Case 50 part 2 – the beginning

A 21 year old female presents with chest pain. You are asked to authorise a blood transfusion as she is anaemic.

  • Hb 69g/L (115-160)
  • MCV 111fL (79-98)
  • WCC 12.6×10*9/L (4-11)
  • Neuts 10.6×10*9/L (2-7)
  • PLT 578×10*9/L (150-400)

Here is her blood film:



  • What do you see on the film? – name three abnormalities
  • What investigation would you like next?

Please reply to us (@TeamHaem) 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 days so keep checking #TeamHaem on Twitter 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.


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Online education and discussion about all things haematological
This entry was posted in Anaemia, Haemoglobinopathy, Laboratory morphology, Transfusion and tagged , , , . Bookmark the permalink.

1 Response to Case 50 part 2 – the beginning

  1. Ahmed Naife says:

    1- Sickle cell on Blood film
    2- 3 abnormal ( Sickle cell, Target cell & Ploychromatophilic cell)
    3 – Sickling test , Hb Electrophorosis

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