Body Fluid Differential ML

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Matching cells A, B, and C

A- Mesothelial B- Monomacrophage C- Malignant cell

Matching: Cell A, B, C, D and D-1

A- lymphoma cells B- lymphocytes C- neutrophils D and D-1- macrophages

Identify the blood cells indicated by the arrows in this cerebrospinal fluid (CSF) sample

Blasts

The image on the right is a cytospin preparation of cerebrospinal fluid (CSF). What is the cell type that is indicated by the arrow? (orange granules)

Eosinophil

What is the predominant cell population seen in this pleural effusion? (pink cells)

Eosinophils

The image on the right is a cytospin preparation of cerebrospinal fluid viewed at 1000X magnification. What is the identity of the primary blood cell type observed in this microscopic field? (sky blue cytoplasm, large purple nucleus)

Lymphocytes

The normal serous membranes are lined by which type of cells (These cells are commonly shed into pleural, peritoneal, and pericardial fluids)?

Mesothelial

Identify the binucleate cell indicated by the arrow in the pericardial fluid sample shown here.

Mesothelial cell

The image on the right is a cytospin of a pleural fluid. What is the cluster of cells indicated by the arrow?

Mesothelial cells

A patient suffering from typical leukemic symptoms presents to the emergency room. The physician orders a spinal tap after noticing possible central nervous system involvement. What type of cells are indicated by the red arrows? What type of cells are indicated by the blue arrows?

Red arrows- Blasts Blue arrows- Normal lymphocytes

What are the cells that are indicated by the arrows in the joint fluid image shown on the right? (large foamy cells)

Synovial lining cells

What is the most likely identification of the cells that are clumped together in this microscopic field? (clump of cells with extremely fine chromatin texture and the very large and prominent nucleoli_

Tumor cells

After suspecting that his patient may have lung disease, the physician sends a bronchoalveolar lavage (BAL) to the laboratory for examination. What is the cell type indicated by the arrows in this cytospin sample? (paint-brush like cells with cilia)

Bronchial lining cells

A physician orders a peritoneal lavage on a patient who complained of fever and abdominal pain following an automobile accident. The fluid is analyzed in the laboratory. How should the sample shown in the image to the right be reported?

Neutrophils Intra and extracellular bacteria

A patient with suspected intraabdominal malignancy had a paracentesis performed. The fluid was then sent to the laboratory for examination and fluid differential. Which cells predominate in this cytospin field from the patient's sample?

Plasma cells


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