Hematopathology Set 1

For each of the following patients, select the most likely pathologic finding:

1. A 62-year-old woman feels well but is found to have a WBC count of 32,300/microliter with a differential count of 10 segs, 2 bands, 85 lymphs, and 3 monos:

2. A 58-year-old man has some back pain. His total serum protein is 9.2 g/dl with an albumin of 4.7 g/dl:

3. A 25-year-old man has been fatigued "all the time" for several weeks. Physical examination is unremarkable except for mild generalized tender lymphadenopathy. A CBC shows a WBC count of 12,800/microliter with differential of 60 segs, 4 bands, 10 lymphs, 11 atypical lymphs, 11 monos, 2 eos, and 2 basos:

4. A 33-year-old woman has a WBC count of 87,000/microliter. She develops disseminated intravascular coagulopathy (DIC):

5. A 63-year-old man has a CBC with WBC count 1200/microliter, Hgb 7.3 g/dL, Hct 21.8%, MCV 89 fL, and platelet count 45,000/microliter. Tear drop cells are noted on the peripheral blood smear:

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A. Acute myelogenous leukemia B. Megaloblastic anemia C. Immunoblastic lymphoma D. Leukemoid reaction E. Hodgkin lymphoma, nodular sclerosis
F. Infectious mononucleosis G. Hypochromic anemia H. Hairy cell leukemia I. Acute lymphadenitis J. Chronic lymphocytic leukemia
K. Acquired immunodeficiency syndrome L. Acute lymphocytic leukemia M. Aplastic anemia N. Myelofibrosis O. Acute promyelocytic leukemia
P. Polycythemia vera Q. Hodgkin lymphoma, lymphocyte depletion R. Chronic myelogenous leukemia S. Burkitt's lymphoma T. Multiple myeloma