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Chamberlain University College of Nursing, NR 565,Week 2 Case Study Analysis_Nwaugo,

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WEEK2 CASE STUDY ANALYSIS ON ACUTE MYELOID LEUKEMIA




Week 2 Case Study Analysis




Uchenna Patrick Nwaugo

Walden University

NURS 6501N Advanced Pathophysiology

December 8, 2024




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, WEEK2 CASE STUDY ANALYSIS ON ACUTE MYELOID LEUKEMIA


Week 2 Case Study Analysis on Acute Myeloid Leukemia

Acute Myeloid Leukemia (AML) is a complex hematologic malignancy characterized by

the uncontrolled proliferation of myeloid progenitor cells (Antar et al.,2020). This disease

predominantly affects older adults but can occur in younger individuals as well. According to

Fleischmann et al (2021), most patients often present with symptoms such as fatigue, bleeding,

and increased susceptibility to infections, which arise due to the disruption of normal blood cell

production by leukemic blasts. The following case study of a 45-year-old male highlights

common clinical features and laboratory findings associated with AML, including the presence

of specific genetic mutations that impact prognosis and treatment strategies. This analysis

explores key aspects such as the cellular abnormalities present in AML, the role of genetic

mutations, and their contributions to clinical symptoms and treatment approaches.

Primary Cell Abnormality in Acute Myeloid Leukemia

The hallmark of AML is the clonal expansion of myeloid progenitor cells that fail to

mature into functional blood cells. This results in the accumulation of immature myeloid cells,

known as leukemic blasts, in the bone marrow and blood. According to the World Health

Organization (WHO), a diagnosis of AML necessitates the presence of at least 20% myeloblasts

in the bone marrow (Nix & Price, 2019). In the presented case, a bone marrow biopsy revealed

hypercellularity with 70% myeloblasts, confirming the diagnosis. Recent advancements in

genomic analysis have identified various subtypes of AML, each associated with distinct genetic

and cytogenetic abnormalities that influence clinical outcomes (Nix & Price, 2019).). Notably,

mutations such as FLT3-ITD are linked to a more aggressive disease course, underscoring the

importance of genetic profiling in AML management.




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