Your views on CBC report

20 year old male presented to OPD out of concern for his CBC report Chief Complaints No complaints as such of fever, cough, expectoration, breathlessness History History of breathlessness and given inhalers for relief etc Investigations CXR PA view is normal Management Please give your opinion regarding differential diagnosis and should we intervene or not in this case

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Before to discuss on such a high value marker, it is advisable to repeat the test . If again it's found elevated than Leukocytosis does come under consideration of Leukemia. Non malignant etiologies of leukocytosis include certain medications, asplenia, smoking, obesity, and chronic inflammatory conditions.

Thanx Dr.Ajitji
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Erytherocytosis indicating polycythemia vera With leucocytosis with lymphocytosis Bone marrow should be analysed Though pt is asymptomatic but likely at primary stage and we can workout to give him relief from likely leukimoid leukaemia

Thanx dr Shahanawaz Pasha
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Very high WBC count It can be seen in Leukemoid reaction or leukaemia Malignancy needs to be ruled out Adv Peripheral smear examination to look for immature WBC - Bone marrow examination

Cause of breathlessness Anaemia Microcytic normochromic Leucocytosis opinion of Haematologist r/0 leukemia Bone marrow

Leukemia symptoms vary, depending on the type of leukemia. Common leukemia signs and symptoms include: Fever or chills Persistent fatigue, weakness Frequent or severe infections Losing weight without trying Swollen lymph nodes, enlarged liver or spleen Easy bleeding or bruising Recurrent nosebleeds Tiny red spots in your skin (petechiae) Excessive sweating, especially at night Bone pain or tenderness Leukemia is not found symptoms sortbreathnes and relief with inhaler

? CLL .. NEED'S .. PBS .. BONE MARROW STUDY ..

Tnx Dr Vipin Bihari Jain sir
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WBC IS ON A VERY HIGH LEVEL,,,SEVERLY ELEVATED . Mostly so much high WBC SEEN IN LEUKEMIA PATIENT. R/O ANY MALIGNANCY. DO,,, PBS EXAMINATION BONE MARROW STUDY.

Repeat CBC and get a PBS as the first step before reaching to conclusion or further investigations.

I agree
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PBF TO see LR IF ANY BONE MARROW BIOPSY TT ACCORDINGLY

Cell examination on slide by microscope ? Leukemia

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