Difference between revisions of "DZI19-175-Case-3"

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-{{dziSlide
+{{ServiceRequestCase
-|order_date=October 24, 2019 11:51:00 PM
+|identifier=DZI19-175-Case-3
-|user=Sac11
+|intent=order
-|slide_anatomy=Show
+|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 of neurofibromatosis type I
+|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?
+|subject=public
+|performer=Vn048
+|authoredOn=October 24, 2019 11:51:00 PM
+|requester=Sac11
+|sequence=3
 }}
-{{dziSlide
+{{Media
-|order_date=October 24, 2019 11:51:00 PM
+|basedOn=DZI19-175-Case-3
-|user=Sac11
+|type=image
-|slide_anatomy=Show
+|view=show
+|partOf=DZI19-175
+|frames=1
+|identifier=DZI19-175-Case-3_1
+|createdDateTime=October 24, 2019 11:51:00 PM
+|operator=Sac11
+|modality=svs
 }}
-{{dziSlide
+{{Media
-|order_date=October 24, 2019 11:51:00 PM
+|basedOn=DZI19-175-Case-3
-|user=Sac11
+|type=image
-|slide_anatomy=Show
+|view=show
+|partOf=DZI19-175
+|frames=2
+|identifier=DZI19-175-Case-3_2
+|createdDateTime=October 24, 2019 11:51:00 PM
+|operator=Sac11
+|modality=svs
 }}
-{{dziSlide
+{{Media
-|order_date=October 24, 2019 11:51:00 PM
+|basedOn=DZI19-175-Case-3
-|user=Sac11
+|type=image
-|slide_anatomy=Show
+|view=show
+|partOf=DZI19-175
+|frames=3
+|identifier=DZI19-175-Case-3_3
+|createdDateTime=October 24, 2019 11:51:00 PM
+|operator=Sac11
+|modality=svs
 }}
-{{dziCase
+{{Media
-|qc=yes
+|basedOn=DZI19-175-Case-3
-|qcuser=Em99
+|type=image
-|qctime=Oct 26, 2019 21:21:33
+|view=show
-|order_date=October 24, 2019 11:51:00 PM
+|partOf=DZI19-175
-|user=Sac11
+|frames=4
-|dziorder=DZI19-175
+|identifier=DZI19-175-Case-3_4
-|case_id=3
+|createdDateTime=October 24, 2019 11:51:00 PM
-|publish_timestamp=2019/11/01 13:00
+|operator=Sac11
-|clinical_hx=20-month old boy with splenomegaly, thrombocytosis, severe anemia and peripheral blasts
+|modality=svs
-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?
-|case_diagnosis=Juvenile chronic myelomonocytic leukemia (JMML), with some atypical features in the setting of neurofibromatosis type I
 }}

Difference between revisions of "DZI19-175-Case-3"

Revision as of 13:41, March 9, 2022