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Man diff when lymph>neut


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Are you running a Hema analyzer that only gives you 3-part diffs?  If so, I guess you have to follow manufacturer's recommendations at a minimum.

With our 5 part diff analyzers, if and absolute lymph count is high, we would only review the smear for atypical lymphs.  The only time we would do a manual diff is if we think that the analyzer 5-part diff is wrong for some reason. Or sometimes for certain clinical reasons (new leukemia, pediatric patient, etc.)


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