7 April 2021 (Wednesday) - NEQAS 2102BF


I got hold of the results for NEQAS 2102BF today. Here’s what I saw:  

  

  

2102 BF1  

  

Myelocytes  

Ranked 2  

Blast cells   

Ranked 3  

NRBC  

Ranked 1  

Thrombocytopenia with large platelets  

Ranked 6 & 9  

Macrocytosis  

  

anisopoikilocytosis  

  

Smear cells  

  

  

The ranked neutrophilia and monocytosis were evident from the diff count on 2101DF 

I felt this was CML – but the stain quality was poor 
The report read ““…final diagnosis is not possible but a myelodysplastic / myeloproliferative neoplasm (MDS/MPN) seems likely.“ 

What’s in a name…? 

  

2102 BF2  

  

Blasts 

Ranked 1 

Auer rods  

Ranked 2 

hypochromia  

 

microcytosis   

 

pencil cells  

Ranked 9-10 

nrbc - polychromasia  

 

Thrombocytopenia with large platelets  

Ranked 3 

 

I felt this was a myeloproliferative condition with iron deficiency 
The report read “The peripheral blood film 2102BF2 was prepared from a 78-year-old man with a known normal karyotype myelodysplastic syndrome”. 
I still maintain that film looked hypochromic and microcytic. Another example of why we should be given the entire Fbc report…

7 April 2021 (Wednesday) - NEQAS 2101DF

I got hold of the results for NEQAS 2101DF today. Whilst my results were OK I suspect I’m perhaps a tad loathe to describe a myeloid cell as being immature. My mature neutrophil coubnts were to the high side, and whilst my myelocyte count is in there, the metamyelocyte count is definitely to the low end.  Mind you I identified them as features on the associated morphology exercise…

I shall bear this in mind when reviewing blood films.


 

I said

+/- 2SD

Neut

51.3

25.2 – 63.8

Lymph

9.8

0.1 – 14.9

Mono

1.8

0.0 – 12.9

Eos

.3

0.0 – 0.7

Baso

.3

0.0 – 0.7

Met

1.2

0.0 – 24.8

Myelo

11.4

0.0 – 43.2

Pro

0

0.0 – 11.4

Blast

.6

0.0 – 6.4

 


7 April 2021 (Wednesday) - BTLP-TACT Excercise

Time for another BTLP-TACT exercise. It is nearly a month since I did one…

The software gave me the “spinning wheel of nothing happening” before presenting me with one case – a thirty-seven year old woman in A&E who was over-anticiagulated and required group & save.

She grouped as A Rh(D) Positive with a negative antibody screen.

I got the green light…

5 April 2021 (Monday) - Fritsma Factor Newsletter


The Fritsma Factor newsletter appeared in my in-box this morning. There’s not many on-line resources which focus on haemostasis, and I am grateful for this one.

Latest activity on The Fritsma Factor

 

VWD Subtype 2N - Mar 08

D-dimer and DOACs - Mar 16

Glass Tubes in Centrifuges - Mar 23

Testing for von Willebrand Disease Subtype 2N - Mar 23