Friday, December 25, 2015

Preanalytical Challenge

What do you say about this sample?
by Marcin Balasa‎



CORRECT ANSWER: This sample was taken to open tube among with other samples. The phlebotomists mixed the caps by mistake after filling the tubes. This is a plasma separating tube (PST). The gele is clearly visible between the serum and cells.

As a conclusion new sample is requested because of potential potassium contamination of K2EDTA tube cap.


Source: Facebook via Diagnosci.pl
Image credits: Marcin Balasa‎
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12 comments:

  1. UnknownDecember 26, 2015 at 8:47 AM

    The sample has Trace of haemolysis

    ReplyDelete
  2. Atique ManglaDecember 26, 2015 at 9:08 AM

    Lipemic I guess!

    ReplyDelete
  3. UnknownDecember 26, 2015 at 9:45 AM

    ser icteric cu valoare mare a Br.

    ReplyDelete
  4. UnknownDecember 26, 2015 at 9:56 AM

    Under filled tube. Anticoagulant/blood proportion not maintained, so results are going to be faulty

    ReplyDelete
  5. Stef MDecember 26, 2015 at 10:38 AM

    Someone put an EDTA top on a PST tube.

    ReplyDelete
  6. UnknownDecember 26, 2015 at 11:29 AM

    Agree with Stef M

    ReplyDelete
  7. CindyDecember 26, 2015 at 2:02 PM

    Dilute it. Amazingly high white count/ buffy coat.

    ReplyDelete
  8. Santiago PDecember 26, 2015 at 3:32 PM

    It looks like a EDTA with separator?
    Posible diagnosis The nurse made phlebotomy with syringe, open tubes, filled manually and recaped erroneusly

    ReplyDelete
  9. RitDecember 26, 2015 at 4:15 PM

    The serum is potentially contaminated with EDTA as the wrong cap was put on.

    ReplyDelete
  10. UnknownDecember 26, 2015 at 6:06 PM

    Underfilling of EDTA tube.
    Plasma shows deep yellowish discolouration ( possible hyperbilirubinemia).
    Puffy coat due to high WBCs count ( for total and differential count then IFT)

    ReplyDelete
  11. BDecember 26, 2015 at 8:29 PM

    Extremely high WBC count. Buffy coat is 10X thicker than it should be.

    ReplyDelete
  12. UnknownJanuary 4, 2016 at 6:19 AM

    High WBC maybe >100,000/mm3

    ReplyDelete