Acute Leukemia - ALL and AML - Hematology and Oncology Series

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  • čas přidán 18. 06. 2018
  • Acute Leukemia - Acute Lymphoblastic Leukemia (ALL) and Acute Myeloid Leukemia (AML) - Cancer (malignant neoplasm) of the bone marrow and the blood - Hematology and Oncology Series. Bone marrow biopsy (bone marrow aspiration) -Chemotherapy, Radiation therapy, Bone marrow transplant.
    📝Notes: www.medicosisperfectionalis.com/
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Komentáře • 257

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  Před 2 lety +4

    📝 Download Notes: www.medicosisperfectionalis.com/

    • @user-rv9xw8sk1g
      @user-rv9xw8sk1g Před rokem +1

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

    • @abinet060
      @abinet060 Před 6 měsíci

      amazing

  • @abrahammatar1671
    @abrahammatar1671 Před 4 lety +121

    You are changing the history of medicine, dude!

  • @cello9877
    @cello9877 Před 3 lety +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!

  • @matsblindheim6039
    @matsblindheim6039 Před rokem +5

    Love the dry humor and super casual attitude

  • @AA-vh1vr
    @AA-vh1vr Před rokem +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 Před 5 lety +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 Před 2 lety +7

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

  • @martinez9643
    @martinez9643 Před 3 lety +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 Před rokem +4

      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

  • @rajkanyapatil5097
    @rajkanyapatil5097 Před 3 měsíci

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

  • @shahdismailalqatu9711
    @shahdismailalqatu9711 Před 5 lety +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 .

  • @baslksa6
    @baslksa6 Před 5 lety +8

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

  • @AdianA-jv4ix
    @AdianA-jv4ix Před 4 měsíci +1

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

  • @Nour-uo1tb
    @Nour-uo1tb Před 3 lety +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.

  • @MedicosisPerfectionalis
    @MedicosisPerfectionalis  Před 5 lety +9

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

  • @LS-hb2ze
    @LS-hb2ze Před 5 lety +2

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

  • @MedicosisPerfectionalis

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

  • @benzaboyplayz7296
    @benzaboyplayz7296 Před 3 lety +16

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

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 3 lety +1

      Thank you!
      I wish you a speedy recovery!

    • @redactedpizza2278
      @redactedpizza2278 Před 2 lety +2

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

    • @hiimdominic3780
      @hiimdominic3780 Před 2 lety +2

      You got this. What hospital are you going to?

    • @leoniegray6404
      @leoniegray6404 Před 2 lety

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

    • @nsudatta-roy8154
      @nsudatta-roy8154 Před rokem

      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.

  • @HeshamAhmedEtBrigade
    @HeshamAhmedEtBrigade Před 4 měsíci +2

    Even after 5 years you are my teacher thank you

  • @Ivedivealive
    @Ivedivealive Před 2 lety +1

    thank you for this thorough video! excellent visuals!

  • @garwingchan3053
    @garwingchan3053 Před 3 lety

    Thank you for your very good presentation.

  • @viper3636dr
    @viper3636dr Před 4 lety +1

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

  • @samet3359
    @samet3359 Před 8 měsíci

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

  • @fatemaatia4385
    @fatemaatia4385 Před 5 lety +1

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

  • @malakalotaifi1681
    @malakalotaifi1681 Před 4 lety +2

    Thanks a lot for making my life easier!

  • @Ra-ko1yo
    @Ra-ko1yo Před 2 lety +2

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

  • @angelebeh3036
    @angelebeh3036 Před 3 lety +13

    "Crazy, useless, immature cancer cells" 😂

  • @simpenny8142
    @simpenny8142 Před 3 lety +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??

  • @MuWiStudio
    @MuWiStudio Před rokem +1

    I honestly like the way you make life easier

  • @cerenfenerci2788
    @cerenfenerci2788 Před 3 lety +2

    BEST explanation ever! Thank you so much!

