guayoman
Forum Elite
Topics: 44
Posts: 273
|
a 43yo male Pt with CNS alterations, LAB: Pancytopenia. If you suspect leukemia, which type would it be?
___________________
Confidence does not come from simply reading the content, but from doing things with it. Confidence is born in the flash of insight, in the ability to face something new and figure it out.
Kaplan usmle edge newsletter
|
| Isther
Forum Guru
Topics: 39
Posts: 744
|
Either AML or ALL... Think that both can produce pancytopenia...again is a wild guess based on age.
___________________
Useful information for USMLE and the residency matching process at http://www.usmlematch.com
|
| Jinx
Forum Elite
Topics: 17
Posts: 316
|
im a bit confused here--cant all leukemias theoretically cause pancytopenia??
but i guess id go for AML??
___________________
Life is a journey--enjoy the drive!!
|
| guayoman
Forum Elite
Topics: 44
Posts: 273
|
Pancytopenia is cause by acute leukemias only. Chronic leukemias show an elevated leukocyte count. So, yeah! It is AML or ALL. Now the other characteristic was CNS involvement. Which type or subtype of leukemia causes CNS most lykely?
___________________
Confidence does not come from simply reading the content, but from doing things with it. Confidence is born in the flash of insight, in the ability to face something new and figure it out.
Kaplan usmle edge newsletter
|
| achilles
Forum Guru
Topics: 90
Posts: 1,228
|
going by the age...AML is more likely. ALL is more common in children. AML is common in adults. clinically it is almost impossible to differentiate only of the basis of clinical presentation.
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
| an
Forum Guru
Topics: 19
Posts: 437
|
is it AML M5?
___________________
I don't believe in miracles...I rely on them. And sometimes, I create my own.
|
| p53
Forum Guru
Topics: 51
Posts: 804
|
I think it's ALL - though ALL isn't common at this age, CNS alterations are much more common for ALL than for AML.
___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein
|
| achilles
Forum Guru
Topics: 90
Posts: 1,228
|
wonderful an ! ya i just checked the notes and CNS involvement is most characteristic of M4 and M5 monocytic leukemia.
___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
|
| chemamr
Forum Hero
Topics: 703
Posts: 4,492
|
yes, that must be the answer. AML type M5.
are we correct GUAYOman?
|
| p53
Forum Guru
Topics: 51
Posts: 804
|
forgot that an has clinical experience as a hematologist besides huge theoretical knowledge.  yes - AML 5.
___________________
"Everything should be made as simple as possible, but not simpler." - Albert Einstein
|
| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
Isn't AML Type 3 is the most common one
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| AAAAA
Forum Fanatic
Topics: 156
Posts: 1,991
|
I don't think the exam will ask such question according to kaplan and all the tests I took.
So relax and USMLE will not ask for teh subtype and even Internal medicine will not ask for subtype and only oncology board will ask for the subtypes.
Thanks
___________________
seeking study partner in USMLE, Canadian MCC OSCE examination
|
| guayoman
Forum Elite
Topics: 44
Posts: 273
|
1st: yes!!!you are all correct!
as usual an [size=3]2nd: Phewwww!!!Great to know AAAAA!
Cool calendar chemamr!
Edited by guayoman on 05/28/06 - 09:18 AM
___________________
Confidence does not come from simply reading the content, but from doing things with it. Confidence is born in the flash of insight, in the ability to face something new and figure it out.
Kaplan usmle edge newsletter
|
| an
Forum Guru
Topics: 19
Posts: 437
|
another interesting point, though not high-yield..AML M5 can present as spinal cord compression, cauda equina syndrome...because of chloromas(granulocytic sarcoma) that can press on the spinal cord.
___________________
I don't believe in miracles...I rely on them. And sometimes, I create my own.
|
| chemamr
Forum Hero
Topics: 703
Posts: 4,492
|
excellent an!!
Thanks guayoman, it's aztec calendar.
|
|
| |
| | | | | | | | | | | | | | | |
Similar forum topics