Non-neoplastic WBC disorders Flashcards

1
Q

an increase in the total number of WBCs per liter of blood is called what?

A

Leukocytosis

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2
Q

Where are granulocytes produced and stored?

A

Bone marrow

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3
Q

A patient with leukocytosis will have an increase production of WBCs in the bone marrow because of what three things?

A

1) Inflammation
2) chronic infection
3) myelo-proliferative disorders ( chronic myeloid leukemia)

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4
Q

3 patients comes to a clinic. patient 1 has an acute bacterial infection, patient 2 is suffering from burns and patient 3 is needing a refill on her corticosteroids. When looking at all three patients white blood cell differential you as the doctor will see an increase in which type of white blood cell?

A

Neutrophils

Remember what can cause Neutrophilia

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5
Q

Patient with severe sepsis and inflammation comes to the clinic. What kind of changes in the neutrophils will you see as a result of those two conditions?

A

Morphological changes in neutrophils

Dohle bodies, Toxic Granules & cytoplasmic vacuoles

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6
Q

Neutrophils with a coarser and darker than normal granules will be called what?

a) Toxic Granules
b) Dohle bodies
c) cytoplasmic vacuoles

A

A) Toxic Granules

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7
Q

The Neutrophils that have dilated RERs that makes them have a dull gray patch would be called:

A

Dohle bodies

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8
Q

A patient comes to your clinic with a fever, and chronic whooping cough. You order a CBC and a Leukocyte alkaline phosphatase test . The results of the test come back and you see an increase in leukocytes and her LAP test score is High. The most likely diagnosis would be:

A

Leukemoid reaction

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9
Q

A low Leukocyte Alkaline Phosphatase test will be diagnosed as:

A

Chronic Myeloid Leukemia

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10
Q

A patient was diagnosed with Hodgkins Lymphoma. In this patient Mast cells/ basophils will release a chemotactic factor that will express an increase in the same kind of WBC that one will see in allergic reactions. What WBC will be increased?

A

Eosinophils ( eosonophilia)

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11
Q

A patient with TB or bacterial endocarditis will have an increase in what kind of WBCs?

A

Monocytes ( monocytosis)

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12
Q

A patient with ulcerative colitis ( chronic inflammation) will have an increase in what kind of WBCs?

A

Monocytes ( monocytosis)

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13
Q

A 18 year old patient is suffering from a fever, sore throat, posterior cervical lymphadenopathy and after inspection you see a grayish/white membrane on his tonsils along with hepato-splenomegaly. He is most likely suffering from what?

A

Infectious Mononucleosis

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14
Q

After looking a peripheral blood smear of a patient, you see atypical lymphocytes that have a ballerina skirt appearance. what would this be called?

A

Lymphocytosis

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15
Q

A patient presents to your clinic with an enlarged lymph node that is tender to touch, it is reddish. What kind of Lymphadenopathy will this patient most likely have?

A

Acute non specific lymphadenitis

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16
Q

What are the three lymphadenopathies that will NOT be tender to touch?

A

Chronic Lymphadenitis
Metatastic Tumor
Lymphoma/Leukemia

17
Q

Follicular Hyperplasia will activate which cells?

A

B cells

remember it is associated with early HIV and rheumatoid arthritis

18
Q

In Para-cortical hyperplasia which cells will be activated?

A

T cells

remember its associated with viral infections or Infectious Mononucleosis

19
Q

A decrease in circulating WBCs is called what?

A

Leucopenia

20
Q

Neutropenia can arise from what?

A

inadequate or ineffective erythropoesis which leades to Hypercellular Bone Marrow

21
Q

A patient with lymphopenia you would first suspect what?

A

Hiv/AIDS

22
Q

A person with overwhleming bacterial, fungal infections will increase the peripheral utilization of neutrophils which will lead to what?

A

Neutropenia

23
Q

What kind of Anti-cancer drugs will lead to neutropenia?

A

Alkylating agents/ anti metabolites

24
Q

The most common cause of agranulocytosis is what?

A

Drug toxicity