Clinical Summary A 22 year old male with anemia related symptoms, fever from 10 days. Hemogram revealed wbc-256.09 x 103, PLT 67,000 HB 6.1G\dl
1Ox Shows high cellularity Raised wbc count
HIGH POWER Rouleaux formation also seen. Band forms
HIGH POWER
OIL IMMERSION HAND MIRROR SHAPED
OIL IMMERSION
Peripheral Smear RBC: Shows moderate anisocytosis with mild poikilocytosis. Normocytic Normochromic cells noted predominantly along with few macrocytes. Tear drop cells and few macro- ovalocytes noted. WBC: Total leukocyte count is increased. Blasts are seen predominantly DLC:- Blasts-81%, Band forms-10%, Neutrophil 2%, Lymphocytes-4%,Monocytes- 2%,Eosinophil-1% PLATELET: Count is reduced No Hemoparasite Seen Impression-Acute Leukemia