BUMC Basics.pdf - Anesthesia Home
BUMC Basics.pdf - Anesthesia Home
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