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Faculty of Medicine
MBBS_ Year 1
MIHS_ Batch 29
Unit of pathology

Log-book _Practical Session

Topic: Haematology

Name: ________________________________________

MAT Number: _______________________________________

Date of Practical Session: ________________________________________

____________________________________________________________________________________

Marks

Assessed by
Name and Signature of Staff member

Name

Date

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DECLARATION

I…………………………………………… Mat No_____________

from faculty of ……………........ hereby declare that this logbook is a record of

my work for the laboratory sessions at FoM AIMST University during my

year I MIHS system 2024.

Signature

It is your responsibility to retain a copy of your logbook

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INDEX

S.No Contents Page. No

1.
2.
3.
4.
5.
6.
7.

8.

9.
10.
11.
12.
13.
14.
15

3
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1. Peripheral blood film

a) Describe and name the cells marked by arrow
in t h e photomicrograph

b) List any 2 conditions that lead to increase in

the cells shown in the photomicrograph

a) Describe and name the cells marked by arrow in

t h e photomicrograph

b) List any 2 conditions that lead to increase in the

cells shown in the photomicrographs

a) Describe and name the cells marked by arrow in

t h e photomicrograph

a) List any 2 conditions that lead to increase in the

cells shown in the photomicrographs

4
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2. A 20-year-old female presented to her physician with the complaints of weakness and
fatigue. She has had heavy menstrual bleeding for the past 6 months. On examination
patient is pale, with angular stomatitis and koilonychia. Her blood examination
reports are as follows:
Complete blood count (CBC)

Patient Value Reference Range

Hb (g/dl) 8 13.9-16.3
RBCs (1012 /L) 3.66 4.3-5.9

WBCs (10 /L)

9 8.5 4.5-11
MCV (fL) 66.3 80-100
MCHC (g/dL) 27.3 31-37
RDW (%) 20 11.5-14.5
Platelets 165 150-400
Other
9/L)tests
(10
Serum ferritin Low

State the abnormal findings in CBC Describe peripheral blood smear

Serum ferritin:

Based on the history, clinical features and above laboratory findings state the most
probable diagnosis

5
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3. A 36-year-old female who is on a vegan diet for the past 9 months consulted her
physician with complaints of weakness, fatigue, numbness and tingling
sensation in the fingers. Lab findings and peripheral smear are provided below.
Complete blood count (CBC)

Patient Value Reference Range

Hb (g/dl) 7.9 13-16

RBCs (1012 3.2 4.3-5.9

/L)
WBCs (109/L) 3.0 4.5-11
MCV (fL) 126 .4 80-100
MCHC (g/dL) 36.5 31-37
RDW (%) 15 11.5-14.5
Platelets 115 150-400
(109/L)
State the abnormal findings in Describe peripheral blood smear
CBC

Based on the history, clinical features and above laboratory findings state a
probable diagnosis

6
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4. Thalassemia:
State the cells marked by the arrow

Describe the findings in Picture(A)& (B)

A)

(B)
.

7
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5. A young child from Egypt presents with features of haemolytic anemia after
consuming fava beans(broad beans)
State the name of cells marked by
arrow in above photomicrograph.

State the most probable diagnosis.

6. A young child from Egypt presents with features of haemolytic anemia after
consuming fava beans(broad beans)
a) Describe the blood smear

b) State the diagnosis

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7. A 46-year-old male presented with generalized weakness, gum bleeding and history of
recurrent sore throat for the last 3 months. Blood count revealed pancytopenia. Bone marrow
biopsy provided.
Normal Bone marrow

Describe the bone marrow findings of photomicrograph labelled A by comparing with the normal.

A:

c) State the diagnosis

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FAB Classification

8. Describe the Peripheral blood film of ALL and state the Type

9. A 70-year-old male consults his physician with the history of fatigue, fever and lower
respiratory tract infection. The total leukocyte count is 40,000/mm3 and shows lymphocytosis.
The peripheral blood smear is provided
a. Describe the cells labelled 1,2&3

Describe the cells marked by the arrow heads

State the most probable diagnosis.

10
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10. Peripheral smear from a patient with acute myeloid leukemia

Describe the features Peripheral Blood:

11. Peripheral blood film from a 57-year-old male diagnosed to have chronic myeloid leukaemia.
Identify and state the cells labelled in the peripheral smear provided

Cell
A
B
C
D
E

12. Lymph node biopsy of a 55-year-old man, who presented with cervical
lymphadenopathy.
Describe the features and name the cell marked by
arrow

The above described cell is characteristic of which

disease

11
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13. A case of multiple myeloma

Describe the X’ray skull Describe the cells in the bone marrow

The globular inclusions (nuclear) are referred The globular inclusions (cytoplasmic) are
to as referred to as

12
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14. Patient with Bernard-Soulier Disease

Describe the PBS

15. State whether the test are Normal/Decreased or Increased

Haemophilia A Haemophilia B vWD
Bleeding time
APTT
F VIII
F IX
vWF Normal

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Roll No

14