SlideShare a Scribd company logo
1 of 11
Adeel Khan & Musa Khan

Introduction
A rare but serious
blood condition that
occurs when your
bone marrow
cannot make
enough new blood
cells for your body
to work normally

 Autoimmune disorders+Idiopathic}
 Inherited gene changes (falconi anemia)
 Chemical Toxic substances(pesticides, arsenic and
benzene)
 Radiation and chemotherapy for cancer
 Viral infections such as(epstein-bar virus,hepatitis)
 pregnancy
Causes

No age prediction
Ne gender prediction
Initial symptoms depend upon which blood line
decreases initially which will eventually lead to
pancytopenia.
Fatigue
fever
Weakness
Shortness of breath
Easy bruising or bleeding
Clinical features

Initial diagnosis by complete blood
count
All blood line decrease
Hemoglobin <6
Platelets<30,000
Bone marrow biopsy shows hypo
cellularity <25%
Diagnosis

Stem cell may be altered by any etiological
agent. This provokes an immune response
which activate t-cells to produce cytokines
such as interforen-ꙋ (INF-ꙋ) and TNF that
suppress and kill hematopoietic progenitors
reduced proliferative and differentiative
capacity
Pathogenisis

Pathogenisis

Treatment will be based on how severe the
anemia is and what is causing it
Medicines to reduce your immune
response
Cyclosporine used to suppress T-cells
activity
Blood transfusion
Bone marrow stem cell transplant
treatment

Aplastic anemia may be classified
according to blood cell counts into 3
subgroups:
Moderately severe aplastic anemia or
non severe AA (mSAA)
Severe aplastic anemia (SAA)
Very severe aplastic anemia(vSAA)
classification

There are three possibilities on the basis
of which we classify aplastic anemia
Bone marrow cellularity<25%
Neutrophil count <500
Reticulocyte count <60,000
Platelets count <20,000
Neutrophil count<200
Marrow cellularity

 https://youtu.be/7Xu3nzHhlyg
 https://youtu.be/A-00_iuwFUo
 Hoffbrand’s essential Haematology
Reference

More Related Content

Similar to aplastic anemia.pptx

Hematology subject introduction lecutr.ppt
Hematology subject introduction lecutr.pptHematology subject introduction lecutr.ppt
Hematology subject introduction lecutr.pptOsman551624
 
Aplastic Anemias & Bone Marrow Transplant I by Dr. Sookun Rajeev Kumar
Aplastic Anemias & Bone Marrow Transplant I by Dr. Sookun Rajeev KumarAplastic Anemias & Bone Marrow Transplant I by Dr. Sookun Rajeev Kumar
Aplastic Anemias & Bone Marrow Transplant I by Dr. Sookun Rajeev KumarDr. Sookun Rajeev Kumar
 
Hypoplastic bone marrow syndromes
Hypoplastic bone marrow syndromesHypoplastic bone marrow syndromes
Hypoplastic bone marrow syndromesAhmed Elshebiny
 
BENIGN LEUCOCYTES DISORDERS.ppt.........
BENIGN LEUCOCYTES DISORDERS.ppt.........BENIGN LEUCOCYTES DISORDERS.ppt.........
BENIGN LEUCOCYTES DISORDERS.ppt.........AllanIbnSuma
 
Drug induced hematological disorders
Drug induced hematological disordersDrug induced hematological disorders
Drug induced hematological disordersDr. Jibin Mathew
 
Approach_to_the_diagnosis_and_classification[1].pptx
Approach_to_the_diagnosis_and_classification[1].pptxApproach_to_the_diagnosis_and_classification[1].pptx
Approach_to_the_diagnosis_and_classification[1].pptxAmosiRichard
 
Blood Diseases.ppt
Blood Diseases.pptBlood Diseases.ppt
Blood Diseases.pptShama
 
Septic Shock 2010 Dengzide2
Septic Shock 2010   Dengzide2Septic Shock 2010   Dengzide2
Septic Shock 2010 Dengzide2Sumit Prajapati
 
BM failure syndrome.pptx
BM failure syndrome.pptxBM failure syndrome.pptx
BM failure syndrome.pptxDrmustafa Ali
 
hematology summary; CK lecture notes & step up to medicine
hematology summary; CK lecture notes & step up to medicinehematology summary; CK lecture notes & step up to medicine
hematology summary; CK lecture notes & step up to medicineMays Yousuf
 

Similar to aplastic anemia.pptx (20)

Aplastic anemia
Aplastic anemiaAplastic anemia
Aplastic anemia
 
Aplastic anemia
Aplastic anemiaAplastic anemia
Aplastic anemia
 
Leukocyte disorder
Leukocyte disorderLeukocyte disorder
Leukocyte disorder
 
Shock
Shock Shock
Shock
 
Hematology subject introduction lecutr.ppt
Hematology subject introduction lecutr.pptHematology subject introduction lecutr.ppt
Hematology subject introduction lecutr.ppt
 
Aplastic Anemias & Bone Marrow Transplant I by Dr. Sookun Rajeev Kumar
Aplastic Anemias & Bone Marrow Transplant I by Dr. Sookun Rajeev KumarAplastic Anemias & Bone Marrow Transplant I by Dr. Sookun Rajeev Kumar
Aplastic Anemias & Bone Marrow Transplant I by Dr. Sookun Rajeev Kumar
 
Aplastic anemia
Aplastic anemiaAplastic anemia
Aplastic anemia
 
Hypoplastic bone marrow syndromes
Hypoplastic bone marrow syndromesHypoplastic bone marrow syndromes
Hypoplastic bone marrow syndromes
 
BENIGN LEUCOCYTES DISORDERS.ppt.........
BENIGN LEUCOCYTES DISORDERS.ppt.........BENIGN LEUCOCYTES DISORDERS.ppt.........
BENIGN LEUCOCYTES DISORDERS.ppt.........
 
Drug induced hematological disorders
Drug induced hematological disordersDrug induced hematological disorders
Drug induced hematological disorders
 
Approach_to_the_diagnosis_and_classification[1].pptx
Approach_to_the_diagnosis_and_classification[1].pptxApproach_to_the_diagnosis_and_classification[1].pptx
Approach_to_the_diagnosis_and_classification[1].pptx
 
Blood Diseases.ppt
Blood Diseases.pptBlood Diseases.ppt
Blood Diseases.ppt
 
Septic shock.pptx
Septic shock.pptxSeptic shock.pptx
Septic shock.pptx
 
Septic Shock 2010 Dengzide2
Septic Shock 2010   Dengzide2Septic Shock 2010   Dengzide2
Septic Shock 2010 Dengzide2
 
BM failure syndrome.pptx
BM failure syndrome.pptxBM failure syndrome.pptx
BM failure syndrome.pptx
 
Idiopathic Thrombocytopenic Purpura
Idiopathic