DZI20-239: Hematopathology outs - Wednesday, December 2, 2020

From MGH Learn Pathology


Request type Outs
Subspecialty Hematopathology
Topic 2020/12/02
Presenter Nardi, Valentina,MD
Date and time Wednesday, December 2, 2020 12:00 AM



Case Clinical history Requester
Case Clinical history Requester

Case 1


65 yo woman with fatigue and abnormal CBC and smear.

WBC 9.21; HGB 8.7 (L); HCT 24.6 (L)  PLT 49 (L) MCV 103.4 (H) DIFF: NEUTS 19.1 (L); LYMPHS 36.5; REACTIVE LYMPHS 7.0 (H);

MONOS 28.7 (H) (4 - 11 %); OTHER CELLS 8.7 (H)
Kx601

Case 2


68 yo man presenting to the ED with acute chest pain c/f aortic dissection noted to have an abnormal CBC and smear

WBC 21.02*; HGB 7.3*; HCT 22.7*; PLT 138*; MCV 96.

DIFF: Neutr 64; Lymph 12; Monos 1; Basos 1; Bands 1; Metas 2; Myelos 16; Other WBCs 3.
Vn048

Case 3


55 yo man with symptomatic lymphadenopathy fatigue sweats and an abnormal CBC and smear.

WBC: 19.7 (H); HGB: 13.1 (L); HCT 39.3 (L); MCV: 89.9; PLT: 145 (L)

Diff: Neutr 18.4; Lymph 57.8; Monos 4.4; Eos 0.9; Basos 0.9; Metas 0.9; Myelos 0.9; Other WBC 15%
Vn048

Case 4


58 yo woman presenting to the ED frail with pain nausea and fatigue. She is noted to have an abnormal CBC and smear.

WBC:3.6 (L); HGB: 8.6 (L); HCT: 26.9 (L); MCV: 89.7; PLT: 27 (L)

Diff: Neut: 40; Lymph 32; Monos 5; Eos 1; Bands 4; Atypical lymphs 2; Metas: 2; Myelos 3; Promyelos 1; Other WBCs: 10.
Vn048