rbc on smear

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RBC ON PERIPHERAL SMEAR

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Page 1: Rbc on Smear

RBC ON PERIPHERAL SMEAR

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CONTENTS MORPHOLOGY

DISTRIBUTION

INCLUSIONS

INTERPRETATION OF ABNORMAL RBC

CONCLUSION

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MORPHOLOGY

SIZE

RED CELLS COLOUR

SHAPE

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Some of the RBC being stained many colors, referred as POLYCHROMATIC cells and those stain shades of bluish grey.

The juvenileRBC those exhibits polychromasia are referred as ‘RETICULOCYTES’

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DIAGNOSTIC SCHEME

RBC PROFILE PERIPHERAL SMEAR

ERYTHROCYTOSIS

COUNT OR ANAEMIA

NOT REMARKABLE

ABNORMAL

HYPOCHROMIC ANAEMIA

MEGALOBLASTIC ANAEMIA

HAEMOLYTIC ANAEMIA

HYPOPROLIFERATIVE ANAEMIA

QUALITATIVE HAEMOGLOBINOPATHIES

ACUTE BLOOD LOSS

ANAEMIA IN SYSTEMIC DISEASES

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TOTAL RBC COUNT HAEMOGLOBIN ERYTHRON HEMATOCRIT

MCVMCH RBC INDICESMCHC

RDW

RBC PROFILE

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RBC STUDY ON P.SMEAR ABNORMAL MORPHOLOGY

ABNORMAL DISTRIBUTION

INCLUSIONS

GRADING

ANISOCYTOSIS

POIKILOCYTOSIS

HYPOCHROMIA

HYPERCHROMIA

POLYCHROMASIA

AGGLUTINATION

ROULEAUX BASOPHILIC STIPPLING

HOWEL-JOLLY BODIES

CABOT RINGS

PAPPENHEIMER BODIES

MALARIAL PARASITE

HEINZ BODIES

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GRADING OF ANISOCYTOSIS Type of cell Grade % of RBC/oil

immersion

Anisocytes 1+ 2 - 52+ 5 - 73+ 7 - 124+ 12 - 25

Microcytes 1+ 5 - 202+ 21 - 503+ 51 - 754+ 76 - 100

Macrocytes 1+ 2 - 102+ 11 - 253+ 26 - 504+ > 50

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GRADING OF POIKILOCYTOSIS1+ : 1% - 5%

2+ : 6 % - 10%

3+ : 11% - 25%

4+ : >25%

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ABNORMAL DISTRIBUTION

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RBC INCLUSIONS

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RBC INCLUSIONS

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CODOCYTES STOMATOCYTES

DACRYOCYTESBURR CELLS

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MACROCYTES

MICROCYTES

DIMORPHIC

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ABNORMAL PICTURES OF RBC DISORDERS

MICROCYTIC HYPOCHROMIC ANAEMIA MACROCYTIC ANAEMIA

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CONCLUSION

CLINICAL FEATURES

PATHOLOGY OF DISEASE

LAB DATA

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