pt.suffer from pain abd.in Lt. hypochondriac region before 20days,there no h/o any other diseases
Rule out Mylo proliferative disorder, do a cps. Any lymphadenopathy
its look like leukemoid reaction. investigate for leukemia. bone marrow biopsy and usg abdomen.and reports from two different satandard lab.must beacuse we are giving serious diagnosis .
a case of hyper spleenesium in splenomegaly (? ? cause) to r / o infective mononucleosis or lymphoma or histoplasmosis.do ct abdomen, pelvis triple phase and all investigation including lft, rft, echo
lukemoid reaction due to pancreatitis should go for serum lipase
do usg abdomen first ,repeat Cbc from good pathologist ..two opinion always better if that report also same then go farther....
Diagnosis is Anemia with sepsis. Rule out haemolytic causes of Anemia,Malaria Start higher end antibiotics,Npo if possible
such high wbc count without any serious illness..look for PBS for abnormal cells .Do pro calcitonin level to r/o sepsis .is he has fever spike? vitals?
recheck wbc and pbf.
chronic myeloid leukemia
It's CML , sepsis won't lead to wbc count this high , do bone marrow !
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*Chief complaint* A 47 y/o male presents with right-sided abdominal pain of 2 months. *History* He has h/o cholelithiasis, and status-post cholecystectomy presented with progressively worsening right-sided abdominal pain. No complaints of nausea, vomiting, diarrhea. She has history of weight loss. *Investigations* Pain is 6/10 and is non radiating in nature. *Diagnosis* Please give your opinion.
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routine CBC. no complaints exc weakness.Hb 7 gm plt 25000.tc 20000.monocytes 80 pc
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Massive spleenomegaly can be caused by all of the following except: A. Typhoid B. Chronic myeloid leukemia C. Kala azar D. Chronic malaria
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