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Diagnostic expertise in practice

Clinical Case Studies

Individual diagnoses where a laboratory result changed the direction of care — written up by the pathologist or clinician who verified the report.

We publish these because a reference range on its own rarely settles a case. What settles it is the reflex test somebody ordered, the interference somebody spotted, or the smear somebody looked at again. Every case is fully de-identified and carries documented patient consent.

12Cases published
9Specialities covered
ConsentedEvery case de-identified before release

Featured

When Severe Anemia Revealed Sickle Cell Disease During Pregnancy

A 27-year-old pregnant woman with no significant previous medical history presented with fever, shortness of breath, and difficulty standing . She appeared very pale and had jaundice , while ultrasound revealed hepatosplenomegaly , or enlargement of the liver and spleen. Her CBC showed severe anemia , with hemoglobin reported at 3.7 g/dL and a very low RBC count, along with an elevated WBC count. The peripheral smear showed target cells, nucleated red blood cells, and a few doubtful sickle-shaped cells , prompting further investigation. A sickling test was positive , and confirmatory testing through HPLC/haemoglobin electrophoresis confirmed sickle cell disease . As Dr. Yogitha Namasani, Labs Head at Redcliffe Labs, Hyderabad , explains, sickle cell disease is an inherited genetic condition in which abnormal hemoglobin can make red blood cells rigid and sickle-shaped, potentially leading to serious complications.

Case Overview A 27-year-old pregnant woman with no significant previous medical history presented with fever, shortness of breath, and difficulty standing . She appeared very pale and had jaundice , while ultrasound…

Dr. Yogitha NamasaniPublished October 2026Read more

How a Simple Stool Test Identified the Cause of a Child's Diarrhea

A 1.5-year-old boy was brought in with watery diarrhea alternating with grey stools for 2–3 days. He also had vomiting, crampy abdominal pain, fatigue, poor food intake, loss of appetite, and fever . Several conditions could have caused these symptoms, including bacterial, viral, or parasitic infections . In a child of this age, lactose intolerance could also present with similar symptoms. A stool sample was examined using direct microscopy and concentration methods to identify the underlying cause. Microscopy revealed characteristic Giardia cysts , confirming acute giardiasis . The finding was communicated to the treating doctors without delay, helping the child receive appropriate treatment and reduce immediate risk.

Case Overview A 1.5-year-old boy was brought in with watery diarrhea alternating with grey stools for 2–3 days. He also had vomiting, crampy abdominal pain, fatigue, poor food intake, loss of appetite, and fever .…

Dr. Mayanka Lodha SethPublished October 2026Read more