The results of the latest NEQAS morphology became available today… only took a month for them to become available. Am I impatient in thinking this is far too long?
2106 BF1
|
My result
nrbc macrocytosis howell jolly bodies anisopoikilocytosis target cells rouleaux Spherocytes
myelocytes neutrophilia
large platelets
|
Consensus
Nucleated RBCs Spherocytes Myelocyte Monocytosis Large/Giant Platelets Blast Cells Left Shift Neutrophilia Rouleaux |
This turned out to be a case of
haemolytic anaemia associated
with malaria treatment with
morphological changes of
infection… I spotted all the salient features but yet again the
diagnosis was rather silly in that if the chap was on treatment for malaria, we
in the lab would have known it.
2106 BF2
|
My result
basophilic stippling macrocytosis nrbc polychromsia smear cells target cells
cleft nuclei
platelet clumps (?reduced nos)
|
Consensus
Nucleated RBCs Polychromatic Cells Howell-Jolly Bodies Platelet Clumps Thrombocytopaenia Macrocytes Lymphocytosis 7 124018 Agglutination Myelocytes Abnormal/Suspect Neoplastic Lymphocytes
|
This turned out to be a case of immune-mediated haemolysis and thrombocytopenia, with accompanying morphological changes in a chap with Evan’s syndrome with post splenectomy lymphocytosis…I’ll be honest, I saw read when I read the information given on the case; ” PSL should be considered in cases of a mild lymphocytosis in people with a history of splenectomy and no clinical features of lymphoma”… bearing in mind that when given the slides we were given no clinical information whatsoever.
These NEQAS blood films (quite frankly) aren’t really much good these days. We are given blood films of patients well into the treatment of the most obscure conditions with absolutely no clinical information whatsoever. And are then lambasted for that not commenting which we would have got right had we been given all the information in the first place.
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