Imaging session Haematology MBChB V. Session 1 MJ Coetzee. Normal blood picture. Normal blood smear. Normal white cells. Normal red cells & platelets. Eosinophil. Basophil. Normal band cell. Normal bone marrow.
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Session 1MJ Coetzee
Normal white cells
Normal red cells& platelets
Stem cells give rise toe cells that develop into mature cells in the circulation
Normal bone marrow particle (1/3 adipose cells)
Biopsy (histological picture)
Particle on smear
Adipose cells have replaced normal bone marrow
Oval macrocytes (e.g. megaloblastic anaemia
Rouleaux (e.g. TB, HIV)
Shape of normal RBCs & spherocytes
Döhle bodies (infection)
Loose nuclear fragments
Acid-fast bacilli in bone marrow (TB)
Non-falciparum malaria (large cells)
“Strawberry” tongue:Fe deficiency
Hands useful, regardless of ethnicity
Normal (blue) Fe stain of marrow particle
Macroscopic agglutination in tube
Gall stones after chronic haemolysis (barium in gall bladder)
T. is an 18-year old woman that has become increasingly pale and tired over the last fortnight. Her eyes are yellow. Her left upper abdomen is tender. Her mother had a similar condition as a youngster and had a splenectomy. After the operation her mother’s symptoms never recurred. T’s FBC shows the following: WBCs 7 x 109/l, haemoglobin 8 g/dl and platelets 250 x 109/l. Her blood smear shows spherocytes and her reticulocyte count is raised.