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Quiz 1

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Normal urine color?   show
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Reddish amber urine color?   show
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show infection/diseases  
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Brownish yellow or green urine color?   show
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show blood  
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Yellow foam in urine?   show
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White foam in urine?   show
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show AGN  
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show Aromatic  
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Ammoniacal odor of urine?   show
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show Ketone bodies = DM  
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show bacterial infection  
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show specific gravity  
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Normal ranges for specific gravity?   show
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Low specific gravity indicates what?   show
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show Diabetes Mellitus  
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Fixed specific gravity at 1.010 indicates what?   show
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Normal pH levels?   show
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Low pH levels of urine?   show
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High pH levls of urine?   show
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show renal disease  
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show That it's not neccisarily renal disease  
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show albumin  
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Dominant constituent in proteinuria?   show
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show functional because there are no tests or aha lesions; orthostatic proteinuria  
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Type of proteinuria that is associated with demonstrable systemic disease or rernal pathology?   show
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show prerenal, renal, postrenal  
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show 180mg/100ml serum glucose level  
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show Any cause of increased blood glucose, endocrine disorders, major trauma, stroke, MI, burns, infections...  
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show Treatment with ascorbic acid, levodopa, or mercurial diuretics  
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show diabetes mellitus  
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Ketonuria appears when?   show
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Conditions of ketonuria include what?   show
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show hematuria  
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show hemoglobinuria  
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show trauma or irritation  
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Causes of hemoglobinuria   show
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show muscular destruction; hypothermia, convulsions and extensive exertions  
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show failure to mix or large doses of vitamin C  
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show trichomonas organisms  
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Nitrites in urine tests for what?   show
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show 4 hours  
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Appearance of urinary bilirubin can be a sign of what?   show
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show conjugated water soluble bilirubin  
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Reference range of RBC's, WBC's and casts under a microscopic exam of a urinary sediment?   show
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Best specimen for a microscopic exam of urine?   show
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Clinical significant hematuria under a microscope?   show
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Clinical significant pyuria under a microscope?   show
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show benign hematuria or a vaginal contaminant  
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show pyuria  
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Pyuria of renal origin is usually accompanied by what?   show
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UTI's tend to be accompanied by what?   show
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show >10 squamous epi cells per lpf  
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show Casts seen in exercisers  
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show advanced kidney failure  
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show AGN  
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show Acute pyelonephritis and WBC's uriginate in the kidney  
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show nephrotic syndrome  
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Fatty, RBC and WBC casts are always what?   show
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A few hyaline and granular casts have what?   show
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show Hematopoiesis  
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show medullary hematopoiesis  
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show Extramedullary hematopoiesis  
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show Erythropoiesis  
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Specific hormone which responds to hypoxia? Originating where?   show
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show orthochromatic normoblast  
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Erthryocyte stage where there is no nucleus, cytoplasm is slight blute and is larger than the mature rbc? AKA what?   show
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show 7.2 micra  
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5 hemoglobin types?   show
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show Hb F  
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show Hb A  
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show Extravasclar hemolysis  
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show Intravascular hemolysis  
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CBC includes what?   show
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show anemias or erythrocytosis (Opposites)  
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show Decreased  
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Improper what will give you a false increase in Hb?   show
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RR for Hb?   show
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show <13 in males and <11 in females  
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What will increase the Hb levels?   show
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show dilutional pseudoanemia seen in pregnancy and athletes  
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RR for RBC count?   show
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show Various anemias  
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Increased in RBC's?   show
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show Hematocrit  
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show Hb x 3  
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Falsely elevated Hct   show
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Falsely decreased Hct   show
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RR for Hct   show
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What is used to determine the morphologic type of anemia?   show
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show Mean Corpuscular(Cell) Volume (MCV)  
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show 80-100 femtoliters(fl)  
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show macrocytic anemias, myelodysplastic syndromes, alcoholism, liver disease, hypothyroidism, infants and newborns  
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show iron deficiency anemias, Thalassemias, Hereditary sideroblasic anemia, lead poisening, chronic disease anemia  
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show Folate or B12 deficiency, Chronic liver disease, chronic alcoholism, reticulocytosis, myxedema  
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show Chronic iron deficiency, alpha or beta thalassemia, anemia of chronic disease, sideroblastic anemia  
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show Mean Cell Hemoglobin(MCH)  
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show 27-33 picograms(pg)  
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Increased MCH   show
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show microcytic and normocytic anemias  
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show Mean Cell Hb Concentration(MCHC)  
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Decreased MCHC   show
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Increased MCHC   show
