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White cell disorder scheme, 1st branch point:
Quantitative vs qualitative
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What does qualitative entail?
- Abnormal appearing cells due to either extrinsic or intrinsic changes
- Extrinsic: chemotherapy, corticosteroids
- Intrinsic: defect in component of the cell, lysosome, cytoplasm
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A hypolobulated neutrophil is indicative of (qualitative/ quantitative) white blood disorder
Qualitative
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Next branch under Quantitative is?
Leukocytosis vs leukopenia
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Leukopenia is described as wbc count below _____
4000
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T/F: leukopenia is almost always identified as neutropenia
True
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Branching off leukopenia is ____ vs _____
Malignant vs non malignant
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Benign causes of leukopenia:
- Autoimmune
- Malnutrition
- Some drugs
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Malignant causes of leukopenia:
- Chemotherapy induced bone marrow suppression
- Radiation treatments
- Cancers like lymphoma, myelodysplasia, multiple myeloma, hairy cell leukemia, metazoic solid tumors
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Brach points off of neutrophilia (causes of neutrohilia)?
- Infection
- Stress states (like exercise, stress, epinephrine)
- Malignancy (like chronic myeloid leukemia, large cell lung cancer)
- Pharmacologic (like glucocorticoids, lithium)
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Non-malignant lymphocytosis:
- Asthma
- Seasonal allergy
- EBV
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Malignant lymphocytosis:
- Acute lymphoblastic leukemia
- Chronic lymphocytic leukemia
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Atopic dermatitis causes ______
Eosinophilia
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Eosinophilia infection is usually due to ___ and ___
Worms and fungal
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Chronic myeloid leukemia could cause ____, ____ and/ or ____
- Neutrophilia
- Eosinophilia
- Basophilia
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Malignant eosinophilia:
Leukemia, solid tumors
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Acute lymphocytic leukemia causes ____ and/or ____
- Lymphocytosis
- Blast cells (almost always indicative of ALL)
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Blast cell is almost always indicative of ____
Acute lymphocytic leukemia
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Blast cells are immature precursors of:
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Monocytosis is increased in:
Precursors to macrophages
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______ creates inflammatory mediators ie histamine and heparin
Basophilia
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Varicella leads to ____
Basophilia
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T/F: basophilia attracts leukocytes to infections
True
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Hodgkins disease causes ___ and ____
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Specific granules in basophils:
- Proteoglycans
- Histamine a
- Neutral proteases
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