Red Cell Disorders: Peripheral Blood Clues to Nonneoplastic Conditions (Online CE Course)

(based on 488 customer ratings)

Authors: C. William Reiquam, MD; Elmer W. Koneman, MD
Reviewer: Barbara Cebulski, MS, MLS(ASCP)

This collection of informative case studies covers many current topics in red cell disorders. Topics include macrocytosis, intracellular RBC inclusions, echinocytes and acanthocytes, schistocytes, ovalocytes, and rouleaux. Numerous high-quality photomicrographs and real-life situations help ensure learning and retaining needed information.

See all available courses »

Continuing Education Credits

P.A.C.E.® Contact Hours (acceptable for AMT, ASCP, and state recertification): 2 hour(s)
Course number 578-050-16, approved through 6/30/2018
Course number 20-547885, approved through 9/1/2018


  • Review normal and abnormal red blood cell morphologies.
  • Recall the criteria for performing and reporting peripheral blood smear reviews.
  • Demonstrate ability to evaluate red blood cell size, shape, and staining characteristics.
  • Correlate observations of key red blood cell abnormalities on peripheral smears with associated clinical conditions.
  • Recognize, via case studies, peripheral smear evaluations for red blood cell morphology and their clinical implications.

Customer Ratings

(based on 488 customer ratings)

Course Outline

Click on the links below to preview selected pages from this course.
  • Introduction to Red Blood Cell Morphology
    • Normal Red Blood Cell Morphology
    • The Peripheral Smear: Reviewing Red Blood Cell Morphology
      • Introduction to Red Blood Cell Morphology Reporting
      • Guidelines for Reporting Red Blood Cell Morphology
      • The oil immersion field (1000x magnification) on the right is representative of the rest of the peripheral blood smear. Teardrop cells are present in ...
  • Abnormal Red Blood Cell Morphology Review
      • Red Cell Morphology Reference Tables
    • Size Variations in Red Blood Cells
    • Variations in Hemoglobin Content
      • Hemoglobin Content Reference Table
    • Shape Variations in Red Blood Cells
      • Poikilocytosis Review Table
    • Abnormal Red Blood Cell Distribution
    • Red Blood Cell Inclusions
      • Red Blood Cell Inclusions and Associated Conditions
  • Case Studies in Red Blood Cell Nonneoplastic Conditions
    • Hemolytic Conditions with Spherocytosis
      • Hemolytic conditions with spherocytosis: Case Study OneA 12-year-old child presents with jaundice and scleral icterus. The image to the right captures...
      • Hemolytic conditions with spherocytosis: Case Study One, continued:Which hematologic condition could be associated with the findings shown in these im...
      • Hemolytic conditions with spherocytosis: Case Study Two A known case of hemolytic disease of the newborn (HDN) is presented in the image on the right....
      • Hemolytic conditions with spherocytosis: Case Study ThreeA 49-year-old male with pneumonia was treated with high-dose intravenous penicillin. He becam...
    • Macrocytosis-Associated Conditions
      • Macrocytosis-associated conditions: Case Study One A complete blood count (CBC) was ordered for a patient recently admitted to the emergency departmen...
      • Macrocytosis-associated conditions: Case Study TwoA patient has an elevated MCV on the automated CBC, and a peripheral blood smear is reviewed. A repr...
    • Intracellular RBC Inclusions
      • Intracellullar RBC inclusions: Case Study OneA twenty-five-year-old asplenic male with disseminated lymphoma is admitted to the hospital. A CBC is ord...
      • Intracellullar RBC inclusions: A toddler is being treated for lead poisoning. You observe the inclusions indicated by the arrows in many RBCs on the p...
      • A 66-year-old man has been diagnosed with sideroblastic anemia. The inclusions indicated by the arrows in the image were seen in many of the RBCs on h...
      • A ten-year-old boy came to a physician's attention because of recent jaundice and icteric sclerae after taking the medication Primaquine. The immediat...
    • Dimorphic Red Blood Cell Populations
      • A blood smear represented by the photograph was submitted for hematologic review. Based on the erythrocyte morphology and the accompanying histogram, ...
    • Target cells and Sickle Cells
      • Hemoglobin E (Hb E) and HbE/Beta Thalassemia
      • Case Study A five-month-old Asian child is brought to the pediatrician by her mother who is concerned because the child is not eating well. Upon exami...
      • A CBC and reticulocyte count are ordered on a 10-year-old African-American male who was brought to the emergency department with rapid, shallow breath...
      • Sickle cells along with target cells, as shown in this image, confirm a diagnosis of sickle cell disease (HbSS).
    • Schistocytes, Bite Cells, and Teardrop Cells
      • Case Study A patient is diagnosed with disseminated intravascular coagulation (DIC) based on clinical findings and laboratory results that include dec...
      • The top image on the right represents a Wright-stained microscopic field from a peripheral blood smear. The bottom image represents a microscopic fiel...
      • The cells indicated by the arrows provide a clue to the diagnosis of chronic idiopathic myelofibrosis (primary myelofibrosis). What is the identity of...
      • A 5-year-old girl was brought to the emergency department with bloody diarrhea and severe abdominal pain. A complete blood count produced these result...
    • Ovalocytes, Elliptocytes and Stomatocytes
      • Ovalocytes/Elliptocytes
      • Stomatocytes
      • Case StudyA 13-year-old healthy male presents to his physician for a sports physical. A complete blood count (CBC) is ordered. The automated count tri...
    • Multiple Erythrocyte Abnormalities
      • Case Study
      • Case Study, continued: Splenectomy Morphologies
      • Case Study, continued: Poikylocytosis and Basophilic Stippling
      • This slide is from a 28-year-old female who received a kidney transplant preceded by a splenectomy six months ago. What red cell morphologic abnormali...
  • References
      • References

