Granular Cast - High Power Field

Granular Cast

The structure shown is a granular cast      
Hyper Segmented Neutrophil

Hypersegmented neutrophil with megaloblastic anemia on smear

Here is a hypersegmented neutrophil that is present with megaloblastic anemias. There are 8 lobes instead of the usual 3 or 4. Such anemias can be due to folate or to B12 deficiency. ...

CBC diagram iron deficiency anemia

This is CBC diagram from patient with iron deficiency anemia, notice that: Hemoglobin, Hematocrit is decreased —> Anemia MCV is low —> Microcytic Anemia MCH is low ...
Sickled RBC's and Nucleated RBC

Aplastic Crisis in a Patient with Sickle Cell Disease

Numerous sickled RBC’s are present (small arrows). A single nucleated RBC is noted (large arrow). Of note is the absence of polychromasia.
Schistocyte - Helmet Cells

schistocytes and helmet cells in a smear accosiated with DIC

There are numerous fragmented RBC’s seen here. Some of the irregular shapes appear as “helmet” cells. Such fragmented RBC’s are known as “schistocytes” ...
uric acid crystals

Uric Acid Crystals in Urine

It’s Uric Acid Crystals, Uric acid crystals are diamond or barrel shaped crystals that are typically yellow to orange-brown in color. They can be found in normal urine but may ...
basophilic stippling

Basophilic Stippling

the round, dark-blue granules known as basophilic stippling The granules are composed of precipitated ribosomes and mitochondria in immature red blood cells Basophilic Stippling ...
Acyute Lymphoblast leukemia (ALL) - Blasts

Blasts from acute lymphocytic leukemia ALL patient

This smear taken from acute lymphocytic leukemia (ALL) patient when we first report the cell we say it’s blast but we don’t specify it until we do other tests but i put ...
Triple Phosphate Crystals - Low power field

Alkaline Urine – Triple Phosphate Crystals

 This is Alkaline Urine: notice triple phosphate crystals These “triple phosphate” crystals look like rectangles, or coffin lids     Source & References: ...
Hypochromic and Microcytic Red Cells

Hypochromic microcytic anemia on peripheral smear

This is hypochormic microcytic anemia condition Hypochormic as central pallor zone increased in most red cells Microcytic as cells are smaller than normal Anisocytosis (variation in ...
Neutrophilia - leukemoid reaction

Neutrophilia – Leukomoid Reaction

 An elevated WBC count with mainly neutrophils suggests inflammation or infection. A very high WBC count (>50,000) that is not a leukemia is known as a “leukemoid reaction”. This ...
Basophil and Activated Large Lymphocyte

Normal White Blood Cells on a Smear

Normal Lymphocyte on the left and Segmented Neutrophil on the right   Normal Monocyte, notice the folded nucleus and it’s big size comparing to other blood cells   Eosinophil ...
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