The Acute Leukemias

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  • Опубліковано 18 чер 2018
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КОМЕНТАРІ • 256

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  2 роки тому +4

    📝 Download Notes: www.medicosisperfectionalis.com/

    • @user-rv9xw8sk1g
      @user-rv9xw8sk1g Рік тому +1

      Thank u very much. I get 18from 20 in med exam of hematology🎉

    • @abinet060
      @abinet060 6 місяців тому

      amazing

  • @abrahammatar1671
    @abrahammatar1671 4 роки тому +121

    You are changing the history of medicine, dude!

  • @matsblindheim6039
    @matsblindheim6039 Рік тому +5

    Love the dry humor and super casual attitude

  • @cello9877
    @cello9877 3 роки тому +54

    I'm on my third year of being a pre-med student and whenever I can't absorb the information on the books anymore, I just go to your channel. More like I like how you approach the lessons! Just wanna say thanks!

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  Рік тому +2

    📝 Download my handwritten notes: www.medicosisperfectionalis.com/

  • @AA-vh1vr
    @AA-vh1vr Рік тому +8

    قناتك كنز أنا محظوظ لأني وجدتها ،بالاضافة إلى ذالك لقد درست عليك في مادة الانيميا وامتحنتها وقد صادفت سؤال لم يستطيع اغلب الطلاب حله الا انا حللته لأنك ذكرته في الشرح شكراً جزيلاً لك

  • @runescaeper78
    @runescaeper78 5 років тому +23

    I watched most of your hematology videos, awesome fun and simple way of explaining things that are over-complicated by books! Thank you !

  • @Mariabarlow3
    @Mariabarlow3 2 роки тому +7

    Some people just have the gift of getting through and communicating well. You have that gift. Thankful for videos like these!!!

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  5 років тому +9

    50 hematology 💉 *cases* - written by me - are NOW available on www.patreon.com/medicosis/

  • @martinez9643
    @martinez9643 3 роки тому +13

    My wife and I lost our just turned 2 year old son 7 months ago to Aml. He had MLL gene rearrangement or subtype KMT2A or 11q23. He had a translocation between chromosomes 6 and 11, t(6;11). He received cytarabine, daunorubicin, etoposide, gemtuzumab ozagamicin then mitoxNtrone and cytarabine. He relapsed after the second chemo which signified refractory Aml which had a poor prognosis. Decitabine with mylotarg was then used. He died shortly after from within 4 months of treatment. Some side effects he had were bloody nausea and diahrea. Horrible bloody mouth sores. He was in pain all over. His right eye was covered by a leukemia pool that ended up bleeding.He had a lot of liquid in his lungs which they thought was pnemonia. He ultimately died from a brain bleed within 24 hours caused we think by the chemo.

    • @AK-zw3yz
      @AK-zw3yz Рік тому +3

      Oh!
      I am so happy for u.
      I am an elder sister. I have a younger sister. She has some weird symptoms. Idk what doest it mean.
      1) light headed
      2) tired & weakness
      3) coughs and flu
      4) nose bleed 1 time (gum bleeds)
      just a little bit
      5) today she has a unbearable pain on her teeth,ear & arms.
      But I said my mom about it & she doesn’t care about it. She wanted to say I am much hypochondriac.
      Basically I am so much obsessed with my sister. Maybe I love her a lot

  • @HeshamAhmedEtBrigade
    @HeshamAhmedEtBrigade 4 місяці тому +2

    Even after 5 years you are my teacher thank you

  • @baslksa6
    @baslksa6 5 років тому +8

    You are literally amazing thank you so much I'm studying my lab module right now !🙂

  • @shahdismailalqatu9711
    @shahdismailalqatu9711 5 років тому +17

    keep going sir :)) this is so helpful, and like I spent 20 hours trying to understand this yesterday but you made it so clear for me in less than 15 mins .. awesome content too .

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому

      So happy that I was able to help...How did you find my videos?

    • @merhaba961
      @merhaba961 3 роки тому

      ua-cam.com/video/BO_dU1KtFhE/v-deo.html

  • @Nour-uo1tb
    @Nour-uo1tb 3 роки тому +5

    well, this is the first time i comment on a video on youtube, you're amazing! thank you so much, and keep going sir.

  • @benzaboyplayz7296
    @benzaboyplayz7296 3 роки тому +16

    On my second relapse of ALL, now I finally understand what’s happening. Great video

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 роки тому +1

      Thank you!
      I wish you a speedy recovery!

