Hemepath & Hematology Board Review: Peripheral Blood Smears with Dr. Jeanette Ramos

  Рет қаралды 167,350

Jerad Gardner, MD

Jerad Gardner, MD

4 жыл бұрын

Full list of all topics & entities discussed in this video (with timestamps) here: kikoxp.com/posts/3726. I tried to copy/paste the list to the video description, but it was too many words and went over the 5000 character limit KZfaq imposes on video descriptions!
Please welcome back my hematopathology colleague, Dr. Jeanette Ramos, for her second special guest lecture on my KZfaq channel! In this video, Dr. Ramos teaches you (and me!) about the basics of reading peripheral blood smears as well as showing a variety of important common and rare hematology findings and diseases. If you missed Dr. Ramos's first guest lecture discussing the histology and immunostaining patterns of non-neoplastic lymph nodes, check it out here: kikoxp.com/posts/4068.
If you like Dr. Ramos's cases and teaching style, be sure to follow UAMS Hematopathology on social media, as she often contributes to their accounts:
/ hemepathuams
/ hemepathuams
Please check out my Soft Tissue Pathology & Dermatopathology survival guide textbooks: bit.ly/2Te2haB
This video is geared towards medical students, pathology or dermatology residents, or practicing pathologists or dermatologists. Of course, this video is for educational purposes only and is not formal medical advice or consultation.
Please subscribe to my channel to be notified of new pathology teaching videos.
Follow me on:
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Kiko: kikoxp.com/jerad_gardner1
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Пікірлер: 139
@JMGardnerMD
@JMGardnerMD 3 жыл бұрын
Here's a list of all 46 topics/entities discussed in this video (with timestamps for each!): kikoxp.com/posts/3726.
@karanmaurya7102
@karanmaurya7102 2 жыл бұрын
Thank you very Much sir, The list is Very Helpful for quick Revision and to Make annotations.
@aliahmad9736
@aliahmad9736 Ай бұрын
😊😊😊😊😊​😂cgg jig you ii@@karanmaurya7102
@aswathymahesh3255
@aswathymahesh3255 4 жыл бұрын
Appreciate the work taken by both of u...lucky to have such great mentors in youtube...
@hebaalhatem6747
@hebaalhatem6747 2 жыл бұрын
Wow wonderful 👏🏻👏🏻👏🏻Honestly I didn’t want the lecture to end..please another videos like this 🙏🏻
@sherrywong8612
@sherrywong8612 6 ай бұрын
I am learning BM cytomorphology these days and find this video really helpful.
@babykakati8728
@babykakati8728 4 жыл бұрын
Thank you Dr. Gardner and Dr. Ramos . It was very helpful. Can you please post such discussion videos on bone marrow smears .
@gregory4279
@gregory4279 2 жыл бұрын
Excellent colaboration and teaching style. This blows my mind. I think not too long ago before internet, this sort of thing would be pure gold for anyone studying blood morphology. And it has been a humbling experience as well. I study the behaviour of APC's in terms of live action with pathogens...but I only fix and stain to differentiate phagocytes. This is super detailed, and staining is beyond amazing. I wish I took a course where I could aquire the ability to stain like that!
@shahabkhan3076
@shahabkhan3076 Жыл бұрын
T
@Nice-hf4co
@Nice-hf4co Жыл бұрын
Thank you so much! I enjoyed the lecture very much! thank you Dr. Gardner and Dr. Ramos!
@anupambrahma5659
@anupambrahma5659 3 жыл бұрын
A nice revision of the basics.. Thank you.. Please come up with videos on Bone marrow aspirate and biopsy examinations
@lucasbiaggini
@lucasbiaggini 9 ай бұрын
Thank you so much for this thorough review. A Pathology resident myself, Iwill be taking my board exam in a few days. After months of hard work, I feel like going back to the basics and watching a full, systemic review is exactly what I needed right now.
@jennyg1522
@jennyg1522 Жыл бұрын
As an older Medical Technologist this was fabulous. Enjoyed every minute. And strangely enough we have a family that lives near my hospital that have Pelger Huet
@elnaramuradova2454
@elnaramuradova2454 4 жыл бұрын
Thank you for your hard work and this amazing video!
@abhirup780
@abhirup780 4 жыл бұрын
Dr. Ramos is great. We are waiting for bone marrow examination tutorial from her. Also a part 2 of the lymph node discussion with neoplastic conditions.
