Morning Report Unknown

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Morning Report Unknown 99

• Smears

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Please match the peripheral smear with the
appropriate scenario

• 75 year old male presents with fatigue,
  splenomegaly, night sweats, diagnosed with
  myelofibrosis
• 68 year old alcoholic female presents with
  neuropathy, subacute confusion
• 27 year old female with mycoplasma pneumonia
• 72 year old female with CKD with BUN of 80.

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Answers
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75 year old male presents with fatigue,
splenomegaly, night sweats, diagnosed with
myelofibrosis
Teardrop cells suggestive of extramedullary
hematopoeisis, myelofibrosis
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68 year old alcoholic female presents with
neuropathy, subacute confusion
Megaloblastic anemia hypersegmented PMN
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27 year old female with mycoplasma pneumonia
Spherocytes, consistent with immune hemolytic
anemia (or hereditary spherocytosis)
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72 year old female with CKD with BUN of 80.
Echinocytes, or burr cells, often seen in
patients with chronic kidney disease