15 April 2022 (Good Friday) - NEQAS 2202 BF

 

I got hold of the latest morphology NEQAS results on last night’s night shift…

 

2202 BF1

 

 

Top Ten Comments

 

Nucleated RBCs

Tear Drop Poikilocytes

Neutropenia

Hypochromic Cells

Blast Cells

Poikilocytes

Platelet Clumps

Fragments/Schistocytes  

Target Cells

Basophilic Stippling/Punctate Basophilia

I said

 

anisopoikilocytosis

tear drop cells

target cells 

hypochromia

Occasional blast cell

pencil cells

platelet clumps

 

 

 

 

 

I felt this was a case of myelofibrosis. It was actually myelodysplastic syndrome with excess blasts (MDS-EB) with acquired haemoglobin H disease and anaemia of chronic disease.

I was close enough… wasn’t I?

 

2202 BF2

 

Top Ten Comments

 

Target Cells

Normal Film

Hypochromic Cell

Platelet Anisocytosi

Hypogranular/Agranula (Neutrophils)

Macrocytes

Large/Giant Platelets

Rouleaux

Atypical/Suspect Reactive Lymphocytes Mixed Cell Population (Dimorphic)

I said

 

A few target cells

 

 

 

 

 

 

I felt this was a normal blood film; it was. Much of the magic of morphology is spotting when something is abnormal, and when it is not

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