QuestionSBA
QuestionChoice
You would not expect to see a raised WCC and lymphocytosis in multiple myeloma
10003617
b
Multiple myeloma
QuestionChoice
You would also expect to see Reed-Sternberg cells on lymph node biopsy in HL. A normocytic anaemia may also be seen.
10003618
c
Hodgkin's lymphoma (HL)
QuestionChoice
There are no risk factors for TB in this case such as HIV, immunosuppression or IV drug use. Symptoms of TB include weight loss, night sweats, cough +/- haemoptysis and shortness of breath.
10003620
e
Tuberculosis (TB)
QuestionChoice
Chronic lymphocytic leukaemia occurs due to the proliferation of well-differentiated lymphocytes which are mostly non-functional. This leads to immunosuppression and increased infections. Lymphocytosis is commonly seen in CLL.
10003616
a
Chronic lymphocytic leukaemia (CLL)
QuestionChoice
Recurrent pneumonia is commonly seen in small-cell lung cancer. You may also see other features such as shortness of breath, cough and haemoptysis. There are no signs of small cell lung cancer cells in this patient's lymph node biopsy.
10003619
d
Small cell lung cancer
Concept
Chapter
2693
4183
Chronic lymphocytic leukaemia
Topic
157
Haematology
13270
A 79-year-old female has a chest infection that is slow to clear despite several courses of broad-spectrum oral antibiotics.


Her bloods are taken which show the following results:


||||
|--------------|:-------:|---------------|
|Haemoglobin|126 g/L|(M) 130 - 170, (F) 115 - 155|
|White Cell Count|38x10<sup>9</sup>/L|3.0 - 10.0|
|Lymphocytes|32x10<sup>9</sup>/L|1.5 - 4.0|
|Platelets|124x10<sup>9</sup>/L|150 - 400|


A large cervical node is biopsied which under microscopy shows a sheet of mainly small lymphoid cells.


What is the most likely diagnosis?
a