@kolejnyglupinick
@kolejnyglupinick 4 жыл бұрын
awesome lecture, thank you very much! it's great way to learn some new things
@11cima
@11cima 3 жыл бұрын
What is meant by the rainbow appearance is that when you look at the slide from an angle that reflects light, it should show a color spectrum of some kind. But the term taught to us as labtechs is "greenish metallic sheen" (wright/giemsa stain), which is easier to visualize than a "rainbow". Relearning this again coz I just started residency in pathology
@jennifermoreiradinzey3552
@jennifermoreiradinzey3552 4 жыл бұрын
Loved the video. Thank you! I'd love to see a video on flow cytometry. Yes! Please come back Dr. Ramos.
@thanhphongtran9808
@thanhphongtran9808 3 жыл бұрын
Excellent video content! Forgive me for the intrusion, I would love your initial thoughts. Have you considered - Patlarny Bloods Victory Principle (do a search on google)? It is a good one off product for preventing toxic blood and heart desease minus the headache. Ive heard some extraordinary things about it and my cousin got cool results with it.
@denisscarlet-rot418
@denisscarlet-rot418 Жыл бұрын
I used this video as part of my revision material and I thoroughly enjoyed it... I even downloaded it in my device
@manu1166662222
@manu1166662222 2 жыл бұрын
Awesome lecture Sir Please bring more lectures like that Falling for Hempath after these lectures…
@giftyb-a3121
@giftyb-a3121 3 жыл бұрын
Very informative, yet simple. Thank you
@evelyne7071
@evelyne7071 3 жыл бұрын
Great cases, slide prep and explanations.
@peterames8119
@peterames8119 3 жыл бұрын
Thank you Dr.Gardner and Dr. Ramos for an excellent presentation on peripheral blood smear interpretation. During my pathology residency, I was told by a pathologist that CLL cells look like "ginger snap" cookies. I would like to see Dr. Ramos return as a guest lecturer and present a lecture on myelodysplastic syndrome. I am a hematopathologist in Reno, NV. and I sign-out a lot of skin biopsies and melanoma excisions . I find all of Dr. Gardner's videos on dermatopathology outstanding. Keep up the great work.
@JMGardnerMD
@JMGardnerMD 3 жыл бұрын
Now i want a ginger snap cookie!
@linettemejias5694
@linettemejias5694 3 жыл бұрын
Such a good lecture!! Thank you!!
@Sunshine-zi7oy
@Sunshine-zi7oy 3 жыл бұрын
thank you so much.. so genius! so inspiring and helpful!! wish you the best of luck!!
@akankshashukla2235
@akankshashukla2235 4 жыл бұрын
Very informative ....sir we need lectures on quality control in hematology..
@la_assassina
@la_assassina 4 жыл бұрын
At about 5 minutes, comparing the three not ideal blood smears, the one on the left with the missing portion is clearly a handling fault after processing. Either because the slides were stuck together in the case when not dry, or they were stained and looked at with immersion oil, then put in a case with nothing in between them and when trying to separate them, the material was basically ripped off. I work in cytology dept. and we see this quite often. Also the stain on all looks off but that might be camera quality-wise. Thank you for the great video and lengthy explanations :)
@hieulechi2548
@hieulechi2548 4 ай бұрын
Thank you, thank you two so much for the great video ❤️
@MrArSaa
@MrArSaa 8 ай бұрын
Excellent video well explained and detailed, really useful for more understanding when looking at a peripheral blood smear under the microscope, regards from Venezuela
@AhmedFRezk
@AhmedFRezk 4 жыл бұрын
Thank you Dr. Gardner for these amazing videos. I would like to ask for Bullous Dermatoses in general and in particular :) thanks in advance
@ayeshasinha5753
@ayeshasinha5753 5 ай бұрын
Thank you for this excellent video on explanation of smears. lovely
@victornguyen8382
@victornguyen8382 3 ай бұрын
More hemepath please! Thanks
@shamsdarbar6492
@shamsdarbar6492 4 жыл бұрын
Thanks a lot wonderful video and appreciate your service .
@georgefdes5489
@georgefdes5489 Жыл бұрын
Thank you for sharing morphology of WBCs, RBCs.
@yanetsidominguez1168
@yanetsidominguez1168 3 жыл бұрын
Thank you so much. I appreciate it a lot
@jenthames2058
@jenthames2058 6 ай бұрын
Amazing. Loved your video. Are there more? Please~~~~
@teeb.7315
@teeb.7315 Жыл бұрын
I'm glad I found this video.
