Concluded Case

72 yrs old male presented in outdoor with h/o lethargy, fever,  fatigue, and fever his Tlc is 2 lacs,  Hb 6 g/dl , moderate reduction in erythrocyte count, thrombocyte count, his PBS is shown here please suggest your probable diagnosis..

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Concluded answer

Consistent with CLL. DD. LYMPHOPROLIFERATIVE DISORDER LYMPHOMA SPILLOVER. SUG.CLINICAL CORRELATION FLOWCYTOMETRY SPECIAL STAINS IMMUNOPHENOTYPING

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Dimorphic anaemia, Thrombocytopenia & Leukocytosis. Absolute Lymphocytosis. ? Schizonts of Plasmidium noted. No smudge cells. * Lymphoproliferative disorder -CLL. Advised BMA, BMB & Flow cytometry.

M'm  no schizonts in peripheral smears there are many smear cells. We r also considering the case as CLL soon other investigation reports will come .
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? CLL with Malaria (An Unusual presentation) However, clinical evaluation (+hepatosplenomegaly, lymphadenopathy),imaging study,BM Study, IHC /flow cytometry, for needful towards management of the case.

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Consistent with CLL. DD. LYMPHOPROLIFERATIVE DISORDER LYMPHOMA SPILLOVER. SUG.CLINICAL CORRELATION FLOWCYTOMETRY SPECIAL STAINS IMMUNOPHENOTYPING

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? CLL

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Lymphoproliferative disorder. Advice bone marrow aspiration and flow cytometry ..

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Chronic lymphoproliferative disorder.flow cytometry fr final diagnosis

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Pt is refd to AIIMS for flowcytometry nd BMA. MP negative.

CLL.D/D lymphoma spill over

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