    • @redactedpizza2278
      @redactedpizza2278 2 роки тому +2

      I hope everything goes well this time around. Stay strong 💕

    • @hiimdominic3780
      @hiimdominic3780 2 роки тому +2

      You got this. What hospital are you going to?

    • @leoniegray6404
      @leoniegray6404 2 роки тому

      My son has been diagnosed recently , my heart goes out to you . Horrible illness and aggressive treatments. Stay strong .

    • @nsudatta-roy8154
      @nsudatta-roy8154 Рік тому

      Have you considered "intracellular" glutathione therapy? There is a whey protein that has a precursor that raises glutathione inside the cell. That glutathione is now able to promote "monoclonal expansion" of T-cells (cd4/cd8) which places cancer cells into "negative feedback inhibition." It works amazingly will in leukemias and many other cancers.

  • @AdianA-jv4ix
    @AdianA-jv4ix 3 місяці тому +1

    It’s amazing how you explain this you make it easy to understand

  • @simpenny8142
    @simpenny8142 3 роки тому +1

    oh gosh!!! really like your presentation!! It's interesting & funny at some points! Thank you so much ^^
    Btw, may I know which software/app did you use to write these notes??

  • @rajkanyapatil5097
    @rajkanyapatil5097 2 місяці тому

    So simple to understand
    Your way of explaining things is great .. finally found the best u tuber for pathology lecture ..keep it up bro

  • @LS-hb2ze
    @LS-hb2ze 5 років тому +2

    Hi
    You the best,you taught easily and what’s necessary.Thank you God bless you.👌🏻🙏

  • @garwingchan3053
    @garwingchan3053 3 роки тому

    Thank you for your very good presentation.

  • @Ivedivealive
    @Ivedivealive 2 роки тому +1

    thank you for this thorough video! excellent visuals!

  • @malakalotaifi1681
    @malakalotaifi1681 4 роки тому +2

    Thanks a lot for making my life easier!

  • @viper3636dr
    @viper3636dr 4 роки тому +1

    Wow great overview. Very pleasant to watch too and informative. Thank you!!!

  • @fatemaatia4385
    @fatemaatia4385 5 років тому +1

    @medicosis perfectionalis
    Thank you for this amazing illustration ;keep on 👌👏

  • @angelebeh3036
    @angelebeh3036 3 роки тому +13

    "Crazy, useless, immature cancer cells" 😂

  • @mayzingasmr3145
    @mayzingasmr3145 2 роки тому

    Thank you very much for all amazing infos. Can you please make more lecture about immunohematology ( blood bank) please!

  • @Ra-ko1yo
    @Ra-ko1yo 2 роки тому +2

    Thank you ,, your videos are so informative and cool .. this helped me in my study leave alot

  • @malazsaadkambal3988
    @malazsaadkambal3988 2 роки тому +2

    Oh I can't explain how these videos are amazing thank u♥️🌸

  • @MuWiStudio
    @MuWiStudio Рік тому +1

    I honestly like the way you make life easier

  • @cerenfenerci2788
    @cerenfenerci2788 3 роки тому +2

    BEST explanation ever! Thank you so much!

  • @muhammadaarif9894
    @muhammadaarif9894 Рік тому +1

    Thanks a lot man
    this helped a lot for my FINALS!

  • @rawyaretha9448
    @rawyaretha9448 5 років тому +3

    Thank you for make it so simple

  • @user-sm9tg4rc1n
    @user-sm9tg4rc1n 3 роки тому

    Thank you so much for these videos!

  • @mariaestrellitagonzales-me9798
    @mariaestrellitagonzales-me9798 2 роки тому

    THANK YOU 🙏 MORE POWER❣️GOOD LUCK 🍀

  • @way2happiness400
    @way2happiness400 2 роки тому

    Hello! I'd like to thank you for this vedio .
    I want to ask , do you allow to take a screenshot of the vedio?!
    Thanks alot.

  • @yuiyui3331
    @yuiyui3331 9 місяців тому +2

    You know what is attractive, its your voice😁😁

  • @raveenakandera3699
    @raveenakandera3699 11 місяців тому +2

    Very nice explanation ....

  • @shimom5724
    @shimom5724 4 роки тому +1

    Your videos are fantastic, thanks 💜

  • @amiraelsayed84
    @amiraelsayed84 3 роки тому +1

    What an amazing effort..👏👏

  • @ulfatgul868
    @ulfatgul868 3 роки тому

    Amazing explanation👌thank you so much

  • @user-yl6cy1fp3k
    @user-yl6cy1fp3k 4 місяці тому +1

    youre the best teacher ever!!!

  • @nooneoneno5387
    @nooneoneno5387 4 роки тому +3

    excellent video....
    great explanation..!!