  • @muhammadaarif9894
    @muhammadaarif9894 Před rokem +1

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

  • @mayzingasmr3145
    @mayzingasmr3145 Před 2 lety

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

  • @malazsaadkambal3988
    @malazsaadkambal3988 Před 2 lety +2

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

  • @user-sm9tg4rc1n
    @user-sm9tg4rc1n Před 3 lety

    Thank you so much for these videos!

  • @rawyaretha9448
    @rawyaretha9448 Před 5 lety +3

    Thank you for make it so simple

  • @user-yl6cy1fp3k
    @user-yl6cy1fp3k Před 5 měsíci +1

    youre the best teacher ever!!!

  • @mariaestrellitagonzales-me9798

    THANK YOU 🙏 MORE POWER❣️GOOD LUCK 🍀

  • @diwasdiwas9790
    @diwasdiwas9790 Před 5 lety +1

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

  • @stephaniepresley6581
    @stephaniepresley6581 Před 4 lety +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

  • @ulfatgul868
    @ulfatgul868 Před 3 lety

    Amazing explanation👌thank you so much

  • @shimom5724
    @shimom5724 Před 4 lety +1

    Your videos are fantastic, thanks 💜

  • @97footballplayer
    @97footballplayer Před 9 měsíci

    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?

  • @amiraelsayed84
    @amiraelsayed84 Před 3 lety +1

    What an amazing effort..👏👏

  • @abishek485
    @abishek485 Před 4 lety +2

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

  • @way2happiness400
    @way2happiness400 Před 2 lety

    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.

  • @nooneoneno5387
    @nooneoneno5387 Před 4 lety +3

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

  • @afiqdanial2838
    @afiqdanial2838 Před 4 lety

    best explaination so far

  • @gemmarium4337
    @gemmarium4337 Před 3 lety +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 Před 2 lety

      Was it caught late?

    • @gemmarium4337
      @gemmarium4337 Před 2 lety

      @@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.

  • @yuiyui3331
    @yuiyui3331 Před 10 měsíci +2

    You know what is attractive, its your voice😁😁

  • @kadyalthunayan4264
    @kadyalthunayan4264 Před 2 lety +2

    Thank you very much doctor

  • @marcusgoh8491
    @marcusgoh8491 Před 5 lety +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 Před 3 lety

      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.

  • @shackblack2903
    @shackblack2903 Před 2 lety

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

  • @ahmedrahman7019
    @ahmedrahman7019 Před 5 lety +21

    you're the best keep going🔥🔥🔥🔥

  • @user-we8rb3rf4g
    @user-we8rb3rf4g Před 5 lety +3

    you are great thank u so much

  • @maryfawzi6308
    @maryfawzi6308 Před 5 lety +2

    That was so helpful

  • @amineaboutalib
    @amineaboutalib Před 3 lety

    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?

  • @ayass2598
    @ayass2598 Před 5 lety +1

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

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 5 lety +8

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

  • @hral-aeen4206
    @hral-aeen4206 Před 4 lety +1

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

  • @necipfazlay4059
    @necipfazlay4059 Před rokem

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

  • @Innerdiamond
    @Innerdiamond Před 3 lety

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

  • @drpsyco6584
    @drpsyco6584 Před rokem

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

  • @sunjokong6323
    @sunjokong6323 Před rokem +1

    You are awesome🥺. Thank you so much

  • @MD946
    @MD946 Před 3 lety +1

    informative video. Loved it

  • @ahmedaliisak1657
    @ahmedaliisak1657 Před 3 lety +4

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

  • @abdulraheemyounas6940
    @abdulraheemyounas6940 Před 5 lety +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

  • @raveenakandera3699
    @raveenakandera3699 Před 11 měsíci +2

    Very nice explanation ....

  • @mahiehussein
    @mahiehussein Před 4 lety +1

    Thanks!

  • @dewiarianna
    @dewiarianna Před 5 lety +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  Před 5 lety +4

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

  • @MrNaal5
    @MrNaal5 Před 2 lety

    This was really good

  • @sobster123
    @sobster123 Před 3 lety

    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!

