Man diff when lymph>neut

[astridfeline]

Hi,

Are you doing manual diffs when the %neut>%lymphs, and if so, do you do them if the difference is only for example 1%?  Or if lymphs exceed neutrophils by >5 or 10%?  (Assuming there are no IG or band flags...)

thanks,

Rachel

[astridfeline]

We are going to the ILHS recommendations for lymphocytosis instead.  >5.0 (adult) or >7.0 (<12 yrs old)

[SMILLER]

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.)

Scott