  • @97footballplayer
    @97footballplayer 8 місяців тому

    This is a very good explanation. It is my assessment that your presentation covers the symptomology of the disease process and current medical practices to correct the symptoms.
    I am intrigued to understand the actual disease process occurring in/at the bone marrow level. Some questions I have are what hormone cascades/signaling hormones are involved in the negative feedback loop of the bone marrow. Is there pathology in the negative feedback loop?
    What is actually occurring in the marrow to produce these immature blast cells? We understand the presentation of the disease well but with is the pathology as it relates to the bone marrow? Heavy metal deposition causing ROS and altering mitochondrial function? Are “forever chemical” depositing in the marrow and cause risk for cellular disfunction. Perhaps a severe acute stress response or chronic stress due to interpersonal relationships, or work could leave someone particularly vulnerable to relapse? I have so many questions.
    Blood cancers don’t start a tumor growths/mass development. What is occurring in the marrow? Is there tumor development in the marrow of dysfunctional marrow cells?
    Does the diseased marrow spread to other marrow containing bones?

  • @diwasdiwas9790
    @diwasdiwas9790 5 років тому +1

    you are the best. i cant believe u dont have many views yet.

  • @abishek485
    @abishek485 4 роки тому +2

    Fantastic videos sir. Thank you for these. Really really helpful. ♥️♥️♥️♥️♥️♥️

  • @samet3359
    @samet3359 8 місяців тому

    that ALL drawing at testicles at 7:33 is perfect 😂

  • @afiqdanial2838
    @afiqdanial2838 4 роки тому

    best explaination so far

  • @user-we8rb3rf4g
    @user-we8rb3rf4g 5 років тому +3

    you are great thank u so much

  • @stephaniepresley6581
    @stephaniepresley6581 4 роки тому +2

    Hi
    I’m a retired HemOnc RN who has recently beenndiagnosed with LCH, aka:
    Langerhans Cell Histiocytosis
    Can you address a segment to this chameleon like disease?
    TIA

  • @amineaboutalib
    @amineaboutalib 3 роки тому

    one question tho, why doesn't it matter where wo do the biopsy? if the clonal cells haven't metastisized yet, they should be limited to one bone and only one bone no?

  • @maryfawzi6308
    @maryfawzi6308 5 років тому +2

    That was so helpful

  • @necipfazlay4059
    @necipfazlay4059 Рік тому

    1:07 Hey! Don't neutrophiles stem from the same cells that make up monocytes, rather than other granulocytes?

  • @drpsyco6584
    @drpsyco6584 Рік тому

    I told everyone
    Be drunk and then study you will know medicine easily
    You are donerrrreerrrr♥️

  • @kadyalthunayan4264
    @kadyalthunayan4264 2 роки тому +2

    Thank you very much doctor

  • @shackblack2903
    @shackblack2903 2 роки тому

    can you recap the video content? I need it for the upcoming lesson

  • @hral-aeen4206
    @hral-aeen4206 4 роки тому +1

    Why does infection increase in leukemia (high WBC)? Due to dysfunction of WBC

  • @Innerdiamond
    @Innerdiamond 3 роки тому

    Friend diagnosed with AML and he is almost 61. Was low in ferritin for a while. Anemic. Pretty healthy guy.. except I guess not.

  • @gaurabjungkc6545
    @gaurabjungkc6545 3 роки тому

    Amazing!

  • @marcusgoh8491
    @marcusgoh8491 5 років тому +1

    I have a question, in acute leukemias, there are high number of blasts but does that translate to a high total white count? or leukopenia?
    and in chronic leukemia, I assume that it would be leucocytosis?

    • @abhikhalder7351
      @abhikhalder7351 3 роки тому

      In acute leukemias there is neutropenia but WBC count is high due to blasts(as they enter blood stream).And in chronic leukemias there would be leukocytosis.

  • @bibeksharma1767
    @bibeksharma1767 3 роки тому

    can AML spread to lymph node and cause lymphadenopathy?

  • @MD946
    @MD946 3 роки тому +1

    informative video. Loved it

  • @sunjokong6323
    @sunjokong6323 Рік тому +1

    You are awesome🥺. Thank you so much

  • @user-hf4sr5jr2d
    @user-hf4sr5jr2d 3 роки тому

    awesomeeee explanation

  • @ahmedrahman7019
    @ahmedrahman7019 5 років тому +21

    you're the best keep going🔥🔥🔥🔥

  • @MrNaal5
    @MrNaal5 2 роки тому

    This was really good

  • @gemmarium4337
    @gemmarium4337 3 роки тому +3

    I had a friend get diagnosed with AML in November 2010 and pass away from it in January 2011. It is so rapid and aggressive.