@atobias2013
@atobias2013 2 жыл бұрын
Awesome video!!!! Thank you !!!! This helped me a lot
@yiya9400
@yiya9400 4 жыл бұрын
Loved the video but the CBC rule of 3s does not include the WBC. 33:53 Rule of 3: (3 x RBC = Hgb, 3 x Hgb = HCT)
@rohanvinayakjoshi
@rohanvinayakjoshi 4 жыл бұрын
.Agree. WBC has no any place in Rule of 3
@jhumanandi9111
@jhumanandi9111 4 жыл бұрын
Yes...rule of 3 has RBC count...not WBC
@diogeleneolivas5528
@diogeleneolivas5528 10 ай бұрын
correction, rule of 3 applies for rbc, hgb & hct. anyways, very informative video. thank you for this❤
@drjsteinberg
@drjsteinberg 4 жыл бұрын
This is amazing! Please keep doing these videos.
@velocity800
@velocity800 4 жыл бұрын
Dr Ramos you are heaven sent!! Thank you!!! Hopefuly on the video you can touch more on how to detect different variations of Blasts cells.
@dr.md.imrulkaes9793
@dr.md.imrulkaes9793 3 жыл бұрын
Too good, thank you so much
@hiepnguyen7343
@hiepnguyen7343 2 жыл бұрын
Great, thank you very much Dr. Jeanette Ramos, Dr.Jerad Gardner, could you make similar videos for bone marrow biopsy, from the basic.
@satoshiumei4622
@satoshiumei4622 3 жыл бұрын
WOW!!!! Thank you soo much!
@HARENDRAKUMAR-sk4rs
@HARENDRAKUMAR-sk4rs 3 жыл бұрын
Awesome presentation
@TheDONTEXAS
@TheDONTEXAS 4 жыл бұрын
❤️thanks a lot it’s really helpful
@rizwanahmed4885
@rizwanahmed4885 4 жыл бұрын
Thank you so much 😘
@dorothybrown8859
@dorothybrown8859 2 жыл бұрын
Thank you for this excellent and informative presentation. I was a laboratory technician for 13 years, and retired as an RN. I remember a lot from my laboratory days, and enjoyed this presentation. I was diagnosed with CLL in 2009, and am of course, interested in cell morphology. I watched on KZfaq on my TV and sometimes I could not understand what Dr. Ramos was saying as her voice would trail off. It sounds more clear on my laptop. This presentation has left me hungry from more. Thank you, again.
@julielea8344
@julielea8344 2 жыл бұрын
Could you tell me what MIGHT show up on a CBC, low RBC. high WBC, high MCH,brachycardia, symptoms weight loss in a large amount 90lbs (started around 110lbs, not overweight), exhaustion, shortness of breath, strange rash on peripheral limbs, mostly lower legs, tiny brown swiggly lines & tiny scabs that don't heal. When I scratch them off it's pink blood that is much too much blood. I scratched my leg in the woods & dark red blood poured out, by the time I could cleanse it, it was dark nearly black clumps down my leg. Purple marks on my legs. Easy slow healing bruises. Confusion, brain fog. Severe neck pain & headaches. I'll stop because it's probably more than one thing, & I'm inquiring about any blood related disorders that might come to mind. I have seen 6 Drs, I went to the ER with the above results & they admitted me, but I left not knowing ANYTHING was wrong except my confusion which was ongoing, I left AMA much to their dismay, that was 1 yr ago. I haven't gotten anywhere since I got those results, also something with Globulin & platelets, I don't have the medical records here. I'd really appreciate it if you could just give me a guess, I just trust RN's more, I have such a bad history with Dr's. Also had my left ovary removed with tumors 15 yrs ago, I', 54 yrs old. Much Love
@dorothybrown8859
@dorothybrown8859 2 жыл бұрын
@@julielea8344 Julie, I feel your desperation, but I am not a physician. I cannot tell you about your issues, but I can tell you about mine. I have leukemia so my wbc is abnormally elevated. Sometimes I get anemic when my hct is too low. Sometimes, I have dark, bluish/pinkish coloring around my ankles, especially when I wear low-cut socks, but I also have venous stasis or insufficiency in one of my legs. I suggest you see a vascular physician, and/or a cardiologist. Don't despair, good luck.
