FAQ - Leukemic Infiltration
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Leukemic Response or What? Can you explain why this happens? Found this unanswered by Polish Girl in bio...?


I would be curious to know too:
"okay this is for this microbiology class I'm taking and we r on immune system crap and infections? Hypothetically, if a person had a septic infection that dropped their white blood cells low at one point and then was partially treated with antibiotics and now their blood is in normal range (even though infection is largely present) even months later, then would this be suggestive of an acute leukemic reaction...due to the fact that they won't go low any more and the white blood cells won't go high? I understand that this is the point that the body starts attacking it's own tissues, but it would suggest a leukemic phase though right? Or would it be like body's response is in shock so it doesn't show anything but then damage to bone marrow is cancer to a certain extent right? Can someone please explain what they think in this hypothetical situation. FYI-did you know that infections are like the 6th misdiagnosed condition in the US, and people die from them?"
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If your blood counts drop after an infection, then rise due to partial treatment, then one of two things will happen: the infection will relapse and the counts could go either back down or up, OR the infection is resolved and hence counts remain normal. A leukemoid reaction (note not leukemic) implies the white blood count has risen above normal in response to some insult, and does not represent leukemia.

If I get what you are asking, the fact that the white count is normal BUT is higher than where it was during the infectious suppression does not represent a leukemoid reaction.

Blessings  (+ info)

What is the choice of local anaesthesia for a patient with Type II diabetes?


What influences the choice of LA given and why? Are there any contraindications with administering adrenaline for either a local infiltration or regional block with this patient? Would be really grateful if there any dental personnel out there who can answer my questions. Thanks!
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Adrenaline is a normal chemical within the body so using the recommended amount of anesthetic with epinephrine for your patients body size is fine. High blood pressure is really more of a concern than Diabetes. Diabetics usually bleed easily so the epinephrine will actually help lessen the bleeding during the procedure. Make sure the patient ate something before the procedure and sugar levels have been monitored regularly by the patient. Keeping the patient calm and as comfortable as possible will keep the natural adrenaline down. In other words if the patient is anxious, that will be more of a concern than any anesthetic reaction.  (+ info)

lower lobe infiltration?


Mom's had lower left lobe infiltration show up on xrays for a few years now. Her o2 saturation is baseline 98- 100 . Now she has lower right lobe infiltration. All xrays show no pneumonia. So what could this be really? She recently gained 10 lbs in 3 mths, and developed a huge belly .Could it be all that fat pushing into her lung bottoms?
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It sounds like scar tissue from a previous lung infection or from some other past lung damage such as a car accident or work related chemical exposure. If she has had it for a few years with no progression of the infiltrate, then it sounds like it isn't anything serious. I agree though with the first answer. A pulmonologist can probably say for sure what it is and there could be another explanation that an expert can offer.  (+ info)

can you die from focal fatty infiltration of the liver?


No, fatty liver is not a fatal condition. You definitely don't want to collect too much of it in your liver, since it can lead to cirrhosis, but fatty liver is completely reversible. So take care to watch your diet, and especially moderate your alcohol intake.  (+ info)

What is the most likely cause of an anterior mediastinal mass?


If an otherwise healthy adult is found to have an anterior mediastinal mass on CT scan, with no infiltration of surrounding organs and no lymphadenopathy, what kind of tumor is this most likely to be?
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Well is the lymphatic system is not involved it is not lymph nodes. What is left may be a growth on the thymus gland which is just deep to the sternum, or perhaps a heart mass. Just wait for the path report or any further testing to find the source.  (+ info)

Why lidocaine infiltration did not have effect during dental manipulation for a healthy patient of 40 years.?


That's right.
Another cause could be that there might have been inflammation around or near the site of injection/infiltration.
Inflammaion causes tissue acidity, and acid destroys some of the anesthetic. So it would have been rendered less effective.

But as the inflammation subsides in few days, the anes. will act.  (+ info)

aias there something they can do for infiltration of the lungs?


IS there
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Hi. I am sorry to read about your Mom. As the other person said, treatment does depend on the cause of the infiltrate. Antibiotics for bacterial pneumonias, antivirals for viral pneumonias, etc. Since you're not saying, I'm assuming that maybe the doctors do not know?? For how long has your Mom been sick? Was it a sudden thing, or has she been fighting illness for a long time?

