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Survey Slide:
07-11-S
History:
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Reticulocyte count
90
2.92
0.25
87
30.8
355
17.7
2.3
34
g/L
1012/L
L/L
fL
pg
g/L
%
109/L
109/L
30 109/L
WBC Differential
Neutrophils
Lymphocytes
Monocytes
Plasma cells
Relative (0.00)
Absolute (x 109/L)
0.36
0.48
0.08
0.08
0.22-0.49
0.05-0.91
0.00-0.19
0.00-0.47
0.8
1.1
0.2
0.2
Morphology:
RBC:
WBC:
The total white blood cell and absolute neutrophil count are both low with a large number of
plasmacytoid cells present.
Platelets:
Morphological Diagnosis:
Marked Thrombocytopenia (with Normochromic/normocytic anemia, rouleaux and circulating
plasmacytoid lymphocytes)
Significant Diagnostic Features:
Markedly decreased platelets
Rouleaux
Plasmacytoid lymphocytes / Plasma cells / Plasma blasts
Summary of Results:
07-11-S
Acceptable
Acceptable with review
Unacceptable
Not Received
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65
58
9
1
References:
1. Glassy, Eric F., ed. - CAP Hematology and Clinical Microscopy Resource Committee. Color Atlas
of Hematology. 1998; 235; 242-243
2. Bain, Barbara J. Blood Cells A Practical Guide. Third Edition. 2002; 105-106; 379-380
3. http://image.bloodline.net/stories/storyReader$706
Grading Criteria:
Accepted without downgrading:
Reporting relative differential values > 3SD for blasts in presence of plasma/lymphoma or
abnormal lymphocytic cells
Reporting relative differential values > 3SD for myeloid precursors (0.01-0.05)
Reporting autoagglutination
Reporting schistocytes
Reporting spherocytes
Reporting ovalocytes
Reporting hypochromia
Reporting microcytes
Acceptable with Review grades (AR) assigned for:
Reporting total absolute count that does not add up to given or corrected WBC count
Reporting relative differential values > 3SD for blasts without presence of plasma/lymphoma
or abnormal lymphocytic cells
Reporting Codes
RBC
% Reporting
101
104
Normal
Polychromasia
18.2
14.4
115
Rouleaux
71.2
Toxic changes
Reactive/atypical lymphocytes
Other Leukocyte Abnormality
Plasma/Lymphoma/Abnormal lymphocyte cells
86.4
48.5
88.6
WBC
210
206
211
43.9
Platelets
306
Referral to Pathologist
97.0