I thought
I should really have a look at the NEQAS on-line morphology exercise. Usually
I’m far more prompt at getting this done.
“A
poorly man is admitted to the emergency department following a fit at home. The
automated counter reveals that he is anaemic with a low platelet count (54x109/l)”
As is
always the case, the lack of blood count information did not help in the
slightest. Would it really cause the scheme organiser physical pain to give
some blood count information?
Mind you I
found the red cell link useful – a shame that their acceptable user
observations didn’t mesh with this categorisation.
My
immediate impression was one of red cell destruction. Red cell fragments,
(schistocytes), bite cells (keratocytes), acanthocytes, spherocytes
polychromasia, anisopoikilocytosis, target cells and nucleated red cells were
evident.
There were
metamyelocytes and one particularly odd cell toward the bottom (was it a
mitotic figure?)
The
platelet count was reduced; there were large platelets there (was that a grey
platelet?)
I would
say that this was a case of microangiopathic haemolytic anaemia
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