Haematologist-reviewed peripheral blood smear in paediatric practice
Singapore medical journal
;
: 64-68, 2018.
Article
in English
| WPRIM
| ID: wpr-777566
ABSTRACT
Manual examination of the peripheral blood smear (PBS) is currently performed on a fraction of samples sent for automated complete cell count. 39 children (age range 0-16.2 years) referred to a private paediatric practice during a 16-month period were retrospectively reviewed. Clinical scenarios, haematological features, laboratory-initiated PBS review, haematologist's PBS review and final diagnosis were described. Clinical indications included isolated thrombocytopenia (n = 10), unexplained bruises (n = 5), acute febrile illnesses (n = 11), anaemia (n = 8) and others (n = 5). The laboratory reviewed the PBS in 30 cases according to preset criteria and made no conclusive remarks. All slides were reviewed by a haematologist and a diagnosis was made in 27 (69%) cases, including 7 (78%) of the nine slides the laboratory did not review. The practice of laboratory-initiated PBS review requires re-evaluation. Haematologist-reviewed PBS is an important diagnostic tool for children with anaemia, bleeding disorders and acute febrile illnesses.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pediatrics
/
Thrombocytopenia
/
Retrospective Studies
/
Cytological Techniques
/
Contusions
/
Diagnosis
/
Fever
/
Hematology
/
Anemia
/
Medical Oncology
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Infant, Newborn
Language:
English
Journal:
Singapore medical journal
Year:
2018
Type:
Article
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