Blood Film Signs Flashcards
Sickle Cells
Sickle Cell Anaemia
Spherocytes
Hereditary Spherocytosis
Dacrocytes
Myelofibrosis
Target Cells
Obstructive Jaundice
Liver Disease
Haemoglobinopathies
Hyposplenism
Rounded Macrocytes
Alcoholic Liver Disease
Oval Macrocytes
Vitamin B12/Folate Deficiency
Polychromatic Macrocytes
Young RBCs
Irregularly Contracted Cells
Oxidant Damage
Elliptocytes
Hereditary Elliptocytosis
Pencil Cells
Iron Deficiency
Fragments
Mechanical Stress
Rouleaux
Plasma Protein Abnormalities
Agglutinates
Antibody causing agglutination
Howell-Jolly Body
Nuclear remnant from cell, due to poor spleen function
Left Shift
Severe bacterial infection
Toxic Granulation
Infection, inflammation, necrosis, pregnancy
Hypersegmented Neutrophils
Lack of vitamin B12/folate
Heinz Body
Haemolytic anaemia
Bence Jones Protein (urine)
Light chain, related to lytic lesions (multiple myeloma)
Fibrin Split Products
DIC
Ham’s Test
Paroxysmal Nocturnal Haemoglobinuria
Coomb’s Test
Autoimmune Haemolytic Anaemia
Metabisulfite Test
Sickle cell (accelerated deoxygenation)
Osmotic Fragility Test
Hereditary Spherocytosis
Reticulocyte Test
Decreased in aplastic anaemia, increased in hypersplenism
Sudan Black
Differentiates AML and ALL (stains myeloblasts)
Myeloperoxidase
Extramedullary Leukaemia
Tartrate-Resistant Acid Phosphatase
Hairy Cell Leukaemia
Leukocyte Alkaline Phosphatase
Elevated in polycythaemia vera, essential thrombocytosis and myelofibrosis
Decreased in paroxysmal nocturnal haemoglobinuria and CML
Factor V Deficiency
No input from extrinsic pathway Increased PT Increased APTT Normal Platelets Normal Bleeding Time
Warfarin/Vitamin K Deficiency
Inhibition of factors 2, 3, 9, 12 Increased PT Increased APPT Normal Platelets Normal Bleeding Time
Glanzmann’s Thromboaesthesia
Platelets lack GLP IIb and IIIa, so fibrinogen binding is disrupted Normal PT Normal APPT Normal Platelets Increased bleeding time
Bernard Soulier Syndrome
GLP Ib (receptor for vWF) is deficient Normal PT Normal APPT Normal Platelets Increased bleeding time