    • @maryjohns7968
      @maryjohns7968 2 роки тому

      Was it caught late?

    • @gemmarium4337
      @gemmarium4337 2 роки тому

      @@maryjohns7968 no she only began showing “mild” symptoms maybe 3 months(?) prior to diagnosis. At the time of diagnosis however her condition was bad. Very high relentless fever, very pale, weight loss, no energy, bruises everywhere… I’ve never seen a disease like this.

  • @akmaliafatimah6557
    @akmaliafatimah6557 4 місяці тому

    thank youuu so much

  • @samarmohameed5557
    @samarmohameed5557 3 роки тому

    ThanQ man ,l luv u💜

  • @ayass2598
    @ayass2598 5 років тому +1

    can you please just give me the definition of monoclonal?? you are the best ..

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому +8

      Monoclonal: Originating from one entity (from one cell)...Think of it as plants originating from a common root.

  • @Sevendandra
    @Sevendandra 5 років тому +1

    The auer rods in AML are in the cytoplasm right?

  • @basilsheikhahmad1499
    @basilsheikhahmad1499 Рік тому

    hello, first i would like to say thankyou for your amazing videos. second i would like to ask regarding wbc count, i dont understand how it can be increased wbc or decreased

  • @sara-we9ut
    @sara-we9ut 4 роки тому +2

    Your absolutely the best I like ur videossss

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 роки тому +1

      Thank you so much 😊
      Can you please help me by sharing?

    • @sara-we9ut
      @sara-we9ut 4 роки тому +1

      Medicosis Perfectionalis yeah sure I’ll, any other thing u want me help u in?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 роки тому

      That’s more than enough...Thank you so much!
      Now, do you want any help from me?

  • @mahiehussein
    @mahiehussein 4 роки тому +1

    Thanks!

  • @dewiarianna
    @dewiarianna 5 років тому +1

    actually, how its become thrombocytopenia when ALL occurs? i thought it only influence lymphopoiesis lineage so it will never disrupt any platelet count.. please explain me doc :(

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому +3

      Hyper-production of WBC lineage will "crowd out" other cell lines such as platelets and RBCs leading to thrombocytopenia and anemia respectively.

  • @abdulraheemyounas6940
    @abdulraheemyounas6940 5 років тому +1

    Hi! i am studying in (Medical Laboratory Technology 4years program) currently i am in 2nd year
    Hematology is include in my subjects, next month my annual exam will be start
    i watch the Leukemia videos
    there are a lot concepts are missing which i need
    i need your help

  • @ahmedaliisak1657
    @ahmedaliisak1657 3 роки тому +4

    Thank you sir.
    my teacher ileen😂 watches your video's No more headaches.
    var caught😁

  • @umutk6339
    @umutk6339 3 роки тому +3

    I'M DRINKING LEMONADE

  • @doctorv851
    @doctorv851 5 років тому +1

    Based on physical examination that include age etc
    How can u differentiate
    AML & ALL

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому +4

      It's very difficult to differentiate between them based on the physical exam alone, we almost always need a bone marrow biopsy, peripheral smear, immunohistochemistry and flow cytometry. Based on age, ALL patients are usually (not always) younger. ALL is associated with Down syndrome, so you will see clinical features of Down's. AML-M3 subtypes has some specific characteristics such as DIC, AML-M5 has oral mucosa involvement.

  • @user-vn8ro9iz5x
    @user-vn8ro9iz5x 3 роки тому

    Thank you Very much that was very helpful!!! I’m just abit confused about whether WBCs are raised or low in acute leukaemia?
    If they are raised then why are they more susceptible to infections?

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 роки тому +2

      WBCs could be any number in case of leukemia...They could be less than 10,000, more than 100,000 or anything in between.
      The reason why there could be infections is that these WBCs are malfunctioning, even though they might have a high number.
      Number and function are 2 different things!

    • @user-vn8ro9iz5x
      @user-vn8ro9iz5x 3 роки тому +1

      @@MedicosisPerfectionalis perfect this makes sense thank you !!

