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22 Cards in this Set

  • Front
  • Back
50 yr old man
early satiety, bleeding,
splenomegaly
cytogenetics t(9;22)
diagnosis?
CML
treatment for AML M3
retinoic acid
tumor lysis syndrome
electrolyte changes
decr Ca2+
incr K, phospate, uric acid
differentiate polycythemia vera from secondary polycythemia
polycythemia
both = incr hematocrit, RBC mass
vera = normal O2 satn, low epo
TTP pentad
thrombotic thrombocytopenic purpura FAT RN
Fever
Anemia
Thrombocytopenia
Renal dysfn
Neuro abN
HUS triad
anemia
thrombocytopenia
acute renal failure
(no fever, no neuro abN like with TTP)
treatment for TTP
emergent
large-vol plasmaphoresis
corticosteroids
antiplatelet drugs
treatment ITP in kids
idiopathic thrombocytopenic purpura
usually resolves spontaneously
may req IVG / corticosteroids
inc in DIC?
decr in DIC?
incr = D-dimer, fibrin split products

decr = platelets, fibrinogen, hematocrit
8 yr old boy
hemarthrosis, inc PTT
normal PT, bleeding time
diagnosis?
treatment?
hemophilia A or B
(inc PTT with normal PT = prob intrinsic path = 12, 11, 9, 8)
tx
A= desmopressin, factor 8
B = factor 9
14 yo girl
prolonged bleeding time after dental surgery, with menses
normal PT, normal or inc PTT, bleeding time
diagnosis?
trreatment?
von Willebrand dx
tx = desmopressin, FFP or cryoppt
Reed-Sternberg cells
Hodgkins' lymphoma
60 yo AA man
bone pain
work up for multiple myeloma
possible findings?
monoclonal gammopathy
Bence-Jones proteinuria
x-ray shows punch lesions in skull & long bones
10 yo boy
fever, wt loss, night sweats
anterior mediastinal mass
suspected diagnosis?
Non-Hodgkin's lymphoma
anterior mediastinal mass in boy
think non-hodgkin's lymphoma
microcytic anemia with
decr serum iron
decr total iron-binding capacity
N or incr ferritin
anemia of chronic disease

decr TIBC, N or incr ferritin indicates sufficient iron available
microcytic anemia with
decr serum iron
incr total iron-binding capacity
decr ferritin
iron deficiency anemia

incr TIBC, decr ferritin indicates lack of iron
80 yo man
fatigue, lymphadenopathy,
splenomegaly,
isolated lymphocytosis
suspected diagnosis?
CLL
chronic lymphocytic leukemia
lymphoma equivalent of CLL
SLL
small lymphocytic lymphoma
late, life-threatening complication of CML
blast crisis
fever, bone pain,
splenomegaly,
pancytopenia
auer rods on blood smear
AML
acute myelogenous
leukemia
AML subtype assoc with DIC
M3