Myledosplastic disorders and acute myloid leukemia Flashcards
1
Q
what is acute myloid leukemia
A
- heterogeneous clonal malignancy
- characterized by immatuce myleoid cell proliferation (more blasts) and bone marrow failure
- mostly over 65s
2
Q
Whar is cytopenia
A
low blood count
3
Q
what is panctopenia
A
low haem, platelets, and neutrophls
4
Q
what would a peripheral blood film show in AML
A
- dysplasia
- hypogranular neutrophils
5
Q
aetiology for AML
A
- Previous expo to chemo
- genetic mutationsx
6
Q
what does histology of AML show
A
auer rods
7
Q
what are the investigations for AML
A
- FBC
- blood film
- haematinics
- bone marrow aspirite
8
Q
Presenting symptoms AML
A
- anemia
- neutropenia (infection)
- thrombocytompenia -(bleeding + bruising)
9
Q
Describe morphology of AML
A
- normal minimum 20% blasts
- can be lower than 10 for genetic
10
Q
Describe morphology of MDS
A
- 10% dysplasia in cells
- blasts from 0-19%
11
Q
Demographics AML
A
- Old age (80s)
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12
Q
Treatment of AML
A
- Chemo
- allogenic bone marrow transplant (cures)
- to treat the neutropenia -antibiotics
- anemia - transfusion
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13
Q
Give some differential diagnosies for AML
A
- ALL
- Severe sepsis -