laboratory results for acute lymphoblastic leukemia

7/29/2019 Laboratory Results for Acute Lymphoblastic Leukemia

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COMPLETE BLOOD COUNT

EXAMINATION

RESULT

07/16/13

RESULT

07/19/13

RESULT

07/23/13

REFERENCE

VALUE SIGNIFICANCE

WBC 80.15 42.54 15.79 5-15

WBC is increased due to leukemi

a bone marrow disease which

causes an abnormally high

production of immature whiteblood cells

Hemoglobin 43 98 97 120-140

Hemoglobin is decreased due to

suppression of the RBC in the

bone marrow

Hematocrit 0.14 0.28 0.28 0.36-0.44

Hemoglobin is decreased due to

suppression of the RBC in the

bone marrow

MCV 87.50 82.60 82.60 73-89 Within normal limits

MCH 26.90 28.80 29.00 24-30 Within normal limits

RBC Count 1.60 3.40 3.35 4.10-5.50

In leukemia, the RBC Count

decreases because they are

crowded out of the bone marrow

by the immature forms of white

blood cells

MCHC 327 349 343 320-360 Within normal limits

RDW 23.90 17.90 18.50 11-16 -

MPV 9.10 10.00 11.90 6-11 Within normal limits

Platelet Count39

17 18 200-400

In leukemia, the platelet count



by the early forms of white bloo

cells


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DIFFERENTIAL COUNT

EXAMINATION

RESULT

07/16/13RESULT

07/19/13

RESULT

07/23/13

REFERENCE

VALUE SIGNIFICANCE

Neutrophil 1.0 1 0 40-74

Neutrophil production is

decreased due to inability of the

bone marrow to produce mature

white blood cells

Lymphocytes 12.0 8 20 19-48

In leukemia, lymphocytes



by the early forms of white bloo

cells

Monocytes 3.0 3.0 0 3-9 -

Eosinophil 0 0 0 0-7 Within normal limits

Basophil 0 0 0 0-2 Within normal limits

Stab 0 0 0 - Within normal limits

Atypical Lymph 0 0 1 - Within normal limits

Metamyelocytes 0 0 0 - Within normal limits

Myelocytes 0 0 0 - Within normal limits

Blast 84 88 79 - Indicates lymphoblastic

leukemia


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CHEMISTRY

EXAMINATION

RESULT

07/17/13

RESULT

07/22/13

REFERENCE

VALUE SIGNIFICANCE

Creatinine - 0.55 0.9-1.3 Within normal limits

Uric Acid - 3.16 3.5-7.2 Within normal limits

Urea - 9.29 8.87-20.55 Within normal limits

Sodium 136 136 135-148 Within normal limits

Potassium 4.0 3.70 3.50-5.30 Within normal limits

Chloride 104 101 90-107 Within normal limits


4/5

URINALYSIS

07/18/13

Examination Result Normal Findings Significance

Color LightYelow Yellow Within normal limits

Transparency Clear Clear Within normal limits

Specific Gravity 1.010 1.010 1.030 Within normal limits

pH 6.5 5.0-7.0 Within normal limits

Glucose Negative (-) Negative (-) Within normal limits

Protein Negative (-) Negative (-) Within normal limits

RBC 0-1 Absent Within normal limits

WBC0-2 Absent Within normal limits


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05/28/13

HEMAPATHOLOGIC REPORT

PERIPHERAL SMEAR

Smear shows microcytic, hypochromic erythrocytes with wild anisopoikilocytosis. Leukocytes are

increased in number, consisting predominantly of blast forms. The rest of the WBC population is composed of

mature lymphocytes. Thrombocytes are slightly decreased in number, showing normal morphology

Differential Counts

Blasts: 72%

Lymphocytes: 28%

Neutrophils: 1 %

BONE MARROW SMEAR

The bone marrow smears are hemodiluted with peripheral blood showing a monotonous population of

lymphoid precursors, which is predominantly composed of lymphoblast. These cells have small round nuclei,

noting strict chromatin with inconspicuous nucleoli surrounded by very scant pale blue cytoplasm. There is a

decrease number in myeloid and erythroid precursors observed. There are no megakaryocytes seen.

IMPRESSION: Hemodiluted bone marrow smears suggestive of Acute Lymphoblastic Leukemia

laboratory results for acute lymphoblastic leukemia

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