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Subjects/Pathology/DIC
DIC
easy
microscope Pathology

A peripheral blood smear from a patient with Disseminated Intravascular Coagulation (DIC) is most likely to show which of the following red blood cell morphologies?

A. A. Spherocytes
B. B. Target cells
C. C. Schistocytes
D. D. Howell-Jolly bodies

Explanation

Schistocytes (fragmented red blood cells) are a characteristic finding in DIC. They result from the mechanical shearing of red blood cells as they pass through the fibrin strands deposited in the microvasculature, a process known as microangiopathic hemolytic anemia. Spherocytes are seen in hereditary spherocytosis and autoimmune hemolytic anemia. Target cells are associated with liver disease, thalassemia, and iron deficiency anemia. Howell-Jolly bodies are nuclear remnants seen in asplenia or hyposplenism.

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