Case 31 part 2 – update 1

Thanks for all of the suggestions! Here’s a slightly bigger picture of the nucleated red cell and tear drop poikilocytes:

Case 32 part 2

The GP tells you the patient used to be under haematology review elsewhere but since moving locally has not been seen for three years. She has had change of bowel habit with some PR bleeding and the GP felt an abdominal mass. This was some routine blood testing to accompany a two week wait/urgent gastro-intestinal referral.

Questions:

  • Other than myelofibrosis what else causes tear drop cells?
  • Any other useful testing you could do to help before the patient attends for a marrow?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
This entry was posted in Haemoglobinopathy, Laboratory morphology, Myeloproliferative neoplasm, Related to other specialities and tagged , , , . Bookmark the permalink.

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