[ALL] Flashcards
Child
commonest
Downs Syndrome
T
B
Antibody production
memory B cells
specific antibody production
CD4+
CD8+
Mature in Thymus
T helper
CD4+ (T helper)
Cytokines
Cytotoxic T cells
1
all nucleated
x-rays
immature
bone marrow failure
reduced WCC
reduced platelet count
infection
bleeding
anaemia
tissue infiltration
hepatosplenomegaly
lymphadenopathy
cranial nerve palsys
meningisms
tissue infiltration
Pneumocystis jirovecii
Blood film
CXR - lymphadenopathy
LP - CNS involvement
Meningisms
CN palsy
Tumour lysis syndrome
K+ and urate release
Vincristine
Prednisolone
arrests mitosis (inhibits microtubules assembly)
Methotrexate
mercaptopurine (daily) \+ Methotrexate (weekly) \+ Vincristine + Prednisolone
immunosuppressive - competes for purine.
matched related allogeneic marrow transplant
after 1st remission
[ALL]: What is the definition of ‘haematological remission’? (3)
no leukaemia in blood
normal/recovering blood count
<5% blasts in recovering marrow
70-90%
adults