Hemeonc Pictures

Front 1

Pernicious anemia

Back 1

RBC: macrocytic, anisocytosis, poikilocytosis with teardrop forms and pear shaped cells as well as oval macrocytes. nucleated reds

Whites: neutrophils with 5 or more lobes (hypersegmented)

Platelets - thrombocytopenia common

Front 2

hypochromic microcytic anemia

Back 2

red cells: smaller, increased pallor, some anisocytosis and poikilocytosis. Target cells frequently.

WBC - na

Platelets - can be thrombocytsois?

Front 3

sickle cell anemia

Back 3

RBC: normocrhomic, normocytic, anisocytosis, poikilocytosis, elongated cells, drepanocytes. Ovalocytes, target cells, howell-jolly boddies. Polychromasia and nucleated RBC may be seen.

WBC - neutrophillic leukocytosis with left shift common

Platelets - normal or moderately increased

Front 4

thalassemia major

Back 4

RBC - thal minor is just microcytic like iron deficiency. Thal major - severe hemolytic anemia. anisocytosis, poikilocytosis, microcytosis with some macrocytic cells. tear drop cells. hypochromia. Howell Jolly bodies, target cells, normoblasts, polychromatophillia.

WBC - normal
Platelets - low

Front 5

MAHA

Back 5

RBC - schistocytes, helmet cells (if TPP esp). Microspherocytes may be present. Polychromasia.

WBC - luekocytosis depending on cause

Plateletes - thrombocytopenia depending on cause

Front 6

AIHA

Back 6

RBC: spherocytosis, poychromasia, nucleated RBC

Whites - varries

Platelet - normal typically

Front 7

Leukemoid reaction

Back 7

RBC - normoblasts may be seen

WBC - leukocytosis, immature band cells and metamyolcytes.

platelets - normal or up

Front 8

Myelofibrosis (myeloid metaplasia)

Back 8

extramedullary hematopoiesis in spleen, liver, lymph nodes

RBC - tear drop shaped erythrocytes, with ovalocytes also common, nucleated reds

WBC - variable count with left shift

Platelet count - varies, with abnormal forms being seen

Front 9

AML/ANLL

Back 9

RBC - normochromic anemia or normal

WBC - atypical and typical blasts - large cells, round/oval nucleus, one or more nucleoli, bluish cytoplasm.

platelets - thrombocytopenia

Front 10

CLL

Back 10

RBC - normochromic, normocytic

WBC - leukocytosis with majority mature lymphocyte - uniform mirror images. cells may rupture leaving smudge or basket cells

platelets - normal or low

Front 11

Infectious mononucleosis

Back 11

WBC - lymphocytosis with atypical lymphocytes. Extreme variability in lymphocytes. Cytoplasm with vacuoles and zurophillic cytoplasm. dense chromatin

RBC - normal

platelet - normal

Front 12

CML

Back 12

RBC - normochromic normocytic anemia

WBC - granulocytosis with more mature elements predominating. Myeloblasts are less than 5% of the differential. Basohils and eosinophils increased

RBC - polychromasia, basophilic stippling, normoblasts

Platelets - thrombocytosis with abnormal forms

Front 13

Multiple Myeloma

Back 13

RBC - normochromic, normocytic anemia. rouleauxx formation from serum protein. leukoerythroblastic picture possible.

WBC - low count, occasionally see plasma cells

Front 14

ITP/ATP

Back 14

platelets - low, those found often megathrombocytes

WBC - normal or increased

RBC - unaffected