评价白细胞症的评估
Clay W Walker1, Thomas Hartman, Manuel Pompa
1Clay W. Walker is an assistant professor of PA studies and director of didactic education in the PA program at A.T. Still University in Mesa, AZ, and is an assistant professor of family medicine at Mayo Clinic in Phoenix, AZ. Thomas Hartman is an associate professor in the Department of Physician Assistant Studies and director of student progression and retention for the PA program at A.T. Still University. Manuel Pompa practices in the Department of Family Medicine at Mayo Clinic. C. Walker discloses service as an external clinical expert on the GlaxoSmithKline UTI Consultancy Panel and as a mentor for PAs and NPs in clinical practice through Medgeeks. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
升高的白细胞计数 (白细胞瘤) 需要仔细评估. 在临床和实验室数据中识别模式有助于区分良性原因和白血病等严重疾病,指导适当的患者管理.
科学领域:
- 血液学 血液学 血液学
- 临床病理学 临床病理学
- 内部医学 内部医学
背景情况:
- 白细胞症 (白细胞数增加) 是一种常见的发现,原因多种多样.
- 不同诊断范围从反应性疾病到血液恶性瘤.
- 识别白细胞病的模式有助于诊断和管理.
研究的目的:
- 概述一种系统的方法来评估白细胞症.
- 整合临床,物理和实验室数据进行诊断.
- 为先进的诊断和临床决策提供指导.
主要方法:
- 对临床病史和体检结果的系统审查.
- 对与白细胞瘤相关的实验室数据模式的分析.
- 整合诊断算法用于患者分组.
主要成果:
- 白细胞升高的明显模式提供了诊断线索.
- 讨论了非恶性和恶性原因 (白血病,淋巴瘤,骨髓扩散性疾病).
- 为临床决策提供了评估算法.
结论:
- 结合临床和实验室数据的系统方法对于评估白细胞症至关重要.
- 早期识别恶性瘤相关特征指导专家转诊.
- 及时干预是通过适当的患者分拣来促进的.
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