Blood film Flashcards

1
Q

Teardrop poikilocyte

A

Myelofibrosis

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2
Q

Helmet cell

A

Microangiopathic haemolysis

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3
Q

Pencil cell

A

Fe deficiency anaemia

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4
Q

Elliptocyte

A

Hereditary elliptocytosis

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5
Q

Spherocytes

A

Warm autoimmune haemolysis, hereditary spherocytosis

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6
Q

Target cells

A

Post-splenectomy, liver disease, thalassaemia, IDA

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7
Q

Polychromasia

A

Young red cells - implies high reticulocyte count

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8
Q

Rouleaux

A

High ESR

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9
Q

Agglutinates

A

Cold agglutins

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10
Q

Ring sideroblasts

A

Sideroblastic anaemia. Iron granules in ring around erythroblast nucleus.

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11
Q

Sideroblastic anaemia causes

A

Myelodysplastic disorders, alcohol, malignancy, anti-TB drugs (give pyridoxine to prevent)

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12
Q

Smear cells

A

CLL

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13
Q

Reed-sternberg

A

‘owl’s eye’ nucleoli. Hodgkin’s.

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14
Q

Schistocytes

A

DIC

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15
Q

Howell Jolly Bodies

A

Splenectomy

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16
Q

Heinz bodies

A

G6PD

17
Q

Blister cells

A

G6PD

18
Q

Basophilic stippling

A

Lead poisoning, thalassaemia, myelodysplasia

19
Q

High leukocyte alkaline phosphatase score

A

Leukaemoid reaction, myelofibrosis, PCV, Cushings, OCP

20
Q

Dohle bodies

A

Leukaemoid

21
Q

Left shift of neutrophils

A

Leukaemoid (three or fewer segments of nucleus)

22
Q

Low leukocyte alkaline phosphatase score

A

CML, pernicious anaemia, PNH, mono