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  • Supplementary Data 1. Peripheral Morphology Grading System Cell Name Grading System Few/1+ Mod/2+, % Many/3+, % RBC

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    henryliemer
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    The document provides a grading system for peripheral morphology of red blood cells, white blood cells, and platelets seen on blood smear examinations, as well as consensus guidelines consisting of rules for slide review of complete blood count results based on certain parameter levels or the presence of flags. The rules specify the primary and secondary parameters that would trigger a slide review and what subsequent actions may be required depending on the findings, such as verifying a sample, requesting a fresh sample, or reporting results with comments.

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    Morfologi Staging

    Original Title

    402940

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    The document provides a grading system for peripheral morphology of red blood cells, white blood cells, and platelets seen on blood smear examinations, as well as consensus guidelines consisting of rules for slide review of complete blood count results based on certain parameter levels or the presence of flags. The rules specify the primary and secondary parameters that would trigger a slide review and what subsequent actions may be required depending on the findings, such as verifying a sample, requesting a fresh sample, or reporting results with comments.

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    © All Rights Reserved
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    3 views5 pages

    Supplementary Data 1. Peripheral Morphology Grading System Cell Name Grading System Few/1+ Mod/2+, % Many/3+, % RBC

    Uploaded by

    henryliemer
    The document provides a grading system for peripheral morphology of red blood cells, white blood cells, and platelets seen on blood smear examinations, as well as consensus guidelines consisting of rules for slide review of complete blood count results based on certain parameter levels or the presence of flags. The rules specify the primary and secondary parameters that would trigger a slide review and what subsequent actions may be required depending on the findings, such as verifying a sample, requesting a fresh sample, or reporting results with comments.

    Copyright:

    © All Rights Reserved
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    of 5

    Supplementary Data 1.

     Peripheral Morphology Grading System


    Cell Name Grading System
    Few/1+ Mod/2+, % Many/3+, %
    RBC
    Anisocytosis N/A 11–20 >20
    Macrocytes N/A 11–20 >20
    Oval macrocytes N/A 2–5 >5
    Microcytes N/A 11–20 >20
    Hypochromic cells N/A 11–20 >20
    Polychromasia N/A 5–20 >20
    Acanthocytes N/A 5–20 >20
    Bite cells N/A 1–2 >2
    Blister cells N/A 1–2 >2
    Echinocytes N/A 5–20 >20
    Elliptocytes N/A 5–20 >20
    Irregularly contracted cells N/A 1–2 >2
    Ovalocytes N/A 5–20 >20
    Schistocytes <1% 1–2 >2
    Sickle cells N/A 1–2 >2
    Spherocytes N/A 5–20 >20
    Stomatocytes N/A 5–20 >20
    Target cells N/A 5–20 >20
    Teardrop cells N/A 5–20 >20
    Basophilic stippling N/A 5–20 >20
    Howell-Jolly bodies N/A 2–3 >3
    Pappenheimer bodies N/A 2–3 >3
    WBC
    Döhle bodies N/A 2–4 >4
    Vacuolation (neutrophil) N/A 4–8 >8

    Information Classification: General


    Cell Name Grading System
    Few/1+ Mod/2+, % Many/3+, %
    Hypogranulation (neutrophil) N/A 4–8 >8
    Hypergranulation (neutrophil) N/A 4–8 >8
    Platelets
    Giant Platelets N/A 11–20 >20

    Information Classification: General


    Supplementary data 2: Consensus guidelines (rules) for slide review following CBC
    Rule Parameter primary secondary Tertiary Action 1 Action 2 Action 3
    #
    1 Neonates Slide review
    5 WBC <4 or >30 First time Slide review
    7 PLT <100 or >1000 First time Slide review
    9 HGB <7g/dl or >2g/dl First time Slide review Verify sample
    above upper integrity if
    reference range for indicated
    age and sex
    10 MCV <75fl or>105fl (adult) First time Specimen Slide review
    is<24 hrs
    old
    11 MCV >105fl Adult Specimen Slide review for Request fresh Report with
    is>24hrs old macrocytic sample if NO comment if
    associated macrocytic fresh sample
    changes associated change is not
    available
    15 RDW >22 First time Slide review
    DIFFERENTIAL
    16 No diff or Manual diff and
    incomplete diff slide review

    17 Neut # <1 or >20 First time Slide review


    18 Lymph # >5 (adult) or > 7 (<12 First time Slide review
    yrs)
    19 Mono # >1.5 (adult) or >3 First time Slide review
    (<12yrs)
    20 Eos # >2 First time Slide review
    21 Baso # >0.5 First time Slide review
    22 NRBC # Any value First time Slide review
    23 Retics absolute >0.100 First time Slide review
    #
    SUSPECT FLAGS
    24 Suspect flag Flag + First time adult Slide review
    (except
    ImmG/Band)
    25 Suspect flag Flag + First time Child Slide review
    27 RBC fragment Flag + any Slide review
    28 Dimorphic RBC Flag + first time Slide Review
    31 Platelet Flags PLT & Slide Review
    MPV flags
    except plt
    clumps
    32 Immature Flag + first time Slide Review
    granulocyte
    flag

    35 Atypical/ Flag + first time Slide Review


    Variant
    lymphs
    37 Blast flag Flag + first time Slide Review
    40 NRBC flag Flag + Slide Review If positive,
    enumerate
    NRBC count,
    correct WBC if
    appropriate
    41 Retics Abnormal Look at Repeat if If persists,
    pattern instrument aspiration review slide
    output problem

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