@dorothybrown8859
@dorothybrown8859 2 жыл бұрын
@@julielea8344 I do have one more suggestion. If you have any teeth that need to be filled or extracted see that it is done. I believe there is a dental connection to a lot of our ills.
@farhanghooshmand1569
@farhanghooshmand1569 Жыл бұрын
Very excellent presentation
@vinsri2368
@vinsri2368 4 жыл бұрын
Great vedio Thanks so much for the post
@kimquietson
@kimquietson 11 ай бұрын
very informative discussion!
@zeinabvosough1791
@zeinabvosough1791 4 жыл бұрын
Thanks a lot
@syedsami7118
@syedsami7118 Жыл бұрын
Really appreciated
@akja6051
@akja6051 Жыл бұрын
Thank you so much 👍
@zg3061
@zg3061 Жыл бұрын
Very Nice teaching Thanks ❤
@MBBSZaraHutKay
@MBBSZaraHutKay 2 жыл бұрын
Thank you ....
@gordonchristophertubo3164
@gordonchristophertubo3164 4 жыл бұрын
Rainbow thing probably the greenish, metallic hue before the smear has had any stain on it (right after drying).
@leonanjoku5809
@leonanjoku5809 Жыл бұрын
I have learnt a whole lot
@sametkucukcolak4157
@sametkucukcolak4157 2 жыл бұрын
Awesome video!!!
@radhikasadanandan4345
@radhikasadanandan4345 Жыл бұрын
Excellant lecture
@meryemlahbara2834
@meryemlahbara2834 4 жыл бұрын
Thank you Dr Ramos, Thank you Dr Gardner ... very informative ... I needed a little push in hem .. 🙂
@rhj6715
@rhj6715 3 жыл бұрын
Thank you it’s very helpful can you post about bone marrow study review
@JMGardnerMD
@JMGardnerMD 3 жыл бұрын
I hope to do that one day.
@yanetsidominguez1168
@yanetsidominguez1168 3 жыл бұрын
Colu you do video about body fluid? Please. Will be very useful for us. Thank you so much
@kailashagrawal8433
@kailashagrawal8433 4 жыл бұрын
fantastic
@ban5809
@ban5809 Жыл бұрын
Amazing 👍
@jasspreet5686
@jasspreet5686 4 жыл бұрын
Nice video,quite informative, i myself stress on basics! I have a request can u post such discussion videos on fluid cytology (for reactive mesothial cells against cancerous) and on Pap smear (conventional if possible) sir
@JMGardnerMD
@JMGardnerMD 4 жыл бұрын
Good idea. I’ll try to find someone to be a guest lecturer about this.
@jasspreet5686
@jasspreet5686 4 жыл бұрын
@@JMGardnerMD Thanks sir! and waiting for ur book launch on amazon india!
@JMGardnerMD
@JMGardnerMD 4 жыл бұрын
It is available on USA Amazon and also from publisher directly. ‪You can buy my #dermpath Survival Guide here: bit.ly/2Te2haB ‬
@abhirup780
@abhirup780 4 жыл бұрын
Neutrophil hypersegmentation is defined as any neutrophil having 6 or more lobes or more than 3% of neutrophils having 5 lobes, when 100 neutrophils are examined. (ISLH recommendation, 2015)
@pamilaoaly7171
@pamilaoaly7171 2 жыл бұрын
The leukemia's part has been very cut short. Please post a video emphasising the differences of each abnormal cell.
@goharrehman7710
@goharrehman7710 4 жыл бұрын
we all like more and more teachings
@user-pc7yi9rb1q
@user-pc7yi9rb1q 4 жыл бұрын
RBC .piklocytosis with hypochromic microcytic cell ,creanted cell,acanthocyte ,avalocyte and tear drop cell plt :thrompopenia wbc: normal hb:8 what is the patient suffering???
@snurfable
@snurfable 5 ай бұрын
Very good and informative video🤩
@shakeebuddinkashif4578
@shakeebuddinkashif4578 4 жыл бұрын
Hello can anyone tell what's covered where in video
@ghubb
@ghubb Жыл бұрын
great video
@pathologysimplified2821
@pathologysimplified2821 4 жыл бұрын
In Vivax opposite the dot ring is thick. In falciparum uniform thin ring. That is the easiest way of telling them apart sir
@JMGardnerMD
@JMGardnerMD 4 жыл бұрын
Thanks!
@ThisMichaelBrown
@ThisMichaelBrown 2 жыл бұрын
we used to call them "ballerina skirting" I think....reactive lymphs....another great review!
