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How does the results of the bone marrow biopsy and the complete cell count (including HGB, HCT and MCV) justify this diagnosis

How does the results of the bone marrow biopsy and the complete cell count (including HGB, HCT and MCV) justify this diagnosis

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter23: Vital Signs And Measurements
Section: Chapter Questions
Problem 23.2CS
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Look at the attached image. This is a male, age 51, who has hairy cell leukaemia. How does the results of the bone marrow biopsy and the complete cell count (including HGB, HCT and MCV) justify this diagnosis?
Story: 51 year old male, general health reported as OK, good diet perhaps a little loss of appetite, regular exercise a little fatigued usually explained by over doing it at the gym'. Patient was seen by his GP for a routine preoperative check before dental surgery. He was found to have low haemoglobin and large left upper quadrant mass. Complete blood count (CBC): 3.36 x 102/L 9.3 x 10/L 5.9 x 10/L RBC WBC PLT HGB 10.9 g/dL HCT 31.2 MCV 92.8 fL Neutrophils Lymphocytes 14% 15% Abnormal cells 71% (shown) Bone marrow biopsy: Aspirate: A small amount of fluid was aspirated, and showed 78.1% abnormal cells similar to those in the blood smear. Sections: Hypocellular with a diffuse loosely structured infiltrate of mononuclear cells. Increased areas of fibrosis. Cytochemistry: Tartrate resistant acid phosphatase (TRAP) stain of abnormal cells: positive
Transcribed Image Text:Story: 51 year old male, general health reported as OK, good diet perhaps a little loss of appetite, regular exercise a little fatigued usually explained by over doing it at the gym'. Patient was seen by his GP for a routine preoperative check before dental surgery. He was found to have low haemoglobin and large left upper quadrant mass. Complete blood count (CBC): 3.36 x 102/L 9.3 x 10/L 5.9 x 10/L RBC WBC PLT HGB 10.9 g/dL HCT 31.2 MCV 92.8 fL Neutrophils Lymphocytes 14% 15% Abnormal cells 71% (shown) Bone marrow biopsy: Aspirate: A small amount of fluid was aspirated, and showed 78.1% abnormal cells similar to those in the blood smear. Sections: Hypocellular with a diffuse loosely structured infiltrate of mononuclear cells. Increased areas of fibrosis. Cytochemistry: Tartrate resistant acid phosphatase (TRAP) stain of abnormal cells: positive
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