BLOOD FILM Flashcards
Starry sky
Burkitts lymphoma
Tear drop poikilcytes
Myelofibrosis
Schistocytes
Intravasc haemolysis
Hypersegmented neutrophils
Megaloblastic anaemia (b12, folate)
Pencil poikilocytes
Iron def anaemia
Dimorphic film
Iron + B12/folate deficiency
Howel-Jolly bodies
basophilic purple spot on oesinophilic pink RBC
Hyposplenism
eg Thalasaemia, sickle cell, post-splenectomy
++++Spheroytes
Hered spherocytosis
Heinz Bodies
G6PD deficiency
Sickles RBC
Sickle cell
Low HbA
High HbS
Sickle cell
NO HbA in HbSS homoxygous..
Low HbA
High HbF
Thallasaemia
+ HbS = sickle cell
+Dithionate
Sickle Solubility Test goes TURBID
+ Sodium Meta-bi-sulphate
Mimics deoxygenation
Sickle cell SICKLES
Hyposplenism
Target Howel-Jolly Pappenheimer Siderotic granules Acanthocytes
Target Howel-Jolly Pappenheimer Siderotic granules Acanthocytes
Thalassaemia
Sickle cell
Post-splenectomy
Burr cells
Micro (haemolytic uraemic, DIC, malig HTN) Macroangiopathic haemolysis (mech valves)
Helmit cells
Micro (haemolytic uraemic, DIC, malig HTN) Macroangiopathic haemolysis (mech valves)
Triangle cells
Micro (haemolytic uraemic, DIC, malig HTN) Macroangiopathic haemolysis (mech valves)
Ham’s acid lysis
Paroxysmal nocturnal haemoglobinuria
Intermittent dark haematouria
Paroxysmal nocturnal haemaglobinuria
Infection, pancytopenia + mouth ulcers
Aplastic anaemia
Terminal ilium
B12
RLB12 + IMB12 = increased RLB12 in urine
RLB12 + IMB12 = increased RLB12 in urine
DIETARY
RLB12 + IF = increased RLB12 in urine
Pernicious anaemia!
ABs to parietal ells which produce IF
RLB12 + ABx = increased RLB12 in urine
Bacterial overgrowth!
RLB12 + Pancreatic enzymes = increased RLB12 in urine
Pancreatic insufficiency
Jejunum
Folate
Correct B12 or folate first? Why?
B12 > folate
Fulminant Neuroloical Deficit
Low serum iron
Low transferrin sat
Low TIBC
High ferritin
Anaemia of chronic disease
Low serum iron
Low transferrin sat
Low ferritin
High TIBC
Iron def anaemia
Frontal bossing
Bmajor thallaemia
Hair on end skull
Bmajor thalaesmia
Avasc necrosis of femoral head
Sickle cell
Anisocytes + Micro
Sickle cell
Iron def
Parovirus B19
Sickle Aplastic crisis
temp BM failure, reticulocytopenia/ cytosis
Sickle cell Acute HB drop
Haemolytic crisis
Sickle cell sudden spleen enlargement
Splenic sequestration vaso-occlusive crisis
Sicle cell sudden bone pain
Bony crisis
Splenetomy leaves you prone to..?
Encapsulated: meningococcal, pneumococcal
Fragile smudge cells
CLL