I decided to put off college due to fatigue and lack of concentration because of chemobrain. Shortly after starting college I developed a chloroma. I dropped two of my classes in order to go to daily radiation. [csn.cancer.org]

fatigue, infections, and bleeding disorders. Possible causes Similar to other acute leukemias the aetiology is unknown. Environmental toxins and radiation exposure are possible causes. [wiki.clinicalflow.com]

/11 with c/o fever 1 month duration intermittent fever initially,then she had continuous fever,low grade,not asssociated with chills or rigors h/o swelling over left leg 10 days duration associated with pain constant pain limiting movements h/o easy fatiguability [slideshare.net]

· Blasts at least 20% · Monocytic cells at least 20% of cells in bone marrow · Elevated circulating monocytes (usually above 5 x 10 9 /L) · 15-25% of all AMLs · Median age: 50 years · Male-to-female ratio 1.4:1 · Anemia, thrombocytopenia, fever, fatigue [hemepathreview.com]

His sore throat was not associated with fever, upper respiratory tract infection symptoms, chills, rigor, fatigue or weight loss. [jmedicalcasereports.biomedcentral.com]

A 23-year old woman with acute biphenotypic leukemia (ABL) complained of chest pain with cough, high fever and hemoptysis during induction chemotherapy, although she had been treated with anti-biotics and micafungin. [ncbi.nlm.nih.gov]

A 60-year-old female with high fever and purpura was admitted to our hospital. She suffered from anemia and thrombocytopenia, and blast cells were found in her peripheral blood. [ci.nii.ac.jp]

While receiving in medical ward Patient had h/o fever h/o breathlessness h/o bleeding pv h/o malena h/o swelling over left leg(swelling decreased,pain subsided) 12. [slideshare.net]

INTERESTING CASE OF DEEP VEIN THROMBOSIS PROF.DR.K.H.NOORUL AMMEN’S UNIT M5 DR.M.ARIVUMANI 2. 20 Year old Miss.Priya admitted on 18/7/11 with c/o fever 1 month duration intermittent fever initially,then she had continuous fever,low grade,not asssociated [slideshare.net]

A 23-year old woman with acute biphenotypic leukemia (ABL) complained of chest pain with cough, high fever and hemoptysis during induction chemotherapy, although she had been treated with anti-biotics and micafungin. [ncbi.nlm.nih.gov]

Examination Patient concious,irritable Severe pallor Dyspnoeic,tachypnoeic Sternal tenderness No cyanosis,no clubbbing,no icterus No lymphadenopathy 13. [slideshare.net]

Source: Department of Vascular Diseases, Institute of Pathological Physiology, Palacky University, Czech Republic. [slideshare.net]

H/o body pain No h/o joint pain No h/o breathlessness No h/o palpitation No h/o chest pain,syncope No h/o abdominal distension,pain No h/o easy bruisability,rashes No h/o bleeding tendencies on admission No h/o trauma 5. [slideshare.net]

Vitals PR-120/min RR-38/min BP-100/70 mmhg febrile Systemic examination CVS-S1S2 ,systolic murmur 14. RS-NVBS ,occasional creps P/A-Liver 4cm palpable below RCM Spleen 3cm palpable below LCM CNS-NFND 15. [slideshare.net]

Systemic examination CVS- S1S2 Heard systolic murmur RS-NVBS heard.no added sounds P/A-soft CNS-NFND L/E of left leg-swelling of left leg ,tender homans sign 9. With the above clinical profile pt got admitted in vascular surgery dept. [slideshare.net]

Cholestatic liver dysfunction arose, and she died of cachexia and intracranial hemorrhage. Autopsy showed unusual hepatic fibrosis. In the liver, bridging infiltration, bridging necrosis and bridging fibrosis by leukemic cells were seen. [ncbi.nlm.nih.gov]

Examination Patient concious,irritable Severe pallor Dyspnoeic,tachypnoeic Sternal tenderness No cyanosis,no clubbbing,no icterus No lymphadenopathy 13. [slideshare.net]

September 19, 2017 Honored Kid Ava struggled with eczema and severe, life threatening allergies for most of her life. Then, at 5 years old, Ava was diagnosed with biphenotypic leukemia, a rare form of childhood cancer. [stbaldricks.org]

Suryanarayan K, Hunger SP, Kohler S, Carroll AJ, Crist W, Link MP, et al. Consistent involvement of the bcr gene by 9;22 breakpoints in pediatric acute leukemias. Blood 1991;77:324–330. 16. Melo JV. [synapse.koreamed.org]

References: Hunger SP, Loh ML, Whitlock JA, et al.: Children's Oncology Group's 2013 blueprint for research: acute lymphoblastic leukemia. Pediatr Blood Cancer 60 (6): 957-63, 2013. Hunger SP, Mullighan CG: Acute Lymphoblastic Leukemia in Children. [northshore.org]

Cholestatic liver dysfunction arose, and she died of cachexia and intracranial hemorrhage. Autopsy showed unusual hepatic fibrosis. In the liver, bridging infiltration, bridging necrosis and bridging fibrosis by leukemic cells were seen. [ncbi.nlm.nih.gov]

Wells Probability score for DVT 2 DVT likely Clinical features points Active cancer 1 Paralysis,paresis,recent immobilisation of lower extremities 1 Localised tenderness along deep venous system 1 Entire leg swollen 1 Calf swelling 3cm larger than asymptomatic [slideshare.net]

Examination Patient concious,irritable Severe pallor Dyspnoeic,tachypnoeic Sternal tenderness No cyanosis,no clubbbing,no icterus No lymphadenopathy 13. [slideshare.net]

IPA must be considered in immunocompromised patients with pulmonary infiltrates who do not respond to broad-spectrum antibiotics. [ncbi.nlm.nih.gov]