The results of the digital morphology NEQAS
excercise became available today. I did OK… there was something odd about those
cells. When I saw it I commented
“Macrocytic
picture with some crenated cells and Howell Jolly bodies. Right shifted
neutrophils and large platelets. However all I could add was observations. No
way to add diagnosis or to comment”
I would have referred it for consultant review,
and given any blood count data I may well have made a better go of it. The case
was a G6PD deficiency. Bearing in mind that in nearly forty years I’ve only
ever encountered two patients with this condition…
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