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  3 роки тому

      My pleasure 😇

  • @ahmadaljazeeri9287
    @ahmadaljazeeri9287 3 роки тому +1

    Thank you man! I hope you enjoy your lemonade too 😂

  • @emmanmudassar2063
    @emmanmudassar2063 5 місяців тому +1

    Very helpfull👌

  • @lindatalal9938
    @lindatalal9938 5 років тому +1

    Amazing 👍

  • @mathelasmr6528
    @mathelasmr6528 3 роки тому

    Bro do a picture lecture of aml classification I got confused

  • @PoojaSingh-id2ic
    @PoojaSingh-id2ic Рік тому +2

    O my God dude! You are awesome!!!!!! 😃😍

  • @norahalharbi7134
    @norahalharbi7134 4 роки тому +1

    Excellent

  • @simajameeljameel5011
    @simajameeljameel5011 3 роки тому

    Thank you 👌👍

  • @areejzedan5034
    @areejzedan5034 3 роки тому +1

    you are the best,,, keep going

  • @rukiee.b.ovwigho5709
    @rukiee.b.ovwigho5709 2 роки тому

    Medicosis perfectionalis. 👏👏👏❤️❤️❤️❤️❤️

  • @sobster123
    @sobster123 3 роки тому

    there is squeaky weird noises in the background when I play this. strange.. nevertheless great vid as always!!! Thank you so much Medicosis i love you!

  • @bbaker904baker7
    @bbaker904baker7 3 роки тому +1

    I wish I could better understand what is going on with me. They found out I had MDS for years that was masked by me having colitis for years. Some of the same in CBC tests are the same. Then suddenly after my colon was removed I came down with AML. All bone marrow biopsy showed I had MDS that progressed to AML. Lone of the mutations were bad. Chemo bought me all the way to cytogentic remission last Sept. Things went great until an adrenal test when I had to stop anything steroid for 5 full days. I started feeling sick, it didn't do away. In hospital the bone marrow showed my AML back with one catch. I have isolated 20q12. Percentage of bone marrow is 86%. Red cells, platelets, and B cells are low. Everything else is normal. Whites are slightly low but not dangerous. Doctors have never seen this. Nothing is documented. They gave me 6 to 8 weeks to live. Now that is up in the air when CBC just before giving me blood showed my platelets went from 30 to 70, Now the doctor doesn't know what will happen other than it will kill me. blast levels in marrow are 20%. Peripheral bone smear marrow smear show 5%. Blasts in blood 0.5%. Blasts in marrow are atypical with slight left shift. What is the world is this and how long do you think I will have to live.

  • @nour5459
    @nour5459 3 роки тому +1

    Can you please explain the mechanism of Dic in acute leukemia :")

  • @mohamedelfarahaty8100
    @mohamedelfarahaty8100 Рік тому +1

    brilliant

  • @glisteningsky7251
    @glisteningsky7251 2 роки тому

    Every time I study these topics I end with forgetting them all in the early morning hope this time is different

  • @hardik7942
    @hardik7942 5 років тому +1

    If continuous cell division exposes the folate deficiency Anemia than there should B12 deficiency Anemia and Iron deficiency Anemia too right ?? Or is there any other mechanisms in it, plz explain if you know

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому +1

      Sorry, I didn’t understand the question...Can you phrase it in other words, please?

    • @hardik7942
      @hardik7942 5 років тому +1

      @@MedicosisPerfectionalis At 8:17 you were explaining about Lab in Acute lukemia. Due to rapid cell turnover nd continuous cell division, sometimes there can be Folate deficiency causing Macrocytic Anemia......so my question is B12 or Iron deficiency Anemia can also occur right ? Bcuz those things are important in cell division or is there something else causing only folate deficiency Anemia.... hope you got my question 😅

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому +2

      Yes! You’re absolutely correct! B12 deficiency will be the last to appear because the liver store it for years.

    • @hardik7942
      @hardik7942 5 років тому

      @@MedicosisPerfectionalis these things are easy to discuss on paper but in clinical diagnosis it must be hard to determine specific pathology 😐😓😕

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  5 років тому

      Yup

  • @bhaveshgarg8142
    @bhaveshgarg8142 3 роки тому

    when lukemia metastasize into the lymphnodes will it be called lymphoma?

  • @yashvisethia9056
    @yashvisethia9056 Рік тому +1

    You are amazing

  • @pashteen8348
    @pashteen8348 6 років тому +4

    Simplified greatly

  • @PetracharlesAkashi92
    @PetracharlesAkashi92 3 роки тому

    I have a question, why is the WBC count can be low in AML (

  • @BobprestesBR
    @BobprestesBR 4 роки тому +1

    very good video

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  4 роки тому

      Thank you so much 😊
      Can you please help me by sharing?

    • @BobprestesBR
      @BobprestesBR 4 роки тому

      @@MedicosisPerfectionalis i shared your videos to all my classmates !!

  • @birhatyouns2004
    @birhatyouns2004 5 місяців тому

    Legend❤