CLINICAL INFORMATION

78 y/o male has been feeling fatigued and worsening SOB for 1-2 weeks with a WBC in the 90,000. A bone marrow biopsy and aspirate was performed.

PERIPHERAL BLOOD SMEAR AND DIFFERENTIATION

         WBC, 90.0 K/uL 

            NEUTR,   3.0 %,     

            LYMPH,   7.0 %,     

            EOSIN,   1.0 %,     

            BLAST,  89.0 %,     

         RBC, 4.29 M/uL 

         HGB, 13.3 g/dL

         HCT, 38.1 %  

         MCV, 88.8 fL   

         MCH, 31.0 pg   

         MCHC,34.9 g/dL  

         RDW, 18.0 %  

         PLT,   62 K/uL 

Wright-Giemsa, 100×

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BONE MARROW ASPIRATE AND TOUCH IMPRINT

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BONE MARROW CORE BIOPSY AND CLOT

Pending Pictures

HE, 20×

HE, 40×

FLOW CYTOMETRY

Pending Pictures, report next page.

CYTOGENETICS

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan