DZI20-239-Case-3
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DZI20-239-Case-3
55 yo man with symptomatic lymphadenopathy, fatigue, sweats and an abnormal CBC and smear.
WBC: 19.7 (H); HGB: 13.1 (L); HCT 39.3 (L); MCV: 89.9; PLT: 145 (L)
Diff: Neutr 18.4; Lymph 57.8; Monos 4.4; Eos 0.9; Basos 0.9; Metas 0.9; Myelos 0.9; Other WBC 15%CLL with 5-7% prolymphocytes
December 2, 2020
/ Case 3
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Clinical history
55 yo man with symptomatic lymphadenopathy, fatigue, sweats and an abnormal CBC and smear. WBC: 19.7 (H); HGB: 13.1 (L); HCT 39.3 (L); MCV: 89.9; PLT: 145 (L) Diff: Neutr 18.4; Lymph 57.8; Monos 4.4; Eos 0.9; Basos 0.9; Metas 0.9; Myelos 0.9; Other WBC 15%
Diagnosis
CLL with 5-7% prolymphocytes
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DZI20-239
| Sequence | Case | Clinical history |
|---|---|---|
| 1 | DZI20-239-Case-1 DZI20-239-Case-1 | 65 yo woman with fatigue and abnormal CBC and smear.
WBC 9.21; HGB 8.7 (L); HCT 24.6 (L) PLT 49 (L) MCV 103.4 (H)
DIFF: NEUTS 19.1 (L); LYMPHS 36.5; REACTIVE LYMPHS 7.0 (H);
MONOS 28.7 (H) (4 - 11 %); OTHER CELLS 8.7 (H) 65 yo woman with fatigue and abnormal CBC and smear.
WBC 9.21; HGB 8.7 (L); HCT 24.6 (L) PLT 49 (L) MCV 103.4 (H)
DIFF: NEUTS 19.1 (L); LYMPHS 36.5; REACTIVE LYMPHS 7.0 (H);
MONOS 28.7 (H) (4 - 11 %); OTHER CELLS 8.7 (H) |
| 2 | DZI20-239-Case-2 DZI20-239-Case-2 | 68 yo man presenting to the ED with acute chest pain c/f aortic dissection noted to have an abnormal CBC and smear
WBC 21.02*; HGB 7.3*; HCT 22.7*; PLT 138*; MCV 96.
DIFF: Neutr 64; Lymph 12; Monos 1; Basos 1; Bands 1; Metas 2; Myelos 16; Other WBCs 3. 68 yo man presenting to the ED with acute chest pain c/f aortic dissection noted to have an abnormal CBC and smear
WBC 21.02*; HGB 7.3*; HCT 22.7*; PLT 138*; MCV 96.
DIFF: Neutr 64; Lymph 12; Monos 1; Basos 1; Bands 1; Metas 2; Myelos 16; Other WBCs 3. |
| 3 | DZI20-239-Case-3 DZI20-239-Case-3 | 55 yo man with symptomatic lymphadenopathy, fatigue, sweats and an abnormal CBC and smear.
WBC: 19.7 (H); HGB: 13.1 (L); HCT 39.3 (L); MCV: 89.9; PLT: 145 (L)
Diff: Neutr 18.4; Lymph 57.8; Monos 4.4; Eos 0.9; Basos 0.9; Metas 0.9; Myelos 0.9; Other WBC 15% 55 yo man with symptomatic lymphadenopathy, fatigue, sweats and an abnormal CBC and smear.
WBC: 19.7 (H); HGB: 13.1 (L); HCT 39.3 (L); MCV: 89.9; PLT: 145 (L)
Diff: Neutr 18.4; Lymph 57.8; Monos 4.4; Eos 0.9; Basos 0.9; Metas 0.9; Myelos 0.9; Other WBC 15% |
| 4 | DZI20-239-Case-4 DZI20-239-Case-4 | 58 yo woman presenting to the ED frail, with pain, nausea and fatigue. She is noted to have an abnormal CBC and smear.
WBC:3.6 (L); HGB: 8.6 (L); HCT: 26.9 (L); MCV: 89.7; PLT: 27 (L)
Diff: Neut: 40; Lymph 32; Monos 5; Eos 1; Bands 4; Atypical lymphs 2; Metas: 2; Myelos 3; Promyelos 1; Other WBCs: 10. 58 yo woman presenting to the ED frail, with pain, nausea and fatigue. She is noted to have an abnormal CBC and smear.
WBC:3.6 (L); HGB: 8.6 (L); HCT: 26.9 (L); MCV: 89.7; PLT: 27 (L)
Diff: Neut: 40; Lymph 32; Monos 5; Eos 1; Bands 4; Atypical lymphs 2; Metas: 2; Myelos 3; Promyelos 1; Other WBCs: 10. |
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