Brian D. Adkins

Brian D. Adkins

@path-brian.bsky.social

Asst. Prof. Pathology, UTSW Pathology. Blood Banking/Transfusion Medicine. Tweets ≠ medical advice. I put in work and it’s all for the kids. (He/Him)

240 followers239 following59 posts

Happy Black History Month! True story - I grew up in Huntington, WV, the same place where Carter G. Woodson - the father of Black History Month - spent some of his formative years. CGW was an academic and historian who sought to tell the stories of all Americans.

Playing Oregon Trail: -Banker has most money -The further east you start = longer trip -Rivers are dangerous Shallow Rivers (Less than 2 feet deep): Ford Moderate Depth (2-4 feet deep): Caulk Deep Rivers (Over 4 feet deep): Ferry -Don't waste money on food. Just buy bullets for hunting

Do you use a pitted RBC count? -RBCs w/ vacuoles give cells a pitted appearance -Pitted RBCs typically removed by splenic macropahges -Count used to assess splenic function -Performed w/ differential interference contrast microscope (Nomarski) -Interest in automating process tinyurl.com/5ezhcfu9

Me: I can't remember the last time I consciously ate a bowl of Chex cereal Also me: Yes, I will eat three boxes of Chex cereal if you bake it with butter, Worcestershire sauce, and add pretzel sticks and mixed nuts

Are we talking turkey… hematology? - Unlike humans, turkey RBCs are nucleated - Heterophils (bird neutrophils for birds) tend to increase as a stress response – otherwise lymphocytes rule the differential roost - The PT for turkeys is prolonged relative to human (around 17 sec) (1/3)

- Turkey RBC have been used as reagents for tetanus immunity as well as other applications in the lab - The smear shows a WBC infected by the parasite Leucocytozoon smithi – birds get different leukotropic diseases than us! 2/3

What is May-Thurner syndrome? - left common iliac vein compression by right common iliac artery - causes DVT - More common in women - Patients often require thrombolysis, anticoagulation, and or vascular intervention

How do we screen for hemoglobin abnormality in the US? -All state newborn screens evaluate hemoglobin -pediatric-age immigrants often get newborn when they come to US -Thalassemia trait often identified in pregnant patients or patients with persistent microcytosis after correcting iron deficiency

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