Name Sekh Yousuf

EASE NO 01/04/21
:
21
-

date : -

Group
.

:
324 B
-

⑧ Nonmob lactic Erythropoiesis ( Because in the blood test

megalo blast cells are
absent ) .

②
Erythrocytes -

2.8×1012/1
↳
Enythmrytopenia ( Normal Erythrocyte
-

ffemauak.iq?s-If.ffYo?y4 )
③ Nowmochnomic Anemia .

④ Colon Factor [Hemoglobin 85g ]

=

¥ty× 0.03
-8%-110.03
-
-

= .

= O .
91
.
'
.
CF = 0.91 a Non mo chromic ( because of Normale value : -
0.9 -
1. t )

⑤
Regenerative of
Reticulate :

Reticulates is t .
8 f .

of ts 1012 /L
i.
absolute value Reticulate is
too
x .

(L
"
=
0.0504 X to
= 5.04×1010/1 .

i. Normal value of
Reticulocyfe is d. o -
5.0×1010 /L .

i
Reticulates slightly Hyper neg even alive
Nonmogene native
.

on .

⑥ 40912
Leukocytes = 20 X

(Normal value = 4. o -

9. o X 109 / L )
: so it is
Leucocytosis
.

, .

⑦ Basophil es = Ot .

Normal .

⑧ Eosinophil es l Reactive
Eosinophenia
→
o
-

= .
.

of
Normal value
Eosinophils =
= 51 ( Relative )
2 -

0.08--0.45×109 1. L
.

( Absolute ) .

is Absolute
Eosinopenia
i .

so it .
⑨a
segmented Neutrophils .
= 8 t .
→
Relative Neutropenia .

Absolute
Neutrophil is 8×20
109 /L
'

es ×
.

. .

too

=
Lif x 109 / L .

109 )
i .
Absolute
Neutropenia ( Normal .
a 2.5×5.5 X .

④ Neu clean shift Index :( NSI )

Neutrophil es .

myebcytes s Ot .

of
Yong
→ .

Rod Nucleons → 31 .

Segmented → 81 .

all immature broom of

i. .
NSI =
Neutmpiles
segment Neutrophils .

Bye
=
= O -
375

i .
mise shifted to the Left side .

It
Regenerative type
'
r
.

NSI = 0.08 -
0.5 means .

④ ( Relative )
Lymphocytes = 19.5 t .

↳
Normal ( 19 -

37 t)
'

: .

Absolute
Lymphocytes : 19.5×20
too
× 104 / L .

=
3.90 x 109 /L .

Absolute ( Normal 1091L )

Lymphocytosis
: .
= 1.2 -
3. ox

④ Creative )
Monocytes : 2%
↳
Relative monocytopenia ( Normal =3 - lit .
) .

i Absolute
monocytes 2%20 109 / L
.
=
y .

= O . 40 X 109/1
↳ It is Normal .

i.
( Nominal Absolute monocyte = 0.12-0.99×109/2 )
 ⑨ Thrombocytes =
30 X 109 / L .

↳
( Normal /L)
"

Thrombocytopenia value : 200.0 doo o x Io

-
.
-
.

④ Blast all :

Media size .

Regular shape .
with a
high nuclear cytoplasmic patio .

No
granulation in the
cytoplasm -

* Blast cells = 677.5 t .

④ My elo
peroxidase activity absent → Means ,
it is not
my
elo blast .

of acid
The
activity
Intensive
phosphatase and nonspecific esta pase is not

high .

positive Schiff CPAs) reaction ( hanger granules) as .

studies :
cytochemial .

to
identify enzymes specific to various blasts .

In leukemia Periodic of Schiff 's ( PAS )

'

Acid
acute
lymphoblastic reaction
-

positive s Negative response to lipids peroxidase

, ,
chloro acetate esterase .

Conclusions :
④ The
picture of blood test revealed the
patients have

Acute
lymphoblastic Leukemia .

② Syndrome of
patients :
.

① Bone map now fali une :

as Non mo chromic Anemia .

b) Leucocytosis .

c)
Thrombocytopenia .

µ
→

→
Petechia
Pappu
Pale
na

skin

②
Hepatomegady lymphadenopathy , is
splenomegaly .

⑨ Bony
pain ,
Arthralgia ( Painful go.int) .