4th Stage chennels and Important things
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1- by fluorescence in situ hybridization analysis (FISH)
2- APL
3- Due to low platelet count + DIC
4-
Platelets should be transfused,FFP &cryoprecipitate
Atra +ato + steroid
وممكن نضيف وياها من نقاط السبورتف كير
1-Because mechanical effect of spleenomegaly and displacement of stomach
2- CML and leukemoid reaction
3- موجود الجدول
5-Philadelphia chromosome cytogenetic
1- hypovolemic shock, due to acute incompatibility transfusion reaction
2- anaphylaxis reaction
**not septic because it occur after 10 min. and not febrile because shock
3-because intravascular hemolysis causes hemoglobinurea
4- because the condition complicated as DIC
5- بالملزمه موجودة ، نوكف التوانفيشوجن وندز البلد للبانك علمود يتاكدون منه وناخذ سامبل من البيشنت ندزه كومبس تيست علمود نشوف اكو رياكشن صاير وننطي iv fluid وادرينالين وستيرويد لان هايبو فوليمك
Q/ bone change in SCA (two)
1-cystic change in the phalanges and thickening of periosteum ,long term sequel short digital ,epiphysis closure of long metacarpal
2-in the femur a vascular necrosis (adhesion of whole acetabulam )
1-Acute chest syndrome: life threatening conditions
2- admmision,warmth, control infection,control pain, hydration,avoid precipitation factor, give him O2 if less than 92, and blood transfusion if anemic
3-because he is adult, he may have autosplencetomy
