Differential

How to Subscribe
MLS & MLT Comprehensive CE Package
Includes 178 CE courses, most popular
$109Add to cart
Pick Your Courses
Up to 8 CE hours
$55Add to cart
Individual course$25Add to cart
Need multiple seats for your university or lab? Get a quote
The page below is a sample from the LabCE course Case Studies in Hematology - Malignant WBC Disorders. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

Learn more about Case Studies in Hematology - Malignant WBC Disorders (online CE course)
Differential

The differential was as follows:
Cell TypePatient ResultsReference Range
Blasts5 0
Promyelocytes0 0
Myelocytes1 0
Metamyelocytes0 0
Bands4 2-6
Neutrophils63 5-70
Eosinophils1 0-4
Basophils0 0-2
Lymphocytes22 20-44
Monocytes4 2-9
Notes on the differential:
  • Occasional hypogranulation of the neutrophils
  • A few neutrophils with pseudo-Pelger-Huët
  • Macrocytosis
  • Anisocytosis
  • Poikilocytosis
  • Occasional basophilic stippling
The image to the right shows a hypogranular neutrophil with a pseudo-Pelger-Huët nucleus (bi-lobed nucleus). Both of these cell abnormal white blood cell findings can be seen in an MDS called MDS-EB2, which will be discussed on the next pages.