Sunday, January 24, 2016

Sunday Blood Cell Challenge

Peripheral blood cell morphology quiz

Case: 52 years old shop keepr from Rotterdam has high fever and bruices in her legs and arms. She has been very weak and lost her appetite a week ago. She went to the primary healthcare center and basic blood test were taken. CRP was 35 mg/L, Hb 104 g/L and leukocytes 18.2 x10 9/L. Peripheral blood smear was sent to central lab and the typical findings are in the image below.

Can you identify these three cells (A, B and C)?

Correct anser is below the image.

(Click image to enlarge)

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Correct answer: All three cells are lymphocytes. A: Plasmacytoid lymphocyte, B: Malignant lymphocyte with crystalline inclusion, C: Reactive lymphocyte.

23 comments:

  1. A virocyt
    B monocyt
    C activate monocyt

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  2. A plasma cell
    B metamyelocyte
    C active lymph

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  3. A immature red blood cell
    B monocyte
    C active lymph

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  4. A immature red blood cell
    B monocyte
    C active lymph

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  5. A plasma cell b monocyte c Active lymphocyte

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  6. This comment has been removed by the author.

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  7. A plasmacytoid lymph
    B monocyte
    C activated lymph

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    Replies
    1. This comment has been removed by the author.

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    2. it could be blast but we cannot be certain of their lineage, i.e. they could be myeloid or lymphoid, the reason for that is we cannot determine their lineage is because they are immature cells that lack or show few features of differentiation down a particular lineage

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  8. A. Plasma cell
    B. Monocyte
    C. Reactive lymphocyte

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  9. A.reactive lymphocytosis with plasmacytoid features
    B.monocyte/macrophage
    C.reactive lymphocyte or monocyte --> possible viral infection: ß-Streptococcus, cytomegalovirus, drugs, Epstein-Barr virus (infectious mononucleosis), syphilis, toxoplasmosis, vaccination, and viral hepatitis...

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  10. A. Plasmacytoid lymphocyte
    B. Monocle
    C. Reactive lymphocyte due to viral infection

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  11. A. Plasmacytoid lymphocyte
    B. Monocle
    C. Reactive lymphocyte due to viral infection

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  12. This comment has been removed by the author.

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  13. A. Plasmacytoid lymphocyte
    B. Monocyte
    C. Variant lymphocyte

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  14. This comment has been removed by the author.

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  15. A. Plasmacytoid reactive lymphocyte.
    B. Myelocyte.
    C. Atypical lymphocyte

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  16. A-metamyleocyte
    B-MYLEOCYTE
    C-PRONORMOBLAST

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  17. A-metamyleocyte
    B-MYLEOCYTE
    C-PRONORMOBLAST

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  18. not bad,,,butI must learn more

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