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Leukopenia

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Neutrophils are the most numerous of the WBCs (at least they are supposed to

be) -- here are some reasons for an increase and decrease of neutrophils.

How is her differential?

Neutrophils are increased by:

Infections: osteomyelitis. otitis media, salpingitis, septicemia, gonorrhea,

endocarditis, smallpox, chickenpox, herpes,Rocky Mountain spotted fever

Ischemic necrosis due to myocardial infarction, burns, or cancer

Metabolic disorders: diabetic acidosis, eclampsia, uremia, thyrotoxicosis

Stress response due to acute hemorrhage, surgery, excessive exercise,

emotional distress, third trimester of pregnancy, or childbirth

Inflammatory diseases: rheumatic fever, rheumatoid arthritis, acute gout,

vasculitis, myositis

NEUTROPHILS ARE DECREASED BY:

Bone marrow depression due to radiation or cytotoxic drugs

Infections: Typhoid, tularemia, brucellosis, hepatitis, influenza, measles,

mumps, rubella, infectious mononucleosis

Hyper splenism: hepatic disease and storage diseases

Collagen vascular diseases, such as systemic lupus erythematosus

Deficiency of folic acid or Vitamin B12

~Pattie~

" It is easy to take liberty for granted when you have never had it taken

from you. " ~ Dick Cheney

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