Saturday, July 27, 2019

Describe how you would distinguish between the chronic forms of Essay

Describe how you would distinguish between the chronic forms of leukemia. The answer should include difference in presenting features of the patient, the prognosis and treatment - Essay Example Thus, four main types of leukemia emerged and include: acute and chronic myeloid leukemia (AML and CML) and acute and chronic lymphocytic leukemia (ALL and CLL) (Ruddon, 2007, p. 75). The chronic forms of leukemia (CML and CLL) will be the focused of the paper. A gradual onset, a prolonged clinical course, and relatively long survival distinguished chronic leukemia from acute leukemia. The two types of chronic leukemia vary in terms of prevalence, presentation, treatment and prognosis. Chronic myeloid leukemia typically developed among men ages 40 and 50 while chronic lymphocytic leukemia rarely strikes before age 45 but most of the victims are over age 65 (Daniels and Nicoll, 2012, p. 771). Presenting features of patients with chronic myeloid leukemia varies. Majority of patients are asymptomatic, however, CBC can detect leukocyte counts of more than 100,000/ mm3 and patients may experience shortness of breath, slight confusion, and enlargement and tenderness of liver and spleen (Day, Paul and Williams, 2009, p. 1005). Lymphadenopathy is rare in CML and patients develop more symptoms (malaise, anorexia, and weight loss) and complications as the disease progresses. Meanwhile, patients with chronic lymphocytic leukemia present features of lymphadenopathy, elevated lymphocyte counts, fatigue, infection, experience of anxiety and lower quality of life, and social isolation (Daniels and Nicoll, 2012, p. 771). Available treatments for treating chronic myeloid and lymphocytic leukemia also vary. According to Rosdahl and Kowalski (2008), treatment of chronic lymphocytic leukemia includes observation, chemotherapy, multi-drug chemotherapies, and bone marrow transplant (p. 1050). Oncologists observe the patients for signs and symptoms of the disease prior to the initiation of treatment. Once necessity for treatment is determined, patient will receive chemotherapy or monoclonal antibody but this will not cure the disease. Patient may also receive radiation therapy in

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