A 60-year-old patient visited his general practitioner because of fatigue and unexplained bruising. Physical examination revealed a frail, thin, pale man with widespread bruising.
A CBC was ordered and revealed abnormal granularity of platelets and leukocytes. Red cells appeared dimorphic. Bone marrow analysis showed 20 ringed sideroblasts with
dysplastic changes in RBC and WBC precursors. No cytogenetic abnormalities were detected. Based on this information, what is a probable diagnosis?
a. Acute leukemia
b. Chronic lymphocytic leukemia
c. Myelodysplastic syndrome
d. Myeloproliferative syndrome
Question 2
Which of the following MDS/MPN classifications includes the immunophenotype CD33, CD13 +, MPO +?
a. Chronic myelomonocytic leukemia-1
b. Chronic myelomonocytic leukemia-2
c. Atypical chronic myeloid leukemia, BCR/ABL1-
d. Juvenile myelomonocytic leukemia
20,000 year old Arctic ground squirrel mummy
Early in the twentieth century, when malnutrition was common, companies such as this one advertised
Positioning the Patient in the Supine Position
General adaptation syndrome.
Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ...
A non-interest-bearing five-year note for $54600.00 issued May 1, 2015, is discounted April 1, ...