The results of NEQAS 2306 DM are out.
“A 60 year-old female who is known to
have hepatic cirrhosis becomes acutely unwell with a new anaemia (Hb 78 g/l).
Associated with her hepatic cirrhosis she has a long-standing moderate
thrombocytopenia. The clinicians are concerned about bleeding. What do you
report?”
I saw burr cells, target cells, spherocytes,
polychromasia, red cell fragments, acanthocytes, nucleated red cells, neutrophilia
and a reduced platelet count. I felt this was a haemolytic process.
It was actually “spur cell anaemia”;
something of which no one has ever heard. On the one hand you have to ask the
benefit of giving us something so obscure for an EQA. On the other hand, here’s
something for me to go and find out about.
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