06/05/2025
(PBS) test, also known as a Blood Film or Peripheral Smear, is a laboratory procedure that involves examining a sample of blood under a microscope to assess the morphology (shape, size, and appearance) of blood cells. It's primarily used to diagnose and monitor blood-related disorders.
Purpose of the Test:
The PBS test helps in:
Identifying anemia types
Diagnosing infections
Detecting leukemias, lymphomas, and other hematological malignancies
Monitoring bone marrow function
Assessing platelet disorders
Specimen Collection:
Sample type: Venous blood
Anticoagulant: Typically EDTA (purple-top tube)
Procedure:
1. :
A drop of blood is placed on one end of a clean glass slide.
A second slide (spreader) is used at a 30–45° angle to spread the blood into a thin film.
The smear is allowed to air-dry completely.
2. :
The slide is stained using Romanowsky stains (most commonly Wright, Giemsa, or Leishman stain).
This helps in differentiating the cellular components.
3. :
The stained smear is examined under oil immersion (100× magnification).
A systematic review is done of:
(RBCs): Size (microcytic, macrocytic), shape (poikilocytosis), color (hypochromia), inclusions (Howell-Jolly bodies, Heinz bodies)
(WBCs): Total and differential count, morphology (blast cells, toxic granulation)
: Number, size, clumping
Normal Findings:
Component / Normal Appearance
. / Normocytic,normochromic, round,central pallor
. / Normal distribution of neutrophils,lymphocytes,monocytes,eosinophils,basophils
. / Scattered, small,purple granules
Abnormal Findings and Their Significance:
Abnormality. / Possible Indication
(RBC size variation) / Iron deficiency,anemia, thalassemia
(RBC shape variation) / Sickle cell anemia,spherocytosis
. / Hemolytic anemia
. / Liver disease,thalassemia
/ Leukemia
. / Megaloblastic anemia
. / mononucleosis
. / Pseudothrombocytopenia
Limitations:
Requires skilled interpretation.
May miss abnormalities if cells are not present in the thin area of the smear.
Clinical Utility:
Helps confirm or rule out findings from automated hematology analyzers.
Essential in the evaluation of unexplained cytopenias, fever of unknown origin, and suspected hematologic malignancies.
゚viralシfypシ゚viralシalシ