lets discuss this one - happythanxgiving

[ArchivalUser]

A46 yr old bank executive is refered to the clinic by her dentist.For the past 6 weeks,she ishaving bleeding swolen gums.She appears pale and feels weak.She smokes half a pack of cigarettes daily and drinks alcohol socially.Her family history is not significant.Her vital signs are stable.She is afbrile.
LABS:
WBC increased
Blast forms increased
Monocytes increased
lymphocytes normal
promonocytes 12%
Hb 9.0
HCT 27%
sudan black slightly positive
Alpha naphthyl estrase positive
Which of the following is the most likly diagnosis?
1.AML with maturation
2.Acute promyelocytic leukemia
3.Acute lymphoblastic leukemia
4.Acute erythroleukemia
5.Acute monocytic leukemia

[ArchivalUser]

I will venture to GUESS

Answer 5----Acute Monocytic Leukemia M5

Let me know the answer

[ArchivalUser]

5 is the right answer

[ArchivalUser]

Can u explain the diagnosis plz?

[ArchivalUser]

5.Acute monocytic leukemia-----bleeding swolen gums.

[ArchivalUser]

doesnt M3 cause DIC?
2.Acute promyelocytic leukemia

plz someone explain why u chose M5 and not M3?