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5 Cards in this Set

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What is the pathogenesis of Myelofibrosis or Myeloid Metaplasia?
1. Marrow Fibrosis occurs earlier than other types of myeloproliferative disease
2. Neoplastic cells are produced in the Spleen and other sites
What are the clinical findings of Myelofibrosis?
1. Massive splenomegaly with portal hypertension
2. Splenic infarcts with left-sided pleural effusions
What are the Lab findings in Myelofibrosis?
WBC
Anemia
Bone Marrow
Platelet
WBC = 10,000 -50,000/ul
Normocytic Anemia
Fibrosis in Bone Marrow due to Fibroblast
Platelet varaible ( increase or decrease)
What would the anemia look like?
1. Tear drop cells ( RBC damage)
2. Leukoeythoblastic rxn
How would you describe the peripheral blood smear?
Numerous reticulocytes with a blue discoloration, nucleated RBC, and metamyelocyte, and tear drops FIGURE 12-1