RBC Shapes
RBC Inclusions
RBC Indices
Anemia Classification
BOC Pearls
100

These RBCs are crescent or boat-shaped.

What are drepanocytes?

100

These DNA remnants are commonly seen after splenectomy.

What are Howell Jolly bodies?

100

This index represents average RBC size.

What is MCV?

100

This is the most common microcytic hypochromic anemia.

What is iron deficiency anemia?

100

This RBC arrangement resembles stacks of coins.

What is rouleaux?

200

These RBCs resemble a bull’s-eye.

What are target cells?

200

These inclusions are composed of aggregated ribosomes and are classically associated with lead poisoning.

What is basophilic stippling?

200

An MCV less than 80 fL indicates this type of anemia.

What is microcytic anemia?

200

This anemia classically shows hypersegmented neutrophils.

What is megaloblastic anemia?

200

This RBC morphology is strongly associated with kidney disease.

What are burr cells (echinocytes)?

300

These fragmented RBCs are associated with DIC, TTP, and HUS.

What are schistocytes?

300

When these form, the spleen may bite them out (creating "bite cells") or destroy the entire red blood cell, depleting your blood supply.

What are Heinz bodies?

300

This RBC index is typically elevated in hereditary spherocytosis

What is MCHC?

300

This anemia is associated with elevated HbF and target cells.

What is β-thalassemia major?

300

This finding suggests splenic dysfunction or absence of spleen function.

What are Howell Jolly bodies?

400

These cells lack central pallor and are commonly seen in hereditary spherocytosis.

What are spherocytes?

400

These dark blue inclusions are most commonly associated with sideroblastic anemia, hemolytic anemia, myelodysplastic syndromes, and post-splenectomy states. 

What are Pappenheimer bodies?

400

A patient has an HCT of 36% and an RBC count of 4.0 × 10¹²/L. Calculate the MCV.

What is 90 fL?

400

This anemia commonly shows spherocytes and a positive DAT.

What is autoimmune hemolytic anemia?

400

This peripheral smear finding is a major clue for microangiopathic hemolytic anemia.

What are schistocytes?

500

These cells have irregularly spaced projections and are strongly associated with severe liver disease.

What are acanthocytes?

500

These figure-8 shaped inclusions are associated with megaloblastic anemia.

What are Cabot rings?

500

A patient has a hemoglobin of 12 g/dL and a hematocrit of 36%. Calculate the MCHC.

What is 33.3 g/dL?

500

A newborn has severe anemia, hepatosplenomegaly, hydrops fetalis, and hemoglobin electrophoresis showing predominantly Hb Bart’s (γ4)

What is alpha thalassemia major (Hb Bart’s hydrops fetalis)?

500

This anemia may initially appear normocytic normochromic immediately after hemorrhage.

What is acute blood loss anemia?

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