rbc on smear
TRANSCRIPT
RBC ON PERIPHERAL SMEAR
CONTENTS MORPHOLOGY
DISTRIBUTION
INCLUSIONS
INTERPRETATION OF ABNORMAL RBC
CONCLUSION
MORPHOLOGY
SIZE
RED CELLS COLOUR
SHAPE
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’
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
TOTAL RBC COUNT HAEMOGLOBIN ERYTHRON HEMATOCRIT
MCVMCH RBC INDICESMCHC
RDW
RBC PROFILE
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
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
GRADING OF POIKILOCYTOSIS1+ : 1% - 5%
2+ : 6 % - 10%
3+ : 11% - 25%
4+ : >25%
ABNORMAL DISTRIBUTION
RBC INCLUSIONS
RBC INCLUSIONS
CODOCYTES STOMATOCYTES
DACRYOCYTESBURR CELLS
MACROCYTES
MICROCYTES
DIMORPHIC
ABNORMAL PICTURES OF RBC DISORDERS
MICROCYTIC HYPOCHROMIC ANAEMIA MACROCYTIC ANAEMIA
CONCLUSION
CLINICAL FEATURES
PATHOLOGY OF DISEASE
LAB DATA