This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A laboratory professional is reviewing a peripheral blood smear of a 10-year-old patient and notes ... (Read 161 times)

abern

  • Hero Member
  • *****
  • Posts: 533
on: Jun 25, 2018
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
Reply #1 on: Jun 25, 2018
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
Gracias!

Missbam101

  • Member
  • Posts: 341
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Asthma cases in Americans are about 75% higher today than they were in 1980.

Did you know?

About 3% of all pregnant women will give birth to twins, which is an increase in rate of nearly 60% since the early 1980s.

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Blood clot. Blood clot.
Rate of Residential Change, Past Year, in the United States Rate of Residential Change, Past Year, in the United States
Types of Laboratory Tests Types of Laboratory Tests
Maternity NCLEX Notes Maternity NCLEX Notes
Symptoms of a patient in shock. Symptoms of a patient in shock.
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
Video: Pericarditis

For a complete list of videos, visit our video library