This topic contains a solution. Click here to go to the answer

Author Question: A laboratory professional is reviewing a peripheral blood smear of a 10-year-old patient and notes ... (Read 158 times)

abern

  • Hero Member
  • *****
  • Posts: 533
A laboratory professional is reviewing a peripheral blood smear of a 10-year-old patient and notes that 35 blasts are present. Which of the following diagnoses is likely based on these findings?
 
  a. Myelodysplastic syndrome
  b. Acute leukemia
  c. Chronic myeloid leukemia
  d. Aplastic anemia

Question 2

A 61-year-old woman saw her primary care physician because of fatigue and dyspnea on exertion for the past 3 months.
 
  Past medical history noted that the patient had been treated 5 years earlier with the DNA alkylating agent cyclophosphamide, non-Hodgkin lymphoma.
 
  A CBC revealed the following:
  WBC: 3.6 x 109/L
  RBC: 2.8 x 1012/L
  Hb: 9.1 g/dL
  MCV: 104 fL
  Reticulocyte count: 2.0
  Normal vitamin B12 and folic acid levels
  PLT: 120 x 109/L
  Differential: 6 blasts
 
  A bone marrow biopsy revealed hypercellularity, and dyshematopoiesis of all three myeloid lineages.
  Suggest an appropriate follow-up test and a likely diagnosis for this patient.
 
  What will be an ideal response?



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

meltdown117

  • Sr. Member
  • ****
  • Posts: 326
Answer to Question 1

Correct Answer: B

Answer to Question 2

Answer: Cytogenetics would be an appropriate follow-up test and would likely reveal a complex karyotype. The likely diagnosis is therapy-related myelodysplasia indicated because of the earlier treatment with cyclophosphamide and the trilineage cytopenias and dysplasia.




abern

  • Member
  • Posts: 533
Reply 2 on: Jun 25, 2018
:D TYSM


TheNamesImani

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

About 100 new prescription or over-the-counter drugs come into the U.S. market every year.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Certain rare plants containing cyanide include apricot pits and a type of potato called cassava. Fortunately, only chronic or massive ingestion of any of these plants can lead to serious poisoning.

For a complete list of videos, visit our video library