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BUMC Basics.pdf - Anesthesia Home

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73<br />

ONCOLOGY<br />

THE ACUTE LEUKEMIC<br />

“The greatest ‘crumpability’ of any hospital patient you will care<br />

for.”<br />

-Troy Neal M.D.<br />

The acute leukemic patient, AKA the acute leuk, is a common<br />

admission during a typical ward month at <strong>BUMC</strong>. As house<br />

staff, we are involved generally in the care of patients with a<br />

NEW diagnosis.<br />

Nuts and bolts — Acute leukemia results from the clonal<br />

expansion of a hematopoietic precursor that has lost the ability<br />

to differentiate while maintaining the ability to proliferate. AML<br />

represents >80 percent of adult cases with a median age of 65<br />

years. ALL represents

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