferative disorder Actual pathological diagnosis: Bone marrow infiltration by carcinoma

The red cells showed polychromasia  and there were some stomatocyes seen. I didn’t rate those as important enough.

I don’t think I did too badly….

It seems odd that the system told me I didn’t participate but recorded my entry…