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What might be an indication for a 200 or 300 WBC differential?
When the WBC count is increased or decreased and abnormal or immature cells are seen.
1. band
2. seg
myeloblast
4. seg
5. metamyelocyte
6. myelocyte
7. band
blast
9. promyelocyte
10. metamyelocyte
11. promyelocyte
12. myelocyte
blast
metamyelocyte
promyelocyte
myelocyte
what are the cells in the picture?
blast
promyelocyte
segmented neutrophil
promyelocyte
myelocyte
The presence of 5 or more lobes in a neutrophil
hypersegmentation
is seen in megaloblastic anemias
larger dark granules that can be present with bacterial infections, burns, yeast infections, and pregnancy
toxic granulation
Blue cytoplasmic inclusions that can be present with bacterial infections, burns, yeast infection, and pregnancy
dohle bodies
most cells have 1 or 2 lobes ( bi lobed nuclei)
Pegler-Huet disorder
Smooth homogenous inclusion in neutrophil
LE cells
Large grey-green granules
Chediak-higashi disease
In Chediak-Higashi disease, abnormal fustion of granules in most cells containing granules what types of cells are these?
granulocytes, monocytes, lymphcytes
Dohle Body-like inclusions in neutrophils, eosinophils, basophils, and monocytes.
May-Hegglin
The dohle body like inclusion in May-Hegglin are composed of what?
precipitate myosin heavy chains
May -Hegglin is associated with————— and —————-
dohle-like inclusions and giant platelets
intracellular yeast
intracellular bacteria
What conditions/anomaly/disease could possibly be seen with hypersegmentation?
megaloblastic anemia
What conditions/anomaly/disease could possibly be seen with toxic granulation, dohle bodies, and vaculoization?
pregnancy, burns, bacterial infections, and yeast infections
What conditions/anomaly/disease could possibly be seen with myeloid malignancies?
bilobed nuceli
What conditions/anomaly/disease could possibly be seen with giant platelets and dohle bodies?
may-hegglin anomaly
What conditions/anomaly/disease could possibly be seen with phagocytized cell nucleus?
systemic lupus erythematosus
depending on the manufacturer the granules in Leukocyte Alkaline Phosphatase (LAP) stain will be?
blue or red
What is a normal LAP value?
40-170
The principles diagnostic use of the LAP stain is?
to help differentiate a leukemoid reaction from a chronic myelocytic leukemia (CML)
Conditions that will give an elevated LAP score are?
leukemoid rxn, pregnancy, and polycythemia vera
Key features of CML?
decreased LAP; +Ph