Additional Information

Appreciation is expressed to Ms. Bette Jamison, MT (ASCP); Ms. Annie Elrod, MT (ASCP); John Ryder, MD; Peter Shen, MD; and other members of the University of Colorado Health Sciences Center Clinical Laboratory for their assistance in the acquisition of images and the proof reading of a large amount of textual material.


These are the most common topics and keywords covered in Red Cell Disorders: Peripheral Blood Clues to Nonneoplastic Conditions:

pappenheimer bodies hemoglobin pneumonia cells microspherocytes macroglobulinemia microangiopathic artifact fibrin hemolytic methods intravascular laboratorian hematology cytoplasm uremic dysfunction hemolysis macrocytic descriptionassociated spherocytosis analyzer homozygous normocytic folate erythropoietin ovalocyte vitamin biconcave spherocytes hematologic agglutination splenic conditions red cell morphology circulating artifactual morphological g6pd deficiency thalassemias elliptocytes disorders morphologic diagnosis lymphocyte femtoliters globulins body transfusion histogram agglutinins elliptocytosis clinical disease infections kinase typeimagecellular stomatocytes clusters rbcs myelofibrosis thrombotic schistocytes rouleaux resultreference laboratory elliptocyte acanthocyte acanthocytes erythrocyte basophilic stippling stomatocytosis physician red blood cells plasma fibrosis abnormal anemias cytoplasmic sickle supravital transfusions burr macrocytes anticipated peripheral blood smear microcytes syndrome splenectomy coagulation morphology sideroblasts newborn anisocytosis normochromic ovalocytes antibody antibodies morphologies myeloma erythrocytes wright-giemsa numbers blood peripheral blood smears waldenstroms hepatic red blood cell abnormalities guidelines identification keratocytes fibrinogen bone marrow diseases jaundice thrombocytopenic stippling myelodysplasia thalassemia infection iron symptoms cellular diagnostic inflammatory dimorphic malarial reticulocyte nuclear evaluation howell-jolly body codocytes anemia deficiency polychromatophilic liver howell-jolly bodies artifacts illness megaloblastic echinocytes electrophoresis poikilocytosis cirrhosis nucleus heinz body
How to Subscribe
MLS & MLT Comprehensive CE Package
Includes 94 CE courses, most popular
$95 Add to cart
Pick Your Courses
Up to 8 CE hours
$50 Add to cart
Individual course$20 Add to cart

table acantocyte

table agglutination

table burr cells

table macrocytes

table microcytes

table target cells

table sickle cells

table spherocytes