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H,22.7467200.N R 08.03.22 Clin. det. DIFF Blood Film Review Diagnosis -------------------------------------------------------------------------------- HBM WBCM PLT HCT RBCM MCVM MCHM MCHCM RDW N 281009 F 12.9 8.39 436 0.404 4.66 86.7 27.7 31.9 13.6 2.89 280916 133 8.40 356 0.415 4.73 87.7 28.1 320 13.0 2.70 240517 128 7.40 359 0.402 4.54 88.5 28.2 318 13.3 1.90 030322 F 135 9.04 422 0.405 4.51 89.8 29.9 333 12.3 3.37
L M E B RETP RETA IRF NUC GF ESR 281009 F 4.53 0.56 0.37 0.04 280916 4.50 0.50 0.50 0.10 240517 4.20 0.60 0.60 0.00 030322 F 4.50 0.86 0.23 0.08 |
Here’s something I saw today… the causes of lymphocytosis are an essay in themselves. Some need immediate referral, some just need watching. More and more I’m seeing this sort of thing in people from their thirties to their seventies. Obviously there is some reason for the patient to be having a blood test, but whatever the reason there is a (seemingly) utterly unrelated ongoing mild lymphocytosis. Ongoing over months or years. This one is seemingly unchanged in twelve years.
There are a myriad of papers on the subject – just type “ongoing mild lymphocytosis” into Google to find them. (I won’t other reproducing them here). Bearing in mind that sooner or later the lymphocytosis may well transform into something nastier, the thing here is to keep an eye on the lymphocytosis. Always suggest it be monitored in the comments you write on the blood film.
