Posted July 17, 20177 yr comment_70332 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
July 18, 20177 yr Author comment_70335 We are going to the ILHS recommendations for lymphocytosis instead. >5.0 (adult) or >7.0 (<12 yrs old)
July 19, 20177 yr comment_70347 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
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