Required section · Section 5 of 5

Scope boundary

For a flagged neutrophilia result, retain the evidence chain: specimen and analyzer context including physical clot inspection; declared source for every differential value; local ANC comparison; quality-smear observations that resolve the flag; and a dated prior CBC when available. This evidence chain does not provide a general differential diagnosis. CBC and smear patterns can support review and routing but do not classify a hematolymphoid neoplasm. Defined local criteria govern any repeat testing, pathologist review, flow cytometry, urgent communication, and referral.

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Knowledge check 1

Which conclusion stays within the available evidence?

Choose one option.

Document verified increased circulating neutrophils with reactive-supportive morphology and route under local policy.

Classify a hematolymphoid neoplasm from the CBC and smear alone.

Exclude every myeloid process because hemoglobin and platelets are normal.

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