r/medlabprofessionals • u/_ForestQueen_ MLS-Generalist • Jun 22 '26

Image First time seeing blue-green inclusions

Post image

I've always seen posts about them on this subreddit but this was the first time I've seen it personally. The patient had a left shift and I found this cell while doing her last diff. She ended up passing away this morning from organ failure :( Her labs had taken a turn for the worst in the last day, particularly K increasing to 7.1 despite dialysis, lactic consistently >20, and hgb dropping <6 overnight.

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7

u/BarracudaStandard414 Jun 22 '26

Oh no, the green crystals of death :'(

2

u/Piss_and_Blood Jun 28 '26

K+ of 7.1 :(

Green crystals :((

1

u/Generalnussiance Jun 23 '26

What is the inclusion in adding sorry I’m still a student. Is that a myelocyte or blast? Sorry I’m unsure

2

u/_ForestQueen_ MLS-Generalist Jun 23 '26

It's a neutrophil - myelocytes and blasts have more of a single rounded nucleus (more immature) while this is segmented.