A 56-year-old female with a history of multiple blood transf…
A 56-year-old female with a history of multiple blood transfusions is being monitored for iron overload. Her CBC shows mild anemia. A peripheral smear stained with Prussian blue reveals small, blue-purple inclusions near the periphery of red blood cells. Question:What are the inclusions in the red blood cells, and what do they represent?
Read DetailsCBC: Hgb: 8.2 g/dL Hct: 25.0% MCV: 90 fL WBC: 65.0 x…
CBC: Hgb: 8.2 g/dL Hct: 25.0% MCV: 90 fL WBC: 65.0 x10⁹/L Platelets: 45 x10⁹/L Patient Summary:A 45-year-old male presents with fatigue, bleeding gums, and frequent bruising. He notes a recent 10-pound weight loss and intermittent fevers. Physical exam reveals petechiae and mild hepatosplenomegaly. Peripheral smear shows large immature cells with high nuclear-to-cytoplasmic ratio and fine chromatin. Some of the blasts contain rod-like inclusions. Microscopy Image: Cytochemical Stain Recommendation: Myeloperoxidase (MPO) stain: Positive Sudan Black B: Also positive What is the most likely diagnosis?
Read DetailsPatient Summary:A 72-year-old male presents with mild fatigu…
Patient Summary:A 72-year-old male presents with mild fatigue, night sweats, and painless swelling in his neck and groin. He reports a gradual decline in energy over several months. Physical exam reveals non-tender cervical and axillary lymphadenopathy. Peripheral smear shows many small, mature-appearing lymphocytes and frequent smudge cells. Microscopy Image: Cytochemical Stain Recommendation: Tartrate-resistant acid phosphatase (TRAP) stain: Negative What is the most likely diagnosis?
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