A 60-year-old man is referred to an oncologist by his primary care doctor after complaining of fatigue, shortness of breath, and a recent history of bruising. Physical examination is no table for marked splenomegaly as well as purpura on his arms and thighs. Laboratory studies show anemia, thrombocytopenia, and abnormal findings on peripheral blood smear, prompting a bone marrow biopsy. Biopsy is no table for the replacement of normal marrow elements by fibrosis with no evidence of malignancy. What would a peripheral blood smear in this patient likely show? (A) Acanthocytes (B) Macro-ovalocytes (C) Schistocytes (D) Target cells (E) Teardrop cell

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tear drop cells

option -E(teardrop cell)

Tear Drop cells

Tear Drop cells

e. Tear drop or dacrocytes

E) tear drop cell ( ? myelofibrosis: bone marrow aspiration is dry tap hence bone marrow biopsy will be diagnostic)

Teardrop cell.

Tear Drop cells option E

Yes bone marrow fibrosis present ... so tear drop cell seen....

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