A 67-year-old female presented with an abnormal complete blood count (CBC) when arriving for an angiogram. An abnormal white blood cell (WBC) differential showed 17% blasts which led her physician to have a bone marrow biopsy performed. The bone marrow aspirate smear showed an increased number of blasts and the bone marrow core biopsy revealed 90% cellularity where normal precursors were replaced by blasts. Flow cytometry and chromosome analysis results were consistent with Acute Myelomonocytic Leukemia (AMML). The patient was placed on FLAG chemotherapy until a goal of 0.9-1.0x10^9/L absolute neutrophil count is achieved, at which time a catheter will be placed to address her cardiac comorbidities. Cardiac disease and AML comorbidities are a commonly encountered issue in oncology patients. Due to this patient’s history of cardiac disease, treating her AML is more complicated in order to ensure that chemotherapy does not worsen her cardiac complications.
Scholarly research presented at the University of Cincinnati's 2017 PRaISE conference on Capnocytophaga infections during pregnancy. This poster includes background information, a case study, clinical presentation, lab workup, and treatment.
This past year I have been a student research associate at Cincinnati Children’s OT/PT department for Dr. Karen Harpster, PhD, OTR/L. I have reviewed various literature on upcoming therapeutic topics for many common diagnoses from infants to adolescents, which one of them in particular is cerebral palsy. CP is the most common physical disability in childhood. The purpose of my presentation is to underline the importance of early detection for cerebral palsy. Through extensive review, studies have shown that the most effective way to predict cerebral palsy is by conducting two neurological assessments (General Movements Assessment and the Hammersmith Infant Neurological Examination), along with electrophysiological and neuroimaging tests. This presentation outlines how and why clinicians should use these neurological assessments. In detecting cerebral palsy early on in infancy, early intervention can be integrated which can lead to an overall improvement in the quality of life in children with CP.
This poster was created for the PRaISE conference and describes in detail a case of Chronic Myelogenous Leukemia (CML) progressing into Blast crisis in the emergency room. The patient diagnosis is described by the methods used, CBC and differential data, pathology of CML transitioning into blast crisis and a granulocytic sarcoma, emergency and standard treatment, and statistics on this type of cancer.
All student success activities scaffold learning to occur within the module in which they are deployed. For example: Where the assignment requires APA citations; students are required to complete the APA citations student success activities. Student retention has been calculated semester over semester since the implementation of Student Success Activities and the overall student retention rate has remained steady around 78%. For online learning this is a very good retention rate. More research will be done to ensure that Student Success Activities impact student activities positively.
Improper phlebotomy practice is among one of the most important, and more so, overlooked issues in laboratory medicine. Lab practices involving phlebotomy are critical for diagnostic purposes as erroneous results from incorrect collection can result in potentially life threatening misdiagnoses or treatment routes. This pre-analytical error can result in misleading hyperkalemia and hypocalcemia illustrated in otherwise healthy patients. Improper order of draw can incur costs for both the patient and healthcare facility. Preventative measures must be employed to reduce such adverse events from reoccurring as this singular error can lead to a domino effect of continuous error if not recognized and investigated.