Practical Session
Blood film: 1
RBC
Microcytic hypochromic
Few elliptocytes
Few
pencil cell
Few red cell fragments
WBC
Neutrophils normal
Few reactive
lymphocytes
Platelet
Normal count
Few giant platelet
Diagnosis IDA
Blood film : 20
RBC
Pikilocytosis
Oval macrocytes
Elliptocytes
Tear drop cell
red cell fragments
WBC
Polychromasia
hypersegmented
neutrophils
Normal lymphocytes
Platelet
thrombocytopenia
Diagnosis
Megaloblastic anemia
Blood film :R305
RBC
Normocytic
normochromic
Sickle cell
Target cells
WBC
NRBC
Neutrophils normal/
mild left shift
Normal lymphocytes
Mild monocytosis
Platelet
Thrombocytosis
Diagnosi
s
SCD
Blood film : 155
RBC
Microcytic hypochromic red
cells
Target cells
Many NRBC
Polychromasia
Basophilic stippling
Howell-Jolley bodies
WBC
Platelet
Pappenheimer bodies
Normal WBC
thrombocytosis
clumps
, plt
Blood film : 50
RBC
Microcytic
hypochromic
Many elliptocytes
WBC
Normal WBC
Platelet
Normal
Diagnosi Hereditary
s
elliptocytosis
Blood film : 65
RBC
Normocytic normochromic
Many blister cell
Bite cell
contracted cells
WBC
NRBC
Neutrophilia
Left shift
Reactive lymphocytes
Platelet
Few large platelet/
clumps
Diagnosis Oxidative hemolysis
(G6PD deficiency )
Blood film : 135
RBC
Normocytic
normochromic
Schistocytes
Polychromasia
WBC
Neutrophilia
Toxic granulation and
left shift
Platelet
Thrombocytopenia ,
giant platelet
Diagnosi
s
MAHA ( TTP)
Blood film : 532
RBC
Microcytic hypochromic
Macrocytes
Tear drop
WBC
Many blast cells , medium
to large in size
High N:C ratio
Open chromatin with 0-3
nucloili
Scanty cytoplasm and
basophilic
Neutropenia
Platelet
Lymphocytes normal
thrombocytopenia
Blood film : 500
RBC
Microcytic hypochromic
WBC
Many blast cells ,
bilobed
High N: Ratio
Open chromatin , 0-1
nucleoli
Platelet
Scanty cytoplasm
Thrombocytopenia
Diagnosis
APML (M3)
Blood film : 605
RBC
Macrocyte
Hypochromic
WBC
Hypogranulated neutrophils
Pseudo- pelgeroid
neutrophils
Blast cells
Platelet
Thrombocytopenia
Diagnosis
MDS
Blood film : 535
RBC
Microcytic hypochromic
Elliptocytes
Tear drop cells
Polychromasia
WBC
Many blast cells , small
to medium in size
High N:C ratio
Open chromatin with 0-1
nucleoli
Scanty cytoplasm
Platelet
Neutropenia
thrombocytopenia
Blood film : 590
RBC
Normocytic normochromic
NRBC
WBC
Leucocytosis
Neutrophilia left shift
Myelocytes
Blast cell
Eosinophilia
Basophilia
Platelet
Normal with large
platelet
Diagnosis CML
Blood film : 596
RBC
Normocytic hypochromic
Target cells
Macrocytes
WBC
Neutrophilia
Dysplastic neutrophils ,
hypogranualtion ,
hypersegmentation
Left shift myelocytes
Monocytosis
Blast cells
Platelet
Thrombocytosis , giant
platelet
Diagnosis CMML
Blood film : 770
RBC
Normocytic normochromic
WBC
Neutropenia with toxic
granulation
Atypical lymphocytes
Reactive lymphocytes
Platelet
Normal
Diagnosis
Atypical lymphocytes /
viral infection
Blood film : 620
RBC
Normocytic normochromic
WBC
lymphocytosis
Large lymphocyte
Neutropenia
Smear cell
Platelet
Mild thrombocytopenia
Diagnosis
CLL
Blood film : 675
RBC
Normocytic normochromic
red cells
Echinocytes
WBC
Lymphocytosis
Prolymphocytes seen
Neutrophils normal
Platelet
hypogranular platelet
Diagnosis
Marginal zone lymphoma
Blood film : 630
RBC
Normocytic normochromic
WBC
Lymphocytosis
Clefted lymphocytes
Atypical lymphocytes with
nucleoli
Platelet
Normal
Diagnosis
Follicular lymphoma
Blood film : 645
RBC
Normocytic normochromic
Macrocytes
WBC
Atypical lymphocytes with
hairy cytoplasmic projection
Nucleus with one nucleoli
Neutrophils toxic granulation
Platelet
Normal
Diagnosis
Hairy cell lymphoma
Blood film :705
RBC
Normocytic normochromic
red cells
Echinocytes
WBC
lymphocytosis
Cerebriform lymphocytes
Neutrophils normal
Platelet
Normal
Diagnosis
Sezary cells /T-cell
lymphoma
Blood film : 680
RBC
Marked rouleaux
formation
Normocytic normochromic
WBC
Neutrophils show toxic
granulation
Lymphocytes normal
Platelet
normal
Diagnosis
Multiple myeloma
Blood film : 3855259
RBC
Normocytic normochromic
WBC
Neutropenia with Dohlebodies
Reactive lymphocytes
Platelet
Thrombocytopenia with
many giant platelet
Diagnosis MYH anomaly