WSI23-10

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Request type AP didactic (PGY2+) - MGH

Subspecialty Hematopathology

Topic Cleveland Clinic OUTS

Presenter Hasserjian, Robert P.,MD

Date and time Thursday, April 6, 2023 12:00 AM

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Case	Clinical history	Requester
Case	Clinical history	Requester
Case 1	56 year-old man with history of MDS • now with dropping blood counts. WBC 4.94 (63% polys • 32% lymphs • 1% atypical lymphs • 4% monos • 0% blasts) • HGB 7.3 • MCV 89 • PLT 60.	Rh27
Case 2	30 year-old man with history of juvenile rheumatoid arthritis • treated with methotrexate 10 years ago • now with severe anemia. WBC 2.3 • HGB 6.4 • MCV 95.6 • PLT 11. Bone marrow biopsy and peripheral blood smear provided (no aspirate was obtainable due to 'dry tap').	Rh27
Case 3	53 year-old man with cytopenias and splenomegaly. WBC 10.77 (49% polys • 44% lymphs • 7% monos). HGB 7.9 • PLT 46.	Rh27
Case 4	60 year old man presented with fatigue • found to have marked leukocytosis. WBC 71.2 (67% polys • 5% lymphs • 6% monos • 11% eos • 4% basos • 2% bands • 1% myelos • 3% metas • 2% promyelocytes • 1 nRBC/100 WBC) • HGB 7.0 • MCV 105.8 • PLT 56. Biopsy • aspirate • and peripheral smear provided.	Rh27
Case 5	79 year-old man with AML status-post treatment • persistent low blood counts. WBC 1.0 (56% polys • 44% lymphs) • HGB 7.7 • MCV 89.4 • PLT 19.	Rh27
Case 6	32 year-old woman with anemia. WBC 4.1 (59% polys • 29% lymphs • 12% monos) • HGB 10.4 • MCV 86.9 • PLT 235.	Rh27
Case 7	68 year old man with history of MDS on luspatercept.	Aja51