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  #1  
Old 01-25-2013
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Default Hemo Q 6

A 68-year-old woman presents to her primary
care physician for a routine visit. She is generally
in good health, and her only medications
are hydrochlorothiazide and metoprolol for
high blood pressure. She has had no recent
changes in her health, and review of systems is
negative. Examination shows a few enlarged
cervical and inguinal lymph nodes. The liver
and spleen are not enlarged. An electrolyte
panel is within normal limits, a peripheral
smear shows smudge cells, and a complete
blood cell count shows a WBC count of
47,000/mm³ (with 89% lymphocytes), hemoglobin
level of 12.9 g/dL, and platelet count of
213,000/mm³. Which of the following is the
most appropriate management?
(A) Chemotherapy
(B) Imatinib therapy
(C) No treatment is indicated at this time
(D) Radiation therapy
(E) Splenectomy
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  #2  
Old 01-25-2013
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She is low risk for CLL

I think the answer should be

(C) no treatment at this time

had she been high risk like thrombocytopenia,splenomegaly,rapid progression of her disease then it would have been chemotherapy

Last edited by galaxy; 01-25-2013 at 09:21 AM. Reason: typo
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Old 01-25-2013
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stage 1 , answer C no treatment
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Old 01-25-2013
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(C) No treatment is indicated at this time
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Old 01-25-2013
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Quote:
Originally Posted by aknz View Post
A 68-year-old woman presents to her primary
care physician for a routine visit. She is generally
in good health, and her only medications
are hydrochlorothiazide and metoprolol for
high blood pressure. She has had no recent
changes in her health, and review of systems is
negative. Examination shows a few enlarged
cervical and inguinal lymph nodes. The liver
and spleen are not enlarged. An electrolyte
panel is within normal limits, a peripheral
smear shows smudge cells, and a complete
blood cell count shows a WBC count of
47,000/mm³ (with 89% lymphocytes), hemoglobin
level of 12.9 g/dL, and platelet count of
213,000/mm³. Which of the following is the
most appropriate management?
(A) Chemotherapy
(B) Imatinib therapy
(C) No treatment is indicated at this time
(D) Radiation therapy
(E) Splenectomy
My answer is C) No treatment is indicated at this time
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aknz (01-26-2013)
  #6  
Old 01-26-2013
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Yes answer is (C) No treatment is indicated at this time
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Cairo (01-27-2013)



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