Leukemia/Lymphoma Flashcards
Sx of Chronic Leukemia?
elevated WBC count (60-100) +/- big ass WBC nuc of smear
2 major types of chronic leukemia
CML & CLL
Elevated WBC count, Old man + crushed little lymphocytes on smear
Tx?
CLL = Fludarabine or Rituximab
CLL tx
Rituximab, Fludarabine
Elevated WBC count in person w/a ton of matured neutrophils + 9:22t
Tx?
CML! = Tk-BCL-ABL
Tx: Imatinib
**may progress to AML
Acute Leukemia sx?
fever, bones pain, petechia, bleeding, infections, anemia, cells w/small nuc on smear
2 mc acute leukemia?
AML, ALL
AML risk factors?
exposure to radiation, benzenes & Chemo
Pt w/Bleeding, bruising, petechia, pallor, fever, wonky CBC, +/-Auer rods
dx?
Auer Rods = MPO
this is AML
Tx of M3 AML?
M3 AML has Auer Rods = Tx w/Vitamin A
Tx of all other AML besides M3?
Idarubicin + Ara-C
Risk factors of ALL?
down syndrome!
Pediatric pt w/bone pain, bleeding + down syndrome
ALL!
Tx w/cyclophosphamide, doxorubicin, vincristine, methrotrexate
Tx of ALL
Tx w/cyclophosphamide, doxorubicin, vincristine, methrotrexate
Lymphoma “B” Symptoms
fever, night sweats, weight loss
Epstein Fevers?
fevers + painfull lymphadenopathy with EtOH & HSM
Hodgkins Lymphoma sx?
B Symptoms(fever, night sweats, weight loss), Epstein Fevers(fevers + painfull lymphadenopathy with EtOH & HSM), spreads anatomically, usually isolated node
Non Hodgkins Lymphoma sx>
usually no B shit, spreads hematoginouly, usually multiple nodes
Tx of non-hodgkins lymphoma
RCHOP: Rituximab, Cyclophosphamide, Hydroxydoxorubicine, Oncovorin, Prednisone
Tx of Hodgkins Lymphoma?
Mild: ABVD = Adriamycin/Doxo, Bleomycin, Vinblastine, Dacarbazine
Severe: BEACOPP = Bleomycin, Etoposide, Adriamycin/Doxo, Cylcophosphamide, Oncovorin, procarbazine, Prednisone
What does RCHOP Stand for? What does it treat?
Rituximab, Cyclophosphamide, Hydroxydoxorubicine, Oncovorin, Prednison
Tx: non-hodgkins Lymphoma
What does ABVD stand for? What does it treat?
Adriamycin/Doxo, Bleomycin, Vinblastine, Dacarbazine
Tx mild hodgkins lymphoma
What does BEACOPP stand for what does it treat?
Bleomycin, Etoposide, Adriamycin/Doxo, Cylcophosphamide, Oncovorin, procarbazine, Prednisone
Tx severe hodgkins lymphoma
Cisplatin side fx?
ototox + nephro tox
Bleomycin side fx?
Plum fibrosis
Adriamycin/dox side fx?
cardiac shit
Vincristine/Vinblastine side fx?
peripheral neuropathy
Ccyclophosphamide side fx?
hemorrhagic cystitis