HaemBytes

A haematology discussion group run by haematology professionals for haematology professionals! @MorphologyAmigo @nihardesai89 @BloodScientist #HaemBytes

[HaemBytes @HaemBytes]

As the Man said. Maybe Basics but Basics Matter 😁
Have a Read
#medtwitter #medicine

[Bread & Butter Haematology @MorphologyAmigo]

Myeloma is Everywhere
Good Basics Matter 🧵... Keep reading🔽🔽
(Aimed for Medical Students and Early Interns)
#medicine #hematology #MedEd #medtwitter #Medical #blooducation #myeloma @HaemBytes

[HaemBytes @HaemBytes]

Worth Reading!
#medtwitter

[Bread & Butter Haematology @MorphologyAmigo]

Myeloma and PET Imaging Can share a very interesting relationship sometimes

🚨🚨Not all PETs on Myeloma patients with Lytic Lesions will be Hot
▶️▶️To Understand Why Keep Reading this 🧵
First Tweetorial for 2026
#mmsm #hematology #medicine #medtwitter #meded @HaemBytes

[HaemBytes @HaemBytes]

APL Byte Size Education

[Bread & Butter Haematology @MorphologyAmigo]

Early 2026 Haembyte👨‍🏫👨‍🏫
APL 🔍🔍
Never Miss as it seldom Forgives 🚨🚨
My Registrar Teaching Slide 🔽🔽
#meded #medtwitter #hematology #medicine

They also have a bad habit of pitching up during Xmas or Bank Holidays 😀

[Bread & Butter Haematology @MorphologyAmigo]

Look what I Spy with My Little Eye This Morning on Scopio😁
WCC 67
#medicine #hematology #medtwitter #MedEd #blooducation

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai89]

If your patient develops a thrombus in the upper extremity vein 👇🏽, it's most likely 2/2 a VENOUS ACCESS DEVICE or a MALIGNANCY!

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai89]

🎉🎉 Happy to share our new paper, out now in @BrJHaem

GVHD free/relapse free survival (GRFS) is a clinically important endpoint in alloBMT, especially for young adults

We used a @CIBMTR dataset to analyse the impact of GvHD prophylaxis on GRFS in this population

https://t.co/RlCt4o4EBu

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai89]

Peripheral blood smear of a 30 yr old with fever, weight loss, and fatigue 😭

These cells are enough to make a diagnosis!

📸 @ASH_hematology image bank

[Only Cells @OnlyCellsLTD]

If you're a Transfusion Trainer or LIMS specialist, you know the drill: the constant struggle of preparing realistic, compliant blood component units for essential training and system testing.

📜 You've scraped ice off frozen products, vigorously wiped down photocopier glass, cut out images, and laminated them, only to watch them expire a few days or weeks later, forcing you to repeat the laborious cycle.

💻 The Solution is Here: The Only Cells Blood Component Barcode Generator

I've built a lightweight, web-based tool that eliminates the manual burden, allowing you to generate perfectly compliant and scannable blood component labels instantly.

No more messy paperwork. No more out-of-date photocopies. Just validated, digital units ready for use.

❓ Why This Tool is Essential for Training:

✅ Guaranteed Compliance: the generator produces barcodes that adhere strictly to the ISBT 128 standard, including correct formatting for Donation ID, Blood Group, Expiry Date, and, crucially, mathematically validated checksums for accurate LIMS testing.

✅ Instant Scannability: Barcodes can be scanned directly from your screen during simulation, or the generated image can be downloaded for printing or incorporating into training documentation.

✅ Dynamic Flexibility: Simply input your desired unit number, blood group, component code, and expiry date. The tool instantly renders the complete, realistic component label overlay.

Read more about the tool and download it here:

https://t.co/szXitQhH0z

#OnlyCells #BloodTransfusion #Training #LIMS #ISBT #tool #BloodComponents #ISBT128

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai89]

A 30 yr old man presents with epistaxis!

