You are examining a peripheral smear & notice that the patient’s platelets are “surrounding” the leukocytes. 1. What is the name of this condition? 2. What effect would this have on a platelet count reported by an automated instrument? 3. This patient needs to be redrawn in what color tube along with the Lavender? 4. What anticoagulant is in this tube? 5. Your patient is redrawn in the correct tube. The platelet count reported by the automated instrument is 183 x 10^9/L. How should the platelet count be reported to the physician? (Please show all calculations).
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Step 1: The name of the condition where platelets are surrounding the leukocytes is platelet satellitism. Show more…
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10. A patient's automated platelet count is 132 X 103/5L. Upon slide review, the patient's sample has rosettes of platelets surrounding the segmented neutrophils. A Na Citrate tube is collected on the patient. The CLS gets a 197 X 103/5L platelet count on the Na citrate tube. What is the correct platelet count to report to the physician? (3 pts.) 11. In the blank next to the term, write the number of the corresponding description (found below). (8 pts.) ____A. toxic granulation ____B. D6hle bodies ____C. hypersegmentation ____D. auer rod ____E. smudge cell ____F. Pelger-Huet anomaly ____G. platelet satellitism ____H. Pyknotic neutrophil 1. Light blue oval inclusions composed of Rough ER 2. Reddish-blue staining inclusions found in myeloblasts 3. Cell with ruptured cytoplasm 4. Segmented neutrophil with 2 lobes 5. Segmented neutrophil with 6 lobes 6. Segmented neutrophil with degenerating nucleus 7. Neutrophil with pieces of megakaryocyte cytoplasm encircling it 8. Abnormally large primary granules of neutrophil
Sri K.
Review of the peripheral blood smear for a patient confirms the presence of thrombocytopenia. Red cells are normochromic and normocytic with no increase in polychromatophilic erythrocytes. A few teardrop cells are present. White blood cells show a left shift but no toxic granulation or Dohle bodies. No circulating blasts are seen. The patient denies any history of alcohol abuse. The test for HIV is negative, and he is not on any medications. Vitamin B12 and folic acid levels are normal. Is a bone marrow evaluation necessary for this patient? Why or why not?
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