22 March 2019 (Friday) - 1902 DM

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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