A 73yo male presents with enlarged cervical nodes

A 73yo male presents with enlarged cervical nodes. He has had recurrent infections over the last
year. His conjunctiva is pale. Choose the single cell type you will find on the blood film.
a. Granulocyte without blast cells
b. Myelofibroblasts
c. Plasma cells
d. Mature lymphocytes
Q. 1. What is the key?
Q. 2. What is the diagnosis?
Q. 3. What are the points in favour of your diagnosis?
Ans. 1. The key is D. Mature lymphocytes.
Ans. 2. The diagnosis is CLL.
Ans. 3. It is CLL because of his age (73 yrs), cervical lymphadenpathy, recurrent infections (mature but
functionally defective lymphocytes), and pale conjunctiva (anaemia).

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