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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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show urobilinogen  
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Milky urine color?   show
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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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show albumin  
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show AGN  
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Normal odor of urine?   show
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show bladdar retention  
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show Ketone bodies = DM  
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Foul odor of urine?   show
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Measurment of the dissolve substances present in the urine or expression of the concentration of urine?   show
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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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show acidosis, fever, increased protein diet  
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High pH levls of urine?   show
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Presence of protein in urine is mostly indicative of what?   show
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show That it's not neccisarily renal disease  
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show albumin  
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show albumin because of its small molecular size  
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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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3 types of organic proteinuria?   show
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show 180mg/100ml serum glucose level  
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Causes of increased glucose in urine?   show
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Causes of decreased glucose in urine?   show
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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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Presence of intact RBC's in thet urine   show
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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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Myoglobinuria indicates what and may appear in what?   show
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False negatives of hematuria include what?   show
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a leukocyte esterase false positive can be because of what?   show
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show gram-negative bacteria (bacteriuria) caused by nitrate reducing bacteria  
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show 4 hours  
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show liver disease or extrahepatic or intrahepatic biliary obstruction  
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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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show first-morning, mid-stream  
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show >3 RBC per hpf  
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show >5 WBC per hpf  
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show benign hematuria or a vaginal contaminant  
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WBC's in urine?   show
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Pyuria of renal origin is usually accompanied by what?   show
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show bacteriuria  
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show >10 squamous epi cells per lpf  
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show Casts seen in exercisers  
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Waxy casts indicate what?   show
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RBC casts indicate what?   show
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show Acute pyelonephritis and WBC's uriginate in the kidney  
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Fatty casts inidcate what?   show
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Fatty, RBC and WBC casts are always what?   show
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show no importance  
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To make blood?   show
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RBC's in bone marrow called?   show
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show Extramedullary hematopoiesis  
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To make RBC's   show
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show Erythropoietin; kidney  
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Erthyrocyte stage where the RBC has a nucleus, nucleus has no function and the cytoplasm is orange/red in color   show
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show polychromatic erythrocyte; reticulocyte  
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Diameter of a mature erythrocyte?   show
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show gower 1, gower 2, Hb F, Hb A, Hb A2  
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show Hb F  
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show Hb A  
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Aged RBC's are phatocytized by the macrophages of the RE syste and broken down into iron, globin and protoporphyrin, majority of the Hb breakdown.   show
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RBC's lyse within the circulation and is the minority of the Hb breakdown   show
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show Hb, total RBC count, Hct, RBC indices, WBC count, Platelet count  
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Hb is great at detecting what?   show
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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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Anemia exists when the Hb level is what?   show
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show Heavy smokers, exercise, living at high altitudes, higher in the morning  
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Fake anemia is called what and seen in who?   show
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RR for RBC count?   show
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Decrease in RBC's?   show
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show myelopoliferative neoplasms  
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Ratios of spun RBC's to plasma reflecting the volume of packed RBC's   show
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show Hb x 3  
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Falsely elevated Hct   show
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show EDTA keeps blood from clotting  
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show 37-47% females, 40-54% males  
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show RBC indicies  
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show Mean Corpuscular(Cell) Volume (MCV)  
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show 80-100 femtoliters(fl)  
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Causes of increased MCV?   show
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show iron deficiency anemias, Thalassemias, Hereditary sideroblasic anemia, lead poisening, chronic disease anemia  
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Etiology of macrocytosis   show
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Etiology of microcytosis   show
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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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Decreased MCH   show
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show Mean Cell Hb Concentration(MCHC)  
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show Microcytic and normocytic anemias, pale  
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Increased MCHC   show
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show MCHC  
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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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show True  
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show RDW  
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RR of RDW   show
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show 4,500-11,000/microliter  
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Decreased WBC count?   show
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show Leukocytosis  
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Causes of leukopenia?   show
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Causes of leukocytosis?   show
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show Small discoid blood corpuscles, the primary link in achieving hemostasis  
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show 150,000-400,000/cu mm  
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Too many platelets called what? What causes this?   show
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Decreased platelet count?   show
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<70,000 platelets is clinically evident for what?   show
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show PBS and Hb value  
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show To obtain differential counts of WBC and to study blood cell morphology  
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show anemias, leukemias and platelet abnormalities  
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show anisocytosis; by RDW  
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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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show Acanthocytes; severe liver disease, anorexia nervosa  
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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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show Target cells  
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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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show Howell-Jolly bodies  
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RBC type caused by an increased iron load?   show
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show hypochromic; iron deficiency anemia, thalassemia  
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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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show hypersegmentation; pernicious anemia, b12 or folic acid deficiency  
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show viral infections like mono; too much blue cytoplasm  
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show leukoerythroblastosis; leukemia  
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show 50-70%; bacterial infections  
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Increased neutrophils is called what?   show
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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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Normal range for basophils?   show
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Increased basophils is called what? When is it increase?   show
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Normal range of lymphocytes?   show
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Increased lymphocytes is called what and what causes them to increase?   show
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show lymphocytopenia; immunodeficiency syndromes (AIDS)  
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Normal range of monocytes?   show
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Increased monocytes is called what and what does it mean to be increased?   show
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show erythrocyte sedimentation rate (ESR)  
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ESR Test   show
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show children: 3-13mm/hr post-adolescent man: 1-15mm/hr post-adolescent woman: 1-20mm/hr  
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show males = age/2 females = age + 10/2  
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show hard, non-movable, non-tender, hard to get finger around them  
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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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Clinical findings of Hodgkins?   show
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show Lymphocytopenia, anemia(33-50%)(hypochromic and microcytic), Eosinophilia (20%), elevated serum alkaline phosphatase (Bone Marrow or liver involvement)  
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Hodgkins Triad?   show
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Diagnosis of hodgkins from what?   show
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Disease which means many cells in the blood, also called what?   show
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show Polycythemia vera  
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Hx of PV?   show
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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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show Falsely increased RBC's due to decrease in plasma volume. Etiology dehydration(cloudy urine)  
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show Diminished production of normal RBC's, WBC's and platelets  
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show Acute Leukemia  
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Leukemia that the predominant cell is the more mature WBC's   show
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show Subleukemic Leukemia  
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show Aleukemic Leukemia  
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Etiology of Leukemia?   show
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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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M:F Ratio of AML   show
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show Fatigue, bleeding, difficulty clearing infections  
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Lab findings of AML?   show
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Most common form of leukemia in adults in the US?   show
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Predominant age for CLL   show
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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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Lab findings of CLL   show
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Leukemia with the proliferation of myeloid precursors?   show
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Hallmark of CML is what?   show
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History of CML?   show
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show WBC markedly increased, granulocytes in all stages of development, basophilia, eosinophila, platelets can be normal, elevated or low on occasion  
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