Recruitment lecture 11.04.2019

Today we presented a patient with menorrhagia and bruising concerning for primary homeostasis problem (=PLATELETS). We discussed different symptoms of primary vs secondary homeostasis. She was diagnosed with Acute Promyelocytic Leukemia and treated with ATRA and Arsenic Trioxide (ATO).

Take home points:

  • Identify differences in presentation of thrombocytopenia versus coagulation disorders
  • Recognize causes of thrombocytopenia
  • Acute leukemias usually present with symptoms of pancytopenia
  • APL is distinct amongst leukemias in pathophysiology and treatment

APL – 11.4

AS

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