| _creationDate | October 24, 2019 |
| _modificationDate | December 9, 2024 |
| _creator | Sac11 |
| _fullText | {{ServiceRequestCase
|identifier=DZI19-175-Case-3
|intent=order
|category=409073007
|priority=routine
|orderDetail=case
|locationCode=learn
|basedOn=DZI19-175
|code=cme
|requisition=CCSP 2019
|supportingInfo=Juvenile chronic myelomonocytic leukemia (JMML), with some atypical features in the setting ... |
| _numRevisions | 7 |
| _isRedirect | No |
| identifier | DZI19-175-Case-3 |
| basedOn | DZI19-175 |
| requisition | CCSP 2019 |
| intent | order |
| category | 409073007 |
| priority | routine |
| code | cme |
| orderDetail | case |
| subject | MGH |
| occurrenceDateTime | December 31, 1969 7:00:00 PM |
| authoredOn | October 24, 2019 11:51:00 PM |
| requester | Sac11 |
| performer | VN048 |
| locationCode | learn |
| reasonCode | 20-month old boy with splenomegaly • thrombocytosis • severe anemia and peripheral blasts
WBC: 29.6; HGB: 4.7; HCT: 13.4%; MCV: 85.9 fL; PLT: 900 (Diff: 36% polys; 30% lymphs; 12% monos; 6% eos; 2% basos; 1% myelocytes; 13% blasts; 12 nRBCs/100WBC). Peripheral blood smear. What is your differential diagnosis?
Two days later • after RBCs and fluids: WBC: 8.1; HGB: 9.2; HCT: 25.2; MCV: 85 fL; PLT: 250 (Diff: 47% polys; 29% lymphs; 7% monos; 8% blasts; 7% eos; 2% basos; 2% metas Bone marrow biopsy (HE • reticulin stain) and touch prep (clot). What is your differential diagnosis? |
| supportingInfo | Juvenile chronic myelomonocytic leukemia (JMML) • with some atypical features in the setting of neurofibromatosis type I |
| specimen | null |
| bodySite | null |
| sequence | 3 |
| access | public |
| identifier | DZI19-175-Case-3_1 |
| basedOn | DZI19-175-Case-3 |
| partOf | DZI19-175 |
| status | completed |
| type | image |
| modality | svs |
| view | show |
| createdDateTime | October 24, 2019 11:51:00 PM |
| operator | Sac11 |
| reasonCode | null |
| bodySite | null |
| frames | 1 |
| content | DZI19-175-Case-3_1.svs |
| note | null |
| subject | null |
| identifier | DZI19-175-Case-3_2 |
| basedOn | DZI19-175-Case-3 |
| partOf | DZI19-175 |
| status | completed |
| type | image |
| modality | svs |
| view | show |
| createdDateTime | October 24, 2019 11:51:00 PM |
| operator | Sac11 |
| reasonCode | null |
| bodySite | null |
| frames | 2 |
| content | DZI19-175-Case-3_2.svs |
| note | null |
| subject | null |
| identifier | DZI19-175-Case-3_3 |
| basedOn | DZI19-175-Case-3 |
| partOf | DZI19-175 |
| status | completed |
| type | image |
| modality | svs |
| view | show |
| createdDateTime | October 24, 2019 11:51:00 PM |
| operator | Sac11 |
| reasonCode | null |
| bodySite | null |
| frames | 3 |
| content | DZI19-175-Case-3_3.svs |
| note | null |
| subject | null |
| identifier | DZI19-175-Case-3_4 |
| basedOn | DZI19-175-Case-3 |
| partOf | DZI19-175 |
| status | completed |
| type | image |
| modality | svs |
| view | show |
| createdDateTime | October 24, 2019 11:51:00 PM |
| operator | Sac11 |
| reasonCode | null |
| bodySite | null |
| frames | 4 |
| content | DZI19-175-Case-3_4.svs |
| note | null |
| subject | null |
| status | active |
| identifier | DZI19-175-Case-3 |
| requester | Sac11 |
| authoredOn | October 24, 2019 11:51:00 PM |
