Pattern changes
…severe rouleaux formation. The best way to distinguish between these two phenomena (with important consequence for diagnosis and patient care) is to perform a saline dilution test, which is also called a saline dispersion test. This is done by placing one drop of blood to 4 drops or as high as 10 drops of isotonic saline (0.9% NaCl), i.e. a 1:4 or 1:10 dilution of blood to saline) and then examining the dilution as a wet mount (similar to that d…