Apologies for the poor photograph.
An otherwise unremarkable blood film showed
Howell Jolly bodies and some basophilic stippling.
On further enquiry the patient had undergone splenectomy.
H,18.4728773.R
R 01.05.18 Clin. det. Idiopathic Thrombocytopenic
Purpura
--------------------------------------------------------------------------------
HBM WBCM PLT
HCT RBCM MCVM MCHM MCHCM RDW
N
100418
F 132 10.99 61 0.428 5.27
81.2 25.0 308 24.1 7.86
160418
F 129 11.12 182 0.415 5.11
81.2 25.2 311 23.9 7.86
230418
F 124 11.57 216 0.395 4.89
80.8 25.4 314 23.9 7.89
010518
F 125 12.27 286 0.417 5.07
82.2 24.7 300 24.6 9.01
L M
E B RETP RETA IRF
NUC GF ESR
100418
F 1.62 1.05 0.32 0.14 1.2
60.60 26.7
160418
F 1.83 0.96 0.33 0.14 1.3
68.50 23.1
230418
F 1.97 1.31 0.26 0.14 1.2
56.20 17.2
010518
F 1.81 0.93 0.36 0.16 1.4
70.50 24.9
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