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ADULT HEALTH EXAM 2 (LEUKEMIA & LYMPHOMA)
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ADULT HEALTH EXAM 2 (LEUKEMIA & LYMPHOMA) ADULT HEALTH EXAM 2 (LEUKEMIA & LYMPHOMA) ADULT HEALTH EXAM 2 (LEUKEMIA & LYMPHOMA)
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ADULT HEALTH EXAM 2 (LEUKEMIA &LYMPHOMA)
what are the 4 different types of leukemia? - · Acute Lymphocytic Leukemia (ALL)
· Acute Myeloid Leukemia (AML)
· Chronic Myelogenous Leukemia (CML)
· Chronic Lymphocytic Leukemia (CLL)
what are these examples of:
· Acute Lymphocytic Leukemia (ALL)
· Acute Myeloid Leukemia (AML)
· Chronic Myelogenous Leukemia (CML)
· Chronic Lymphocytic Leukemia (CLL)? - 4 different types of leukemia
what is a blood cancer and it is a cancer in white blood cells? - leukemia
in leukemia, do the WBCs grow abnormally and do not work properly? - yes
are WBCs normally found in bone marrow and travel through the body to fight infections? - yes
what is a blood cancer that is caused by a number of rise in the WBCs in the body and the WBCs crowd
out the RBCs and platelets, which our body need in order to be healthy, and then we have extra WBCs
that do not work properly? - leukemia
in leukemia, do some patients have a neoplasm of WBCs and it is precursor, they also have chrono
proliferations and accumulation of cells in the bone marrow? - yes
,in leukemia, will chrono proliferations usually be in older adults older than 60? - yes
what disorder of leukemia is characterized by an increased proliferation of the granulocyte cell line
without the loss of capacity to differentiate, it results in increases in the myeloid stem cell and the
erythrocytic cell and platelets in the peripheral blood, those are marked myeloid hyperplasia in the bone
marrow where the myeloid cells multiply? - chrono malignant myeloproliferative disorder
what are the two different classifications of leukemia? - acute and chronic
does a blood stem cell go through several steps to become a RBC, platelet, or WBC? - yes
what is this an example of in the peripheral smear? - normal blood
what is this an example of in the peripheral smear for leukemia? - blood from a patient with leukemia
where you see malignant leukocytes that are not shaped the same, they are smaller and different, some
cells are immature, you cannot see the nucelus, and the formation is not natural round form that the
cell has
is leukemia grouped by how fast it develops and gets worse and which type of blood cell is involved? -
yes
what type of leukemia happens when there are some immature cells and others are normal and can
work the way they should, it gets bad more slowly and it is much more insidious, acute or chronic? -
chronic leukemia
is there a second group for leukemia where cells are divided into lymphocytic and myelogenous
leukemia? - yes
,what involves the bone marrow cell that become lymphocytes, which are a type of WBC? - lymphocytic
what involves the marrow cells that create RBC, platelets, and other types of WBC? - myelogenous
what happens when there are changes of genetic material (DNA) in the bone marrow cells that occur
and the cause of these genetic changes are unknown? - leukemia
what type of leukemia is acute and it is a malignancy causing hematopoeitic progenitor cells to lose their
ability to mature normally and differentiate, it is more commonly seen in pediatrics (90% remission rate
in pediatrics), cells proliferate in uncontrolled fashion and ultimately replace normal bone marrow,
leading to decreased production of normal RBCs, WBCs, and platelets? - acute lymphocytic leukemia
(ALL)
does acute lymphocytic leukemia (ALL) more commonly affect pediatrics and it has a 90% remission rate
in pediatrics? - yes
what type of leukemia happens when most of the normal blood cells do not mature and cannot carry
out their normal functions, it can get bad very fast because of how fast the cell proliferates or grows,
acute or chronic? - acute leukemia
what are the 4 main types of leukemias when we look at ALL? - -most common form of childhood
leukemia that can spread to lymph nodes and CNS
-accounts for 30% of cancer diagnosis in children under 15 years of age
-highest incidence in hispanic children, while caucasian children are affected more than black children
with a 3x greater incidence between 2 and 3 years of age
what is this an example of:
-most common form of childhood leukemia that can spread to lymph nodes and CNS
, -accounts for 30% of cancer diagnosis in children under 15 years of age
-highest incidence in hispanic children, while caucasian children are affected more than black children
with a 3x greater incidence between 2 and 3 years of age? - acute lymphocytic leukemia (ALL)
what is the most common form of childhood leukemia? - acute lymphocytic leukemia (ALL)
is ALL more common in boys or girls? - boys
what type of leukemia is when the cell completely replaces the normal bone marrow and changes the
DNA leading to decreased RBC, WBC, and platelets? - ALL
what type of acute leukemia has a clinical presentation of acute symptoms like fever, neutropenic fever
(most likely), increased blast cells that crowd the normal hematopoeisis in the bone marrow, gingival
hypertrophy and bleeding, lymphadenopathy and splenomegaly in 20% of cases, sudden onset of acute
illness that is flu like, fatigue, fever, anorexia, weight loss, loss of appetite, petechiae, bruising secondary
to thrombocytopenia, infection secondary to neutropenia, extremity joint pain, dyspnea, headache and
neuropathy, night sweats that wet the entire sheet of bed? - ALL
what are tiny red dots under the skin caused by bleeding that is occuring on the skin? - petechiae
does muscular extremity joint pain occur in 25% of patients and it occurs at night, it is nocturnal, for
ALL? - yes
does headache and neuropathy occur in 5% of patients when they have the CNS symptoms and it is
secondary to meningeal involvemnt leading to increased ICP for ALL? - yes
what are the 5 conditons that present with night sweats? - leukemia
TB
menopause
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