Diferencia entre revisiones de «Acute lymphocytic leukemia»
(Text replacement - " ==" to "==") |
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
||
| Línea 13: | Línea 13: | ||
{{Leuk/lymph DDX}} | {{Leuk/lymph DDX}} | ||
== | ==Evaluation== | ||
*CXR | *CXR | ||
*CBC with peripheral smear | *CBC with peripheral smear | ||
Revisión del 12:06 24 jul 2016
Background
- Characterized by proliferation of immature lymphoblast( >20% in periphery)
- Less than 20% of acute leukemias in adults,
- Most common form in children (see also Leukemia (Peds))
- Highest incidence in 7th decade of life
Clinical Features
- Lymphocytosis, neutropenia, anemia, thrombocytopenia,
- Lymphadenopathy, hepatosplenomegaly
- CNS and testes involvement common
Differential Diagnosis
Acute Leukemia/Lymphoma
Evaluation
- CXR
- CBC with peripheral smear
- Chem7, ca, mg, phos, Uric Acid, UA, LDH (to check for Tumor Lysis)
- LFTs, Coags, FDP, D-Dimer, Haptoglobin, Fibrinogen (to check for DIC)
- Get extra purple top for flow cytometry, especially before transfusion
Treatment
- Aggressive IV hydration
- If febrile, complete cultures and broad spectrum antibiotics
- Manage Complications
- see DIC
- see Leukostasis
- see Tumor Lysis Syndrome