A 61-year-old woman saw her primary care physician because of fatigue and dyspnea on exertion for the past 3 months
Past medical history noted that the patient had been treated 5 years earlier with the DNA alkylating agent cyclophosphamide, non-Hodgkin lymphoma.
A CBC revealed the following:
WBC: 3.6 x 109/L
RBC: 2.8 x 1012/L
Hb: 9.1 g/dL
MCV: 104 fL
Reticulocyte count: 2.0%
Normal vitamin B12 and folic acid levels
PLT: 120 x 109/L
Differential: 6% blasts
A bone marrow biopsy revealed hypercellularity, and dyshematopoiesis of all three myeloid lineages.
Suggest an appropriate follow-up test and a likely diagnosis for this patient.
What will be an ideal response?
Answer: Cytogenetics would be an appropriate follow-up test and would likely reveal a complex karyotype. The likely diagnosis is therapy-related myelodysplasia indicated because of the earlier treatment with cyclophosphamide and the trilineage cytopenias and dysplasia.
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Answer the following statement true (T) or false (F)
When using pressure as the trigger variable, where do you typically set the trigger level?
a. 0.5 to 1.5 cm H2O below the baseline ex-piratory pressure b. 0.5 to 1.5 cm H2O above the baseline ex-piratory pressure c. 2.0 to 3.5 cm H2O below the baseline ex-piratory pressure d. 2.0 to 3.5 cm H2O above the baseline ex-piratory pressure
The patient is ready for skin prep and draping only after
A. induction of general anesthesia and intubation B. the "pause" C. the circulator has finished the required surgical paperwork D. the surgeon inspects the patient's surgical site skin
Putrefaction is defined as:
A. decomposition of the body's tissues. B. separation of the torso from the rest of the body. C. profound cyanosis to the trunk and face. D. blood settling to the lowest point of the body.