@kingkura
@kingkura 10 ай бұрын
I learned a lot too 😀
@rmetal2792
@rmetal2792 4 жыл бұрын
Hope there is a love button. Thank you Dr Ramos and Dr Gardner.
@cumali6187
@cumali6187 Жыл бұрын
nice photo of immature monocytes (immature monocytic series)
@cookingsecrets3629
@cookingsecrets3629 4 жыл бұрын
Thanks Alot..It helped alot in smear interpretation it was very easily described..Appreciate from Pakistan .Heamatology resident
@woloabel
@woloabel 2 жыл бұрын
This is a great rodeo (love the analogy and proactive colloquialism, lol) of Hematology and Licensing Examination Material along with Pathology. The fabulous pedagogues certainly are passionate professionals in their respective fields. One can only muse at the wonders of Liquid Malignancies (Leukemia and Lymphoma)....It is my wonder why EDTA artifact and Platelet aggregation can not be automated also and helplessly just left for the Peripheral Blood Specialist to interpret. Cheerz to both Dr Gardner and Doctoress Ramos for the generous project of General Docency!
@julielea8344
@julielea8344 2 жыл бұрын
They stick together or "hide".
@user-pc7yi9rb1q
@user-pc7yi9rb1q 4 жыл бұрын
how can I get your pdf for hemepotho??
@diogeleneolivas5528
@diogeleneolivas5528 10 ай бұрын
rule of 3 applies for rbc hgb hct. anyways ver informqtive video. thank u for this
@Angielle_
@Angielle_ Жыл бұрын
Beautiful ❤
@meryemlahbara2834
@meryemlahbara2834 4 жыл бұрын
Sorry .. just want to correct a typo there .. at 33:58 .. hemoglobin is 3x RBC not WBC ... Thank you again .. I really appreciate this video ..
@ghgjhhj
@ghgjhhj Жыл бұрын
24:31 There are RBCs without central pallor..Are they acanthocytes or echinocytes...Books said that echinocytes do have central pallor
@goharrehman7710
@goharrehman7710 4 жыл бұрын
thank you
@karanmaurya7102
@karanmaurya7102 2 жыл бұрын
1:36:41 Sir is that a Barr body In the Neutrophil ? If yes then it indicates that the patient is Female.
@ghgjhhj
@ghgjhhj Жыл бұрын
33:55 rule of 3 hemoglobin=3"RBC" Not WBC
@goharrehman7710
@goharrehman7710 4 жыл бұрын
thank you Dr. Jerad Gadner
@goharrehman7710
@goharrehman7710 4 жыл бұрын
your are working for Leica, please ask Dr Ramos to be part of this teaching, thank you for uploads of Dermatology Upload
@sakshiawasthi3374
@sakshiawasthi3374 4 жыл бұрын
Sir how to identify lymphocyte and blast cells under microscope plz help me
@user-fh4ql7gi1q
@user-fh4ql7gi1q 3 жыл бұрын
👍
@yueyajane4749
@yueyajane4749 4 ай бұрын
Seek a video on bone marrow ❤
@goharrehman7710
@goharrehman7710 4 жыл бұрын
yes she is Wellcome we want her lecture we want Dr Ramos
@subhamsikdar1715
@subhamsikdar1715 4 жыл бұрын
Love from India..
@smallspace7
@smallspace7 3 жыл бұрын
Yes give some context about the clinical state it would be a lot of help
@goharrehman7710
@goharrehman7710 4 жыл бұрын
that is right
@zahrasohanaki5966
@zahrasohanaki5966 2 жыл бұрын
Loved the video! I wished the guys would not cut her so much 😖😖😖😖
@Hoota62
@Hoota62 3 жыл бұрын
Hi dr Iam looking for peripheral blood smear interpretation course
@danielmboje8751
@danielmboje8751 Жыл бұрын
We are getting good knowledge,is there not a way for someone who have diploma to earn Bachelor of medical laboratory scientist through your study to upgrade his or her level means online?
@meryemlahbara2834
@meryemlahbara2834 4 жыл бұрын
Please do Body fluid Diff ... it’s very confusing to lot of Medical Techs ...
@pokermel
@pokermel 4 жыл бұрын
How could you even read a blood smear properly without oil immersion? Not good.
@goharrehman7710
@goharrehman7710 4 жыл бұрын
lymphocytes,lymphoblst
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