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Enter CBC Data

WBC: RBC: HB: HCT: MCV: MCHC: RDW: PLT:
ABS NEUT: ABS LYM: ABS MONO: ABS EOS %NEUT: %LYM: %MONO:

Check to use %values

Part Types







Micros

























Comments, if needed


















Part Types


















Micros














Some pertinent negatives











Comments, if needed













Part Types






Micros




Comments, if needed




Count Type Count Limit Cells Counted M:E ratio

Blasts:

Pro:

Meta/Myel:

Segs:

Eryth:

Lymphs:

Atypical cells:

Monos:

Eos:

Basos:

Plasma Cells:

Part Types
Select specimens submitted:








PARTICLES








Micros








































Other findings
Other infiltrates













Pertinent Negatives




IRON STAINS?







Part Types
BIOPSY AND CLOT SECTION:




ADEQUACY?






BM CELLULARITY:

QUALITY?




Micros







































Other findings
Other infiltrates












Pertinent Negatives





Iron stains?
Biopsy and clot:
Clot only:
Retic / Granulomas
Reticulin:
Granulomas?:
Peripheral Smear Finals
RBC Finals















WBC Finals



























Plt Finals






Bone Marrow Finals
Biopsy Headers




Diagnoses
Bone marrow biopsy + clot










History of:


















% abnormal infiltrate by IHC












Flow / Ancillary testing
Flow data and diagnosies
Flow percentages
Blast%
? clone% Light chain?
















Ancillary Studies & CAP templates
Cytogenetics:
FISH:
MRD:
Molecular:
Myeloma related options
? Use template
Extent of plasma cell infilrates:
- Aspirate
- IHC
Light chain type:
Immunoglobulin deposits:
Negative













Select physician you discussed the case with:
Reactive










Malignant













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Total Diff%:
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