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Case 13

Hematopathology Case

CLINICAL INFORMATION

 

A 78-year-old male had fatigue and worsening shortness of breath for 1-2 weeks with a WBC count of 90,000. A bone marrow biopsy and aspirate.

 

 

PERIPHERAL BLOOD SMEAR AND DIFFERENTIATION

 

         WBC, 90.0 K/uL 

            NEUTR   3.0%     

            LYMPH   7.0%     

            EOSIN   1.0%     

            BLAST  89.0%     

         RBC  4.29 M/uL 

         HGB  13.3 g/dL

         HCT  38.1 %  

         MCV  88.8 fL   

         MCH  31.0 pg   

         MCHc 34.9 g/dL  

         RDW  18.0 %  

         PLT    62 K/uL 

 

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

BONE MARROW ASPIRATE AND TOUCH IMPRINT

   
 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

Wright-Giemsa, 100

 

 

Wright-Giemsa, 100

 
 
 

Wright-Giemsa, 100

Wright-Giemsa, 100
     
 

Click here for diagnosis and case discussion

 

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE