Required section · Section 4 of 6
Guided example: a normal background supports the count
K2-EDTA blood was delivered within 30 minutes. The smear was prepared within 15 minutes of receipt and stained the same shift. WBC is 6.8 × 10^9/L with a reference interval of 4.0 to 11.0 × 10^9/L, hemoglobin is 14.1 g/dL, hematocrit is 41.8 percent, and platelet count is 238 × 10^9/L. The displayed platelet interval of 150 to 450 × 10^9/L is representative and must be verified locally.
In the monolayer, RBCs are round discocytes with central pallor about one-third of diameter. Anisocytosis is minimal, and there is no significant poikilocytosis or more than occasional polychromasia. Platelets occur singly and in small loose groups; none approach RBC diameter, the descriptive giant-platelet threshold.
Multiple fields, including edge areas, show no clumping or satellitism. A local-policy smear estimate using the laboratory's validated oil-field factor is concordant with 238 × 10^9/L. The estimate supports the automated result because the smear does not show a visible mechanism for a falsely low count. A normal smear estimate corroborates an analyzer count only after the field and distribution have been checked.
Illustrative drawing — this picture was drawn rather than captured.
| Item | Result | Reference or observation |
|---|---|---|
| Platelet count | 238 × 10^9/L | Representative adult interval 150-450 × 10^9/L |
| WBC | 6.8 × 10^9/L | 4.0-11.0 × 10^9/L |
| RBC morphology | Discocytes | Central pallor about one-third |
| Platelet distribution | Singles and loose groups | No clumps or satellitism |
| Field | Platelets counted |
|---|---|
| 1 | 12 |
| 2 | 11 |
| 3 | 13 |
| Average | 12 |
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