18 January 2018 (Thursday) - Mitotic Figure

I saw this mitotic figure down the microscope today. Over the years I’ve seen a few of these, Not many; they are rather rare.

Here’s the (suitably doctored) blood count result:

N01234567            PATIENT Hash one             01.02.31  F  ITU Specimen Z,19.0001234.X      Clin dets  Pneumonia Collected 18.01.18   NK      A.Diag  -------------- high intensity test code => unauthorised result ------------- PT           14.8         |RDW        + 16.6         | APTT         32.9         |Neuts        NA           |MNEUT      + 30.12a FIB        + 7.86         |Lymphs       NA           |MLYMP        3.41a Hb         - 75           |Monos        NA           |MBASO      + 0.26a WBC        + 34.84        |Eosin        NA           |META         0.79a Plts         367          |Baso         NA           |MYELO        0.26a Hct        - 0.232        |MPV          12.0         |NRBC's       0.5 RBC        - 2.59         |PCT          0.44         |NUCA         0.16 MCV          89.6         |FILM         Film Made    | MCH          29.0         |INR          1.2          | MCHC         323          |                          | FBC        Left shifted neutrophilia with some early forms seen. ? reactive

I spent a few minutes reading up about their significance. Their presence is often associated with pneumonia…