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Exam 2 (Module 5 (Leukemia (Types (AML- Acute MYELOGENEOUS Leukemia. Found…

- - - - Could be genetic with MYC gene dysregulation. EBV (Epstein barr virus) history.
      - Patient presents with tumors that manifest at extranodal sites. AFRICAn BL= lymphnodes in face get big. Sporadic BL (rare)= lymphnodes in other areas get big. Testing with a biopsy reveals STARRY SKY PATTERN (lots of fat in cells)
      - B Cell lymphoma
      - Starry Sky Pattern
  - - - AML- Acute MYELOGENEOUS Leukemia. Found in ADULTS more than children WITH PRIOR CHEMOTHERAPY OR RADIATION AND EXPOSURE TO CHEMICALS. ----AURER RODS seen in CBC THIS IS THE WORST ONE TO HAVE
      - CLL- Chronic LYMPHOCYTIC Leukemia. THE MOST COMMON LEUKEMIA IN ADULTS. B CELL ORIGIN--> plasma cells--> Anti-bodies. SUPPRESSION OF AB PRODUCTION SO RISK OF INFECTION INCREASES. CBC will show SMUDGE CELLS, these are broken cells when cover is put on.
      - ALL- Acute LYMPHOCYTIC Leukemia. MOST COMMON TYPE OF CHILDHOOD LEUKEMIA. Patients that have DOWN'S SYNDROME (TRISOMY 21) are more likely to get ALL.
      - CML- Chronic MYELOGENEOUS Leukemia. MOST COMMON IN OLDER ADULTS. This has a genetic component, PHILADELPHIA CHROMOSOME, transposition of CHROMOSOMES 9 and 22. Has a chronic and accelerated phase and lastly a blast crisis phase.
  - - - Secondary (3-6 weeks)- NON ITCHY RASH on body, palms and soles. Could have warts and CONDYLOMA LATA
      - Latent (about 1 year after infection)- bacteria remain inactive in the lymph nodes and the spleen.
      - Primary (10-90 days)- PAINLESS chancre at site of transmission with lymphadenopathy
      - Tertiary- the warts, soft, non-cancerous growth, form of a GRANULOMA. GUMMAS are most commonly found in the LIVER.
      - Pregnancy- can be transmitted during pregnancy and childbirth
- - - - Dilated (CONGESTIVE)- ALL chambers especially VENTRICLES are ENLARGED. SV is LOW, Ejection fraction is LOW
      - Restrictive- WALLS of the ventricles become STIFF, but NOT THICK. FIBROSIS of cardiac muscle, caused from AMYLOIDOSIS (abnormal protein deposition) and HEMOCHROMATOSIS (absorption and storage of too much iron)
      - Hypertrophic- the heart gets BIG, ventricle WALLS become THICK and STIFF. NORMAL ejection fraction