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*If you get similar Q as to the above (i.e., neutrophilic shift) but vignette mentions bone marrow biopsy finding of megakaryocytic hyperplasia, answer is essential thrombocytosis, not reactive. Reactive will be release of neutrophils in setting of infection but won't have the megakaryocytic hyperplasia. Essential will have the hyperplasia. I make this point of clarification because rarely if infection occurs in setting of Essential, neutrophils can be elevated, but once again, megakaryocytic hyperplasia on biopsy is only seen in Essential, not Reactive/Secondary.
Your pinned comment helped me better understand NBME 22. Big thank you for the clarification of megakaryotocytic hyperplasia for essential thrombocytosis.
but Mike you have said in ur notes that neutrophilic shift with platelet count 1.4 million, where it looks like it could be RT due to infection, but the answer is ET.Not RT. Bz the platelet count more than 1 million rare in RT and the pt has symptoms pain in hands or fingertips. Now in audio Q bank where the platelet count is 1.6million and there is neutrophilic shift as well and you are saying it is RT. Which one is right? thank you.
*If you get similar Q as to the above (i.e., neutrophilic shift) but vignette mentions bone marrow biopsy finding of megakaryocytic hyperplasia, answer is essential thrombocytosis, not reactive. Reactive will be release of neutrophils in setting of infection but won't have the megakaryocytic hyperplasia. Essential will have the hyperplasia. I make this point of clarification because rarely if infection occurs in setting of Essential, neutrophils can be elevated, but once again, megakaryocytic hyperplasia on biopsy is only seen in Essential, not Reactive/Secondary.
this question caught me off guard
👍
Thanks you Mike !
Thank you so much for your generosity ❤
Thank you Dr. Mike ! thought I found erratum in the NBME, but now Im glad to have read this, clarifies things!
Your pinned comment helped me better understand NBME 22. Big thank you for the clarification of megakaryotocytic hyperplasia for essential thrombocytosis.
Thank you for this video! Finally I know how to correctly distinguish between Essential Thrombocytosis and Secondary Thrombocytosis! You rock Mike!
What a video. You’re the goat Mike
Thanks Ksuar
Stumbled across channel, I am retired RN so was drawn to this. Love it you crack me up bro, totally different way of assisting others👍👍
You're the best!
yeah.. He is!
"Ohh... Neutrophilic shift, real fu#@in slick" 😂😂😂
thanks for the clip :)
Thanks
excellent concept 👌
Love this question and your way of explanation
You rock, Mike!
Thanks Daniel
❤❤❤
but Mike you have said in ur notes that neutrophilic shift with platelet count 1.4 million, where it looks like it could be RT due to infection, but the answer is ET.Not RT. Bz the platelet count more than 1 million rare in RT and the pt has symptoms pain in hands or fingertips.
Now in audio Q bank where the platelet count is 1.6million and there is neutrophilic shift as well and you are saying it is RT. Which one is right? thank you.
This is hyper old Q
Got me 😵💫
NICE MAN
What is the reason for the image findings??
🐐
VALUE HERE
I Hate this type of quesiton