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Approach to leucocytosis Jackie Thomson
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ACUTE / IMMATURE
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LYMPHOID MYELOID MATURE IMMATURE
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LYMPHOID MYELOID MATURE IMMATURE
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AML MDS AML MDS LYMPHOID MYELOID MATURE IMMATURE
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CLL ALL LYMPHOMAS BURKITT LEUKAEMIA MYELOMA CLL ALL LYMPHOMAS BURKITT LEUKAEMIA MYELOMA AML MDS AML MDS LYMPHOID MYELOID MATURE IMMATURE
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CLL ALL LYMPHOMAS BURKITT LEUKAEMIA MYELOMA CLL ALL LYMPHOMAS BURKITT LEUKAEMIA MYELOMA AML MDS AML MDS CHRONIC MYELOID LEUKAEMIA ESSENTIAL THROMBOCYTOSIS POLYCYTHEMIA VERA MYELOFIBROSIS CHRONIC MYELOID LEUKAEMIA ESSENTIAL THROMBOCYTOSIS POLYCYTHEMIA VERA MYELOFIBROSIS LYMPHOID MYELOID MATURE IMMATURE
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Child Infections Leukemia most common ALL
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Adult Good history: – Infection – B symptoms – Tierdness – Bleeding – Burning eyes – Skin
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adult FBC NB look at platelets and HB Contact the hematologist when you have a clinical suspicion regarding patient Remember flow cytometry Fish Molecular testing
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adult Exam: Look for spleen/ lymphnodes Mouth ulcers Auto immune /artritis erythromialgia
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