acute leukemias Flashcards

1
Q

what are the origans of leukemia

A

1827 alfred armand 1st described, 1856 geraman rudolf virchow named it leukemia

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2
Q

what cells are in the myeloid lines

A

granulocytes monocytes erythrocytes megakaryocytes,

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3
Q

what is the most common genetic syndrome to produce a leukemia in children

A

downs syndrome

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4
Q

what is more common AML or ALL

A

AML more common and found mostly in adults

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5
Q

what exposures will increase the risk of leukemia

A

benzene radiation tobacco and chemotherapies

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6
Q

what more common CML or CLL

A

CLL underdiagnosed most common in adults under reported 78% 5 year survival rate

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7
Q

what is the presentation of acute leukemia’s

A

general fatigue, pallor, weakness, bone pain infrequent sternal or long bone, fever and infection with neutropenia, petechiae red mucosa in the buccal of the mouth, retinal hemmorrhage or white plaques in eye, organomegaly.

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8
Q

what should you know about the FB classification

A

M6 RBC line, M3 APL treated differently

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9
Q

what are auer rods

A

long crystal on netruphils gives diagnosis of AML

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10
Q

what is leukemia cutis

A

AML in the skin

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11
Q

how do you make a final diagnosis of most leukemia’s

A

with a bone marrow biopsy

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12
Q

what did damesheck show us about treatments

A

you need to wipe out the bone marrow for leukemia patients. And use the 7+3 anthracylcine and cytarabine.

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13
Q

what is the exception for treating leukemia

A

CML BCR ABL use imatinib

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14
Q

what is AML induction support

A

propylactic antibiotics, antiemitics, hepa rooms, no raw berries or veggies grown in dirt no sick visitors,

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15
Q

what is the most common trans location of APL

A

15-17 use trans-retinoic acid will put the cancer into remission but then give them the 7+3 often have DIC.

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16
Q

tell me about ALL

A

mostly under 20 mean age 14 we have molecular markers that will help us identify the disease.

17
Q

what is the prognosis of all

A

Over 35 not as good, over 30K leukocytes worse,

18
Q

what is the treatment

A

imitinb methotrexate and years of maintenance therapy

19
Q

what is CML presentation

A

bleeding, fever, left shoulder pain, wieght loss, anorexia.

20
Q

what is the empidemiology of CML

A

male to female 2:1, age 65 60% 5 year survival rate.

21
Q

who was jane rowley

A

argued that translocation can cause cancers

22
Q

where do you find smudge cells

A

CLL