I got hold of the latest morphology NEQAS results on last night’s night shift…
2202 BF1
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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
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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
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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
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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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