
Hook Effect in Blood Biochemistry: Understanding & Avoiding
Learn about the hook effect in laboratory diagnostics, how it impacts biochemical test results, and strategies to avoid it for accurate interpretation.
Blood and bone marrow morphology, clinical cases and diagnostic algorithms. Most of the library is in Russian; the English section is growing.
Most of our material is written in Russian — that is the working language of the community. A few pieces exist in English; the rest of the library is one click away and the photographs need no translation.

Learn about the hook effect in laboratory diagnostics, how it impacts biochemical test results, and strategies to avoid it for accurate interpretation.

Microscopy of a blood smear showing platelet aggregation, fibrin strands, and toxic granulation of neutrophils in severe leukocytosis and thrombocytosis.

Explore the forms, pathogenesis, and diagnosis of extramedullary disease in multiple myeloma, including clonal migration mechanisms, imaging, and therapeutic approaches.

A clinical case of osteoblasts in bone marrow aspirate from a 5-year-old with acute lymphoblastic leukemia: causes and morphology.

Clinical case of MDS after chemotherapy with stromal fibrosis: severe poikilocytosis, hyposegmented neutrophils, normoblastosis, and blasts in a blood smear.

Morphological features of erythroid cells in bone marrow aspirate: erythrocyte division, binucleated forms, mitoses, and a mature megakaryocyte.

Criteria for morphological assessment of blasts: chromatin, N/C ratio, nucleoli, and identification of mitotic figures in acute leukemia bone marrow smears.

Hematologic manifestations of solid tumors: mechanisms of erythrocytosis, leukocytosis, thrombocytosis, and coagulopathies, and laboratory diagnostic approaches.

Explore the causes of bone marrow plasmacytosis: reactive conditions, MGUS, and multiple myeloma. Understand the features of differential morphological diagnosis.

Explore the morphology of waxy casts in urine sediment microscopy in a patient with renal failure and proteinuria. Understand their formation and diagnostic significance.

Bone marrow morphology in severe mixed-origin anemia in a pregnant woman: megaloblasts, signs of dyserythropoiesis, and mitoses in the aspirate.

Explore bone marrow cell division: blast proliferation, normoblast enucleation, megakaryocyte endomitosis, and the morphology of mitotic figures.