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[quote=Anonymous]Part of my practice involves diagnosing leukemia and lymphoma.

Unfortunately, this is far, far too little information for anyone to give a thoughtful differential diagnosis. “Off the charts” is too vague (WBC of 20K/uL and 200K/uL could both be called “off the charts” by a PCP, but 20K could be an infection and 200K would not be an infection), the type of WBCs that are elevated isn’t specified (neutrophils, lymphocytes, blasts, etc), it’s not clear if the anemia just started in the last day or so or if it is progressive, what kind of anemia (macrocytic, microcytic, RDW?), do labs suggest hemolysis, what is the platelet count, is there basophilia, is there splenomegaly, has someone done FISH for BCR-ABL1 translocation (if neutrophils and their precursors are elevated), has anyone done flow cytometry on the peripheral blood, what are the results of the bone marrow biopsy? And I could keep going.

I would recommend insisting that you talk to the doctor. Being aware that it can take a while to get all of the information back and come up with a diagnosis. I’m sorry that I cannot be more helpful. Best of luck; I hope that it’s just an infection that gets better.[/quote]

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