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A Monospot test was positive. The patient was discharged with a diagnosis of infectious mononucleosis. A comment on his complete blood count, showing absolute lymphocytosis with atypical lymphocytes and rare blasts with flow cytometry recommended, was missed, possibly due to the fact that it was not highlighted red on the electronic medical record indicating an abnormal result. A month later, an outpatient diagnosis of B-lymphoblastic leukemia\/lymphoma was made on flow cytometry. This case highlights cognitive errors in diagnosis, including premature closure and failing to \u2018see\u2019 key data, as well as vulnerabilities created by data display limitations of the electronic medical record.<\/jats:p>","DOI":"10.1515\/dx-2015-0013","type":"journal-article","created":{"date-parts":[[2015,8,24]],"date-time":"2015-08-24T14:03:58Z","timestamp":1440425038000},"page":"195-197","source":"Crossref","is-referenced-by-count":0,"title":["Blindsided by the Monospot test"],"prefix":"10.1515","volume":"2","author":[{"given":"Jawaid","family":"Akhtar","sequence":"first","affiliation":[{"name":"University of Pittsburgh Medical Center, Emergency Medicine, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Fung","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center, Emergency Medicine, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Reily","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center, Emergency Medicine, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2015,8,22]]},"reference":[{"key":"2025121207162873772_j_dx-2015-0013_ref_001_w2aab3b8c29b1b7b1ab2b1b1Aa","doi-asserted-by":"crossref","unstructured":"Voytovich AE, Rippey RM, Suffredini A. 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