All::Haematology::Investigations::Blood films

Intro

What is seen on blood film in Hyposplenism?

  • target cells
  • Howell-Jolly bodies
  • Pappenheimer bodies
  • siderotic granules
  • acanthocytes

What is seen on blood film in Iron-deficiency anaemia?

  • target cells
  • 'pencil' poikilocytes

What is seen on blood film in Iron-deficiency anaemia with mixed B12/folate deficiency?

a 'dimorphic' film occurs with mixed microcytic and macrocytic cells

What is seen on blood film in Myelofibrosis?

'tear-drop' poikilocytes

What is seen on blood film in Intravascular haemolysis?

schistocytes

What is seen on blood film in Megaloblastic anaemia?

hypersegmented neutrophils

Which conditions are associated with Target cells?

  • Sickle-cell/thalassaemia
  • Iron-deficiency anaemia
  • Hyposplenism
  • Liver disease

Which conditions are associated with 'Tear-drop' poikilocytes?

Myelofibrosis

Which conditions are associated with Spherocytes?

  • Hereditary spherocytosis
  • Autoimmune hemolytic anaemia

Which conditions are associated with Basophilic stippling?

  • Lead poisoning
  • Thalassaemia
  • Sideroblastic anaemia
  • Myelodysplasia

Which conditions are associated with Howell-Jolly bodies?

Hyposplenism

Which conditions are associated with Heinz bodies?

  • G6PD deficiency
  • Alpha-thalassaemia

Which conditions are associated with Schistocytes ('helmet cells')?

  • Intravascular haemolysis
  • Mechanical heart valve
  • Disseminated intravascular coagulation

Which conditions are associated with 'Pencil' poikilocytes?

Iron deficency anaemia

Which conditions are associated with Burr cells (echinocytes)?

  • Uraemia
  • Pyruvate kinase deficiency

Which conditions are associated with Acanthocytes?

Abetalipoproteinemia

Which conditions are associated with hypersegmented neutrophils?

megaloblastic anaemia