  • @basilsheikhahmad1499
    @basilsheikhahmad1499 Před rokem

    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

  • @user-hf4sr5jr2d
    @user-hf4sr5jr2d Před 3 lety

    awesomeeee explanation

  • @user-vn8ro9iz5x
    @user-vn8ro9iz5x Před 3 lety

    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  Před 3 lety +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 Před 3 lety +1

      @@MedicosisPerfectionalis perfect this makes sense thank you !!

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 3 lety

      My pleasure 😇

  • @bibeksharma1767
    @bibeksharma1767 Před 3 lety

    can AML spread to lymph node and cause lymphadenopathy?

  • @doctorv851
    @doctorv851 Před 5 lety +1

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

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 5 lety +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.

  • @akmaliafatimah6557
    @akmaliafatimah6557 Před 4 měsíci

    thank youuu so much

  • @gaurabjungkc6545
    @gaurabjungkc6545 Před 3 lety

    Amazing!

  • @ahmadaljazeeri9287
    @ahmadaljazeeri9287 Před 3 lety +1

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

  • @sara-we9ut
    @sara-we9ut Před 4 lety +2

    Your absolutely the best I like ur videossss

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 4 lety +1

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

    • @sara-we9ut
      @sara-we9ut Před 4 lety +1

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

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 4 lety

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

  • @areejzedan5034
    @areejzedan5034 Před 3 lety +1

    you are the best,,, keep going

  • @Sevendandra
    @Sevendandra Před 5 lety +1

    The auer rods in AML are in the cytoplasm right?

  • @mathelasmr6528
    @mathelasmr6528 Před 3 lety

    Bro do a picture lecture of aml classification I got confused

  • @norahalharbi7134
    @norahalharbi7134 Před 4 lety +1

    Excellent

  • @umutk6339
    @umutk6339 Před 3 lety +3

    I'M DRINKING LEMONADE

  • @simajameeljameel5011
    @simajameeljameel5011 Před 3 lety

    Thank you 👌👍

  • @PoojaSingh-id2ic
    @PoojaSingh-id2ic Před rokem +2

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

  • @rukiee.b.ovwigho5709
    @rukiee.b.ovwigho5709 Před 2 lety

    Medicosis perfectionalis. 👏👏👏❤️❤️❤️❤️❤️

  • @bbaker904baker7
    @bbaker904baker7 Před 3 lety +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 Před 3 lety +1

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

  • @samarmohameed5557
    @samarmohameed5557 Před 3 lety

    ThanQ man ,l luv u💜

  • @lindatalal9938
    @lindatalal9938 Před 5 lety +1

    Amazing 👍

  • @emmanmudassar2063
    @emmanmudassar2063 Před 5 měsíci +1

    Very helpfull👌

  • @hardik7942
    @hardik7942 Před 5 lety +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  Před 5 lety +1

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

    • @hardik7942
      @hardik7942 Před 5 lety +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  Před 5 lety +2

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

    • @hardik7942
      @hardik7942 Před 5 lety

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

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 5 lety

      Yup

  • @pashteen8348
    @pashteen8348 Před 6 lety +4

    Simplified greatly

  • @mohamedelfarahaty8100
    @mohamedelfarahaty8100 Před rokem +1

    brilliant

  • @PetracharlesAkashi92
    @PetracharlesAkashi92 Před 4 lety

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

  • @glisteningsky7251
    @glisteningsky7251 Před 2 lety

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

  • @suryakantdongre3969
    @suryakantdongre3969 Před 3 lety

    Best study

  • @bhaveshgarg8142
    @bhaveshgarg8142 Před 3 lety

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

  • @yashvisethia9056
    @yashvisethia9056 Před rokem +1

    You are amazing

  • @BobprestesBR
    @BobprestesBR Před 4 lety +1

    very good video

    • @MedicosisPerfectionalis
      @MedicosisPerfectionalis  Před 4 lety

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

    • @BobprestesBR
      @BobprestesBR Před 4 lety

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