Figure 1. Peripheral smear on a 49 year old male with history of alcoholic cirrhois who had a sudden drop in hemoglobin associated with worsening jaundice. RBCs with spike like projections (spur cells), target cells and RBC fragments are prominent. (W-G 50x)
Figure 2. The spike-like projections on the spur cells are more evident on this higher-power view. Other RBC abnormalities include target cells, RBC fragments and RBCs with shorter, more blunted projections (burr cells) are also present. (W-G 100x)