Ahmad Alkhasawneh Login to follow
Lymphocytosis in middle age patient
61-year-old male presented with leukocytosis to primary care physician. CBC result, representative cells from differential and representative bone marrow are provided. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), morphology guide for blood smear and flow cytometry guide are available under "specials to order".
Atypical lymphocytes on blood smear
62-year-old woman admitted to the hospital with severe pneumonia and found to have leukocytosis with atypical lymphocytes/ monocytes on blood smear. CBC result, representative cells from differential and representative bone marrow are provided. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), morphology guide for blood smear and flow cytometry guide are available under "specials to order".
Blasts versus atypical monocytes
62-year-old woman admitted with worsening dyspnea on exertion and found to have leukocytosis. CBC result, representative cells from differential and representative bone marrow are provided. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), morphology guide for blood smear and flow cytometry guide are available under "specials to order".
Possible blasts in blood
77-year-old man with history of chronic pancytopenia and macrocytosis. No prior therapy. 7% Atypical cells were noted in the differential count (see images).CBC result, representative cells from differential and representative bone marrow are provided. #Note: Subclassification is required. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), morphology guide for blood smear and flow cytometry guide are available under "specials to order".
Atypical cells on blood smear
66-year-old man with history of asthma, intermittent fever and borderline leukocytosis. CBC result, representative cells from differential and representative bone marrow are provided. Note: Subclassification is required. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), morphology guide for blood smear and flow cytometry guide are available under "specials to order".
Neutrophilia with left shift.
51-year-old women admitted with worsening lower back pain and found to have severe leukocytosis. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), morphology guide for blood smear and flow cytometry guide are available under "specials to order".
Duodenal mass
31-year-old woman with large mass involving the stomach and duodenum. Endoscopic biopsies of duodenum are shown. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), and flow cytometry guide are available under "specials to order".
Back pain from a compression fracture
58-year-old man with acute on chronic back pain and found to have compression fracture L2. Lab findings are shown, and bone marrow biopsy was performed. Representative cells from marrow aspirate smears and representative bone marrow are provided. Work up (including immunohistochemistry on tissue, flow cytometry, SPEP, free light chains, karyotype, FISH, and molecular), morphology guide for blood smear and flow cytometry guide are available under "specials to order".
Inguinal lymphadenopathy
69-year-old man with enlarged lymph nodes in neck and inguinal lymph nodes. He underwent inguinal lymph node biopsy. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), and flow cytometry guide are available under "specials to order".
Mesenteric mass
79-year-old man presenting with abdominal pain and found to have left mesenteric mass. Needle core biopsy was obtained. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), and flow cytometry guide are available under "specials to order".
Neck lymphadenopathy in a young patient
30-year-old man presented with cervical lymphadenopathy. Excisional lymph node biopsy was performed, and representative section is provided. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), and flow cytometry guide are available under "specials to order".
Aggressive tumor
74-year-old man with abdominal pain, inguinal lymphadenopathy and mesenteric mass. Inguinal lymph node biopsy was performed. ##Note: Subclassification is required. Work up (including immunohistochemistry on tissue, flow cytometry, karyotype, FISH, and molecular), and flow cytometry guide are available under "specials to order".
Recurrent thromboembolism in young female
A 39-year-old woman with past medical history of autoimmune disorder presenting to ED with acute onset shortness of breath. She was hypoxemic upon arrival, and CT scan showed pulmonary emboli. She was not on anticoagulant therapy on presentation. (Note: confirmatory tests can be obtained).
Uncontrolled bleeding in a newborn
2 weeks old male neonate presented with uncontrolled bleeding at circumcision site. Initial work up studies are shown.
Severe bleeding after delivery
30-year-old woman with recent delivery of her second baby 4 months ago, presents with large hematoma on her thigh. She does not recall any injury to the site. No significant history of bleeding or medication. Blood was drawn from left forearm.
Left arm deep vein thrombosis
A 27-year-old man presented with swelling in the left arm. Doppler ultrasound showed deep vein thrombosis. He has no history of recent travel, immobility, excessive bleeding or medication. Initial laboratory findings are shown.