10 results
Peripheral Blood Smear Analysis
Hypochromia
Megaloblastic Anemia
Schistocytes: Microangiopathic hemolytic anemia (e.g. DIC, TTP, HUS)
Microspherocytes: Autoimmune hemolytic anemia
Sickled red
Peripheral Blood ... Smear Analysis ... Sickled red cells ... : Sickle cell disease ... interpretation #clinical
Myelodysplastic Syndromes (MDS)

What?
Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
formed or don’t work ... cell count (anemia ... Peripheral Smear ... Leukemia • Idiopathic ... Workup: • Complete
Leukemias Overview: ALL, CML, AML, APML, CLL

Acute leukemias > 20% blasts in the peripheral blood smear
smear or on bone ... - infiltrates (anemia ... • Peripheral smear ... more aggressive form ... #Leukemia #Hematology
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
Orange or Hep C Clinical ... • Peripheral smear ... Lymphocytosis: Absolute blood ... • Neutropenia, anemia ... #diagnosis #workup
Howell-Jolly Body - On these Wright-stained peripheral blood smears the small dark spheres within red cells
smears the small ... autosplenectomy in sickle ... cell anemia. ... thalassemia, and leukemia ... #Clinical #Path
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Clinical Presentation ... • Hypocellular myelodysplastic ... virus (EBV) • Leukemia ... • ↓ WBC • ↓ PLT ... result from low blood
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
promyelocytic leukemia ... ABO incompatible blood ... organ damage Clinical ... • Peripheral smear ... Schistocytes, helmet cells
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Albumin > 4) Work-up ... myeloma • Plasma cell ... leukemia • Solitary ... , Thalassemia, Sickle ... cell anemia
Myelodysplastic syndromes current treatment algorithm 2018.

From Blood Cancer Journal, Published 24 May 2018

Myelodysplastic syndromes (MDS) are
Myelodysplastic ... acute myeloid leukemia ... disease tolerate anemia ... with repeated red cell ... importance of clinical
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
can present as a single ... plasmacytoma) Clinical ... • No CRAB - no anemia ... Oncology #Diagnosis #Workup ... #Hematology