Anemia and thrombocytopenia on blood work.

Blood smear 👇🏽

What do you see?
Ddx?
Management?

[Only Cells @OnlyCellsLTD]

🩸#MorphologyMonday | Case MM251103

https://t.co/DF0wx3O3E3

This week’s case is from a 61-year-old patient referred for haematology review due to persistent fatigue and abnormal routine blood results.

The FBC showed:
- WCC: 50.4 ×10⁹/L
- Hb: 84 g/L
- Platelets: 128 ×10⁹/L

The analyser also gave a grey scatter plot, which prompted the film review.

Further investigations, including immunophenotyping, were performed. Results for these can be seen on the link above.

Share your thoughts in the comments 👇

#OnlyCells #BloodFilm #WhiteCells #FlowCytometry #LabDiagnostics

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai89]

A 56 year old presents with hematemesis 😭

Pancytopenia on blood work.

Hgb 56 g/L
WBC 1.2 x 10^9/L
Plt 45 x 10^9/L

Smear 👇🏽

What do you see?
Ddx?
Management?

[Only Cells @OnlyCellsLTD]

🩸#MorphologyMonday | Case MM251117

https://t.co/sKk2ugi4dg

This week’s case comes from an 84-year-old male who was referred to the haematology team after routine blood tests showed a markedly raised white cell count. Clinically, he reported several weeks of general fatigue but no acute symptoms. He was otherwise well and presented via his GP.

The FBC showed:
- White cell count: 823 ×10⁹/L (Note: This value exceeded the analyser’s linearity range)
- Red cell count: 2.69 ×10¹²/L
- Haemoglobin: 84–106 g/L (range reflects correction due to WBC interference)
- Haematocrit: 0.306
- MCV: 92.4 fL

A blood film was made and images can be seen below. What do you think the diagnosis could be?

How do you approach any parameter that exceeds analyser linearity?

#OnlyCells #BloodFilm #WhiteCells #LabDiagnostics

[Only Cells @OnlyCellsLTD]

It's not AI. It's not a painting. It is the most detailed image of a human cell to date, obtained by radiography, nuclear magnetic resonance and cryoelectron microscopy.
_____
Original post: https://t.co/u0GZJr9d8S

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai89]

A 16 yr old/male with sickle cells anemia presents with shortness of breath and fever 😭

Hgb: 65 g/L
WBC: 3.4 x10^9/L
Plt: 550 x10^9/L
LDH: 250 U/L

Bone marrow aspirate 👇🏽

What do you see?
Ddx?
Management?

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai89]

A 30 year old man presents to dermatology with these skin lesions 👇🏽

Axillary lymphadenopathy on examination!

Blood smear 👇🏽 gives us a clue about the possible diagnosis!

Ddx?
Management?

📸 @NEJM and @ASH_hematology

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai89]

Our correspondence is now out in @NEJM 🎉

We confirm in our real-world sibling donor cohort what Curtis et al. reported in the phase III trial. PTCy is awesome 🙌🏽

@pmcancercentre @Haemophage
https://t.co/uiUp0bFNIU

[Bread & Butter Haematology @MorphologyAmigo]

Macrothrombocytopenia Causes⬇️⬇️
🚨🚨Exam Fav Q
My take on causes and how to remember them …..

#medicine #meded #MedTwitter #hematology #platelets

[Anas Nasir @BloodScientist]

Some very weird looking red cells in today's #MorphologyMonday. What do you think?

[Bread & Butter Haematology @MorphologyAmigo]

Basics Basics Basics 😀
Friday Morphology🤪
Please Identify this Cell on this Blood Film .....
#medtwitter #meded #hematology #medicine

[Bread & Butter Haematology @MorphologyAmigo]

Who Likes Their "Eggs" Sunny Side Up 😀
Can anyone tell what is on the Menu Today....
#haematology #medtwitter #meded #blooducation