Hematopathologist @OUHealth | Associate Dean for Student Affairs @OUCollegeofMed
Jul 21, 2020 • 11 tweets • 4 min read
Peripheral smear call thread #3: Lymphocytosis #hemepath@pathelective
First question when approaching a smear with lymphocytosis: is it reactive or neoplastic? Patient history can provide some clues (younger patient, symptoms of infection may favor reactive).
Jul 5, 2020 • 13 tweets • 3 min read
Peripheral smear call thread #2: Hemolysis #hemepath
2/If the bone marrow is responding appropriately to hemolysis, there should be a reticulocyte response (& increased polychromasia on the smear). Lab abnormalities associated with hemolysis include increased LDH, increased unconjugated bili, and decreased haptoglobin.
Jul 2, 2020 • 7 tweets • 3 min read
1/For the path residents taking CP call for the first time this month, I thought I’d post a short series on things to look out for when you get called to look at a blood smear. First up: pancytopenia. #hemepath
2/It’s not always possible to determine the cause of pancytopenia based on blood smear morphology alone. However, here is a (not comprehensive) list of clues you don’t want to miss: