I got my hands on the results of January’s morphology NEQAS today. It’s a shame I can’t remember anything about it, but there it is… I can remember whinging about how long the NEQAS morphology results took to come back over fifteen years ago, and nothing has changed.
2101BF1
I said:
Rbc -
macrocytosis, target cells, polychromasia
Wbc -
Neutrophilia, smear cells
Plt
- Giant platelets, count OK
I got most
of the salient features… but didn’t spot the basophilia. Let’s be honest, you
don’t need many basophils to have a basophilia and in reality a cell counter
would give you a basophil count.
Having
missed the basophilia I felt that the macrocytosis and target cells pointed to
liver disease. Perhaps if we were given all the information?
2101 BF2
I said:
Rbc -
unremarkable
Wbc - ?
hypersegmented neuts ? Odd lymphocytes
Plt
- Giant platelets ? count reduced
To be
honest I was struggling to find anything to say. I was tempted to say “normal
film”. I should have done - this film was prepared from a seemingly normal
young woman.
However one
hundred and fifty participants thought there were odd lymphocytes present, and
ninety-six felt that there were giant platelets there too.
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