CUMULATIVE REPORT Req No: Z886371 Z868965 Z968069 Z986477 Z968802 Date: 03/04/12 04/04/12 04/04/12 05/04/12 05/04/12 Time: 02:50 05:25 12:30 02:55 17:45 Units Ref Range ________ ________ ________ ________ ________ ________ _________ Full Blood Count (Whole Blood) Hb 89L 96L 100L 83L 94L g/L 130-170 WCC 2.4L 2.9L 2.6L 2.0L 3.1L x10^9/L 4.0-11.0 PLT 21L 7L 32L 17L 41L x10^9/L 140-400 RCC 2.71L 3.00L 3.07L 2.60L 2.90L x10^12/L 4.50-5.70 PCV 0.25L 0.27L 0.28L 0.24L 0.27L L/L 0.40-0.50 MCV 92.2 90.6 90.9 91.8 91.5 fL 80.0-96.0 MCH 32.7 32.1 32.5 31.9 32.2 pg 27.0-33.0 MCHC 355 354 358 347 352 g/L 320-360 RDW 15.7H 15.2H 15.4H 15.3H 15.0 % 11.0-15.0 White Cell Differential Neut 2.1 2.0 2.4 1.5L x10^9/L 2.0-8.0 Lymph 0.1L 0.1L 0.1L 0.0L x10^9/L 1.2-4.0 Mono 0.1 0.3 0.1 0.1 x10^9/L 0.1-1.0 Eos 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.5 Baso 0.0 0.0 0.0 0.0 x10^9/L 0.0-0.1 Bands 0.5 0.3 x10^9/L 0.0-0.5 Meta 0.1H x10^9/L 0.0 Myelo 0.0 x10^9/L 0.0 NRBC 2H /100WBCs 0 NRBC Abs 0.0 x10^9/L 0 12Z868965 04/04/12 05:25 Film Comment : Marked thrombocytopenia. Neutrophils show a moderate left shift and mild toxic changes. Manual differential. Red cells show no significant changes - see previous report. Conclusion: Known CMML -> AML. Please note fall in platelet count since the last examination. ? Therapy related. 12Z986477 05/04/12 02:55 Film Comment : Moderate anaemia with red cells showing occasional target cells and polychromatic macrocytes. Platelets are markedly reduced in number. White cells show a mild neutropenia with a mild left shift showing mild toxic changes. Conclusion: History of Bone Marrow Transplant for CMML -> AML. Please note mild fall in haemoglobin since the last examination. Manual differential. 12Z968802 05/04/12 17:45 Comment: Post platelet increment Instrument parameters reported.