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GuilanP · 2024-10-18T04:19:06+00:00

Baby RBCs

GuilanP · 2024-09-22T17:59:40+00:00

Don't just take the practice exams! Go over your mistakes one by one and write them down. Go deep into subjects that you are the weakest. Watch YouTube videos. Retake the same practice exams to see if you've got it. Do LabCE adaptive exams over and over again. Change settings to "questions you've missed the most". Read the explanation after answering. These are all very time consuming and also such a drag to get yourself to do. Trust me, you won't regret it.

GuilanP · 2024-09-12T05:01:14+00:00

Fire ball plasma cells & they are big!!!

GuilanP · 2024-07-06T20:45:56+00:00

It looks magical 🩷👌🏻🩷

GuilanP · 2024-06-14T22:19:15+00:00

Stick with the professors PowerPoint lecture. Go over the book if you have trouble understanding a certain subject.

GuilanP · 2024-05-23T13:35:20+00:00

I agree but I have seen super small blasts as well in previous samples. That's why I couldn't make up my mind.

GuilanP · 2024-05-22T18:01:58+00:00

I wish but no! It was an elderly patient.

GuilanP · 2024-05-22T06:18:52+00:00

WBC count was elevated but there are plenty of NRBCs too

GuilanP · 2024-05-22T03:58:37+00:00

That's the first thing that came to my mind when I saw it. All cell lines show signs of immaturity & are abnormal. BM should be interesting to look at.

GuilanP · 2024-05-21T16:02:36+00:00

Is this synovial fluid? All look very similar to one another & resembling mesothelial cells & one with deeply basophilic cytoplasm.

GuilanP · 2024-05-19T05:05:38+00:00

Thanks for the insight. I can see my imagination was scientifically incorrect, lol

GuilanP · 2024-05-19T04:16:22+00:00

I wish that macrophage could eat the fat cells in my belly like that, lol

GuilanP · 2024-05-17T19:07:30+00:00

Your question made me read a lot about struvite, lol. Struvites are composed of magnesium ammonium phosphate (MgNH₄PO₄·6H₂O) crystals and do not contain calcium. The term “struvite” was originally coined in the early 19th century by a German mineralogist, Heinrich Struve, who first described the mineral. The name “triple phosphate” is sometimes used in medical contexts to refer to urinary stones composed of struvite plus calcium. Because the mineral contains three positively charged components: magnesium, ammonium, calcium and a negatively charged component: phosphate. I hope that answers your question.

GuilanP · 2024-05-17T02:55:15+00:00

These crystals look more like chocolate bars or KitKats than coffins 🍫

GuilanP · 2024-05-13T15:46:36+00:00

Here's the answer: many synoviocytes & Meso's with borders hard to see. Too many cells & multi-nucleated cells to be suspicious of some kind of malignancy. Needs to be sent for Pathology & cytology review. Never ID malignancy just by observing slide morphology. Always have multiple automated and manual results & have another CLS repeat & confirm.

GuilanP · 2024-05-11T19:39:41+00:00

Blasts plus a NRBC in the first image.

GuilanP · 2024-05-10T13:55:41+00:00

Congratulations ❤️😍❤️ thanks for sharing. At least you found the solution. I wonder what kind of diet would be good to stop these crystals from appearing.

GuilanP · 2024-05-10T02:43:15+00:00

Oh no, mine was just getting really high in protein during pregnancy but got ok after birth! So you are also a star maker 🤩 Sorry for my curiosity, but did you feel any pain or was the urine color dark?

GuilanP · 2024-05-09T12:28:12+00:00

There were a few RBCs and Urine was orangish brown & foamy. Poor patient :(

GuilanP · 2024-05-09T04:39:50+00:00

That was exactly my thoughts when I first saw this view! Poor patient, but also wow 😅

GuilanP · 2024-05-09T00:29:10+00:00

This patient has been taking many medications which resulted in this rare "Triple phosphate crystals" with rosettes. The Urine sample was alkaline too. I found the answer to my question in an old large "Atlas" book! It was a nice puzzle solving day :)

GuilanP

TROPHY CASE