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Better test for identifing hypochromasia?   show
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RR of MCHC   show
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Index of RBC size differences and useful in drawing attention to anisocytosis, a marker for various anemias   show
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T/F: RDW is never decreased   show
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show RDW  
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show 11-15%  
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show 4,500-11,000/microliter  
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show Leukopenia  
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show Leukocytosis  
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show Viral infections  
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show Bacterial infections  
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Platelets   show
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RR of platelets   show
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show Thrombocythemia; Malignancy  
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Decreased platelet count?   show
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show Bleeding tendency  
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What two tests will give 90% of all the diagnostic info obtainable by the hematologic examinations?   show
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Peripheral blood smear tests for what?   show
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show anemias, leukemias and platelet abnormalities  
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Variation in RBC sizes and by what?   show
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show poikilocytosis  
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show polychromasia  
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show microcytes and macrocytes; MCV  
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show Schistocytes  
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Spiky RBC's? and what causes them?   show
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show artifact, liver disease, renal disease, hyperlipidemia  
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show hemolytic anemia due to an oxidizing agent(Heinz body anemia)  
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Shaped cell seen in thalassemia?   show
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show myeloid metaplasia, CML  
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Stacked up coins and what causes them?   show
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RBC type caused by lead poisoning?   show
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RBC type caused by magaloblastic anemias and thalassemia?   show
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RBC type caused by an increased iron load?   show
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Pale RBC's caused by what?   show
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show Hyperchromic  
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Reticulocytes are what color?   show
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show infection  
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Neutrophils with > than 5 nuclear lobes is called what and seen in what?   show
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Reactive lymphocytes are seen in what and look like what?   show
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show leukoerythroblastosis; leukemia  
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Normal range of neutrophils and increased in what?   show
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show neutrophilic leukocytosis  
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Decreased neutrophils is called what?   show
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Normal range for eosinophils?   show
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show eosinophilia; parasites and acute allergic reactions  
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show 0-1%  
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show basophilia; bad to be increased, seen in myeloproliferative disorders  
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Normal range of lymphocytes?   show
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show lymphocytosis; viral infections  
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show lymphocytopenia; immunodeficiency syndromes (AIDS)  
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show 2-10%  
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Increased monocytes is called what and what does it mean to be increased?   show
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Hematological test of inflammation?   show
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ESR Test   show
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RR for ESR   show
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show males = age/2 females = age + 10/2  
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Bad nodes?   show
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show malignant reticulum cell; Reed-Sternberg Cells  
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Male:female ratio?   show
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Bimodal age distributions?   show
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show localized, progressive, painless lymphadenopathy; unilater nodes at neck; intense pruritus; night sweats, Pel-Ebstein Fever, weight loss, anorexia; immediate pain after alcohol  
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Lab findings of Hodgkins?   show
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show fever of unknown origin, pruritus and lymphadenopathy  
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show lymph node biopsy  
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show polycythemia vera; stem cell CA  
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Myeloproliferative clonal disorder marked by increased RBC(erythrocytosis) with excessive erythroid, myeloid and megakaryocytic elements in the BM. Increased RBC, WBC and Platelets.   show
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show asymptomatic or present with nonspecific complaints, erythromelalgia (burning pain of feets/hands), pruritus  
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show Organomegaly(liver and spleen), facial plethora(Redness of face)  
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show Inc. RBC, Inc. Hct, Dec. EPO, Thrombocytosis, Leukocytosis, hyperuricemia, hypercholesterolemia  
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show phlebotomy  
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show Hypoxia, high altitude, chronic lung disease, hormonal  
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Relative erythrocytosis   show
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Overview of leukemia?   show
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Leukemia that the predominant cell is usually the blast WBC(young WBC)   show
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show Chronic Leukemia  
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Leukemia in which the total peripheral blood WBC count is within the RR but a significant number of immature cells are present as well   show
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show Aleukemic Leukemia  
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show virus's, ionizing radiation, chemical leukemogens and genetic defects  
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show splenomegaly, lymphadenopathy, fever, anemia, hemorrhage, infection  
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Pediatric Leukemia   show
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History of ALL?   show
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show WBC elevated, Anemia, leukemic lymphoblasts in the peripheral blood smear(PBS)  
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Adult Leukemia   show
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show AML  
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show Men>Females  
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History of AML?   show
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show Leukocytosis, myeloblasts with auer rods  
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show Chronic Lymphocytic Leukemia(CLL)  
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show elderly, 70 years old  
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show Insidious onset normally discovered incidentally. Asymptomatic at the time of diagnosis. Enlarged nodes, early satiety, enlarged spleen, mucocutaneous bleeding and/or petechiae due to thrombocytopenia, fevers and night sweats.  
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show Absolute lymphocytosis, ruptured lymphocytes(smudge cells) and mature-appearing small lymphocytes  
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Leukemia with the proliferation of myeloid precursors?   show
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show Philadelphia chromosome  
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show Splenomegaly is usually moderate but may be extreme  
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Lab findings of CML?   show
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