6 March 2014 (Thursday) - Somewhat Apocryphal?



Full Blood Count

BADGER, Manky
MR 21/02/1964 Male 1234567
Specimen No : NCC1701D

HB ^13.5 Q000 | NEUH 3.7 Q000 |
HBG 135 Q000 | LYMPH 2.3 Q000 |
WBC 8.6 Q000 | MONO 2.6 Q000 |
PLT 201 Q000 | EOS 0.0 Q000 |
RBC 4.56 Q000 | BASO 0.0 Q000 |
HCT 0.425 Q000 | ~F1 ^NRBC Q008 |
MCV 93.2 Q000 | ~F2 ^LS Q008 |
MCH 29.6 Q000 | ~F3 ^PCLUMP Q008 |
MCHC ^31.8 Q000 | |
MCHCG 318 Q000 |

This case came to light during a routine authorisation run today and is an example of a prejudice of mine. I am never happy in a case like this in which the automated differential gives values for neutrophils, lymphocytes and monocytes to be about the same.
Frankly I do not beleive such results and will *always* want to check the results visually on a blood film.

The results are (in my experience) invariably wrong; and usually suggestive of the presence of blast cells.


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