My little girl was healthy at birth but got sick when she was a little baby, and she started breathing faster and faster and harder and harder needing more and more oxygen until she had to eventually be put on the ventilator. Her x-rays were clear for a while but eventually showed infiltrates although Infectious Disease doctors assured everyone that it was not infection. They did all sorts of cultures and tests and could not find any cause. Even after being on the vent, she continued to get worse for a while, and carbon dioxide levels in her blood kept getting higher and higher, and they kept turning the settings on the vent up trying to find a setting that would work. After a few days of being like that, a pulmonologist and an intensive care doctor came in and talked with me, told me that she was beyond respiratory distress, that this was rather severe respiratory failure. They would even possibly consider her for ECMO (heart-lung machine) to let her lungs rest and heal, but they didn't know if even that could help her. They did a CT, results were very bad. Her lungs at that point had so much edema that they looked more like liver than lungs. The doctors requested permission from me to do a biopsy as her only hope would be to find a cause for her lung disease so they would know how to treat it or if survival was even possible. The biopsy came back inconclusive for a lot of the illnesses they were testing for. The weird thing for us was that my baby went into the biopsy dying (they didn't know if she could even survive the procedure), and she came out doing much better. She got off the ventilator a few weeks later when one of the doctors figured out that the surgeon had administered high doses of steroids during the surgery to stabilize her. It had worked then, so they gave her more, and she started doing better. They also treated her with Zithromax 3 days a week (Monday, Wednesday, and Friday) for several months to help get rid of some of the inflammation (not used in this case as an antibiotic). She is still on the steroids and oxygen 11 months later, but she is alive, growing, and doing quite well. We really feel so fortunate that we will get to celebrate her first birthday in a few weeks.

What my daughter has is called interstitial lung disease, the type being diffuse alveolar damage (DAD). The doctors don't really tell me much (and I'm a nurse!), but I've read about it, and I guess it is what they find when someone has Acute Respiratory Distress Syndrome or Acute Interstial Pneumonia. In my daughter's case, high doses of steroids (Decadron IV, Solu-medrol IV, and eventually prednisolone syrup orally) and the Zithromax really helped.

Again, I am so sorry about your Mom. I hope they find something to help her soon. Take care.  (+ info)

Just fatty liver infiltration, or not?


For the past 6 months I've been experiencing a variety of symptoms such as, nausea, headache, extreme hunger pain, irriability, excessive thirst, with excessive urination the day afterwards. I've gone for multiple blood tests and have been tested for hepatitis, diabetes, pregnancy, tons of things. Only 2 levels came back off...my liver enzymes. At this point, i went for an ultrasound on my liver where it showed I have fatty liver infiltration. My doctor told me not to worry about it. And he confirmed that my other symptoms were unrelated to my fatty liver. He told me I was living a healthy lifestyle and to go about it and get rechecked in 3 months. I dont like this answer. Does anyone know any dieseases or illnesses or anything related to fatty liver infiltration? Or any info at all on illnesses with my symptoms?
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it sounds like diabetes to me, but if your levels came back OK then you need to go to a different dr for a 2nd opinion. If you can't get a referral when your symptoms are at their worse, go to the ER and ask for a work up regarding your symptoms - maybe something more can come from that.  (+ info)

Can leukemic patients donate blood??


This is out of the question. A leukemia sufferer has abnormal blood; the bone marrow has created abnormal white blood cells, basically leukemia cells or 'leucocytes'. These abnormal cells 'take over' the other red cells in the blood. This is simplistic though, because one type involves a proliferation of immature cells (blasts) another type involves mature cells, but in excess.
One rare viral form of the disease is known, but it is the virus that causes the leukemia, so the leukemia itself is not contagious.

The obvious reason a blood tranfusion from a leukemia patient is not carried out is that it is a disease of the blood and bone marrow and giving this blood to another person is pointless, not to mention harmful.  (+ info)

Infiltration in my lung?


I went to my doctor today and she made me get a chest x-ray for having headaches and fevers and i thought she must be krazy till she told me i had an infiltration in my lung. She had to give me my results over phone b/c she was called to the emergency room and i didn't have time to ask her any questions b/c my mom took the call. I'm only 14 and i have no idea what this infiltration in my lung is soo if somebody could help explain this that would be great also my doctor told me i shouldn't go back to school til Monday, why is this??

thanks in advance! =]
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An infiltrate in the lung is a sign of pneumonia. Hopefully you were prescribed the proper antibiotics for this and are feeling better. If you have any questions you should speak to your doctor.
http://www.nlm.nih.gov/medlineplus/ency/article/000145.htm  (+ info)

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