normal

Peripheral film reveals normocytic normochromic picture, anemia

Total leucocyte count is normal with normal morphology

Platelets adequate on smear

Malarial parasite not seen

Suggest:

Please correlate clinically

Mild Iron deficiency anemia (hb 11.5-10g/dl)

Peripheral film reveals mild hypochromic microcytic anemia

Red cells show anisopoikilocytosis (target cells, tear drop cells and pencil cells).

Total leucocyte count is normal with few reactive lymphocytes/normal morphology

Platelets adequate on smear

Malarial parasite not seen

Suggest: Hemoglobin studies(HPLC) if not already done

Serum Iron profile

Moderate Iron deficiency anemia (hb 10-7g/dl)

Peripheral film reveals moderate hypochromic microcytic anemia

Red cells show anisopoikilocytosis (target cells, tear drop cells and pencil cells).

Total leucocyte count is normal with few reactive lymphocytes/ normal morphology

Platelets adequate on smear

Malarial parasite not seen

Suggest: Hemoglobin studies(HPLC) if not already done

Serum Iron profile

severe Iron deficiency anemia (hb <7g/dl)

Peripheral film reveals severe hypochromic microcytic anemia

Red cells show anisopoikilocytosis (target cells, tear drop cells and pencil cells).

Total leucocyte count is normal with few reactive lymphocytes/ normal morphology
Platelets adequate on smear

Malarial parasite not seen

Suggest: Hemoglobin studies(HPLC) if not already done

Serum Iron profile

Megaloblastic anemia
Peripheral film reveals Pancytopenia, bicytopenia

Red cells show severe , mild, moderate anemia with anisopoikilocytosis (oval macrocytes and target
cells)

Total leucocyte count is low with differential showing absolute neutropenia, mild neutropenia ,
hypersegmented neutrophils

Platelets decreased, adequate on smear

Malarial parasite not seen

Suggest: Serum Vitamin B12 and Folate levels

Thalassaemia major
Peripheral film reveals severe hypochromic microcytic anemia

Red cells show marked anisopoikilocytosis (target cells, tear drop cells, few RBC fragmentation, few
nucleated red blood cells and pencil cells).

Total leucocyte count is normal with few reactive lymphocytes/ normal morphology

Platelets adequate on smear

Malarial parasite not seen

Suggest: Hemoglobin studies (HPLC)

Blood transfusion after sampling for HPLC

Raised hb
Raised hemoglobin and HCT
Increased RBC count
Dehydration??
Organomegaly??

Suggest: PCR for JAK2 mutation if clinically indicated

Patient contact no. not provided

DENGUE FEVER
Peripheral film reveals normocytic normochromic picture.

Total leukocyte count is low with differential showing absolute neutropenia (ANC= 1200/uL) and few
reactive lymphocytes.

Platelets are adequate on film.

Malarial parasite is not seen.

History : Dengue fever

Please correlate clinically.

Raised hematocrit
Peripheral film reveals Increased hematocrit with red cells showing normocytic normochromic

picture.

Total leukocyte count is normal with differential showing normal morphology.

Platelet are adequate on film

.Malarial parasite is not seen.

Dehydration?

Splenomegaly?

Follow up of hematocrit.

Correlate clinically.

Malarial PF
Peripheral film reveals normocytic normochromic picture.

Total leukocytes count is normal with differential showing few reactive lymphocytes.

Platelets are low on film.

Many schizonts of PLAMODIUM VIVAX are seen on smear.

Correlate clinically.

Thalassaemia major HPLC

Comments: Findings are consistent with beta Thalassaemia Major

Suggest:

Family screening

Genetic counselling

Prenatal diagnosis of mother in future pregnancies

Patient contact no. not provided

Thalassaemia minor HPLC

Comments: Findings are consistent with beta Thalassaemia Minor

Suggest:

Family screening

Genetic counselling

HPLC of spouse

INCREASED BLASTS
Peripheral film reveals Bicytopenia

Total leukocytes count is markedly raised with significant increase in blasts.

Red cells show severe anemia with normocytic normochromic picture.

Platelets are low on film.

Suggest:
 Urgent clinical hematologist consulataion

Flowcytometry on peripheral blood

Comment
Clinical notes??

Please correlate clinically

PANCYTOPENIA WITH BLASTS

Peripheral film reveals Pancytopenia

Total leukocytes count is decreased with few atypical cells/blasts and absolute neutropenia ANC= /UL

Red cells show severe anemia with normocytic normochromic picture.

Platelets are low on film.

Suggest:

Urgent clinical hematologist consulataion

Bone marrow biopsy

Flow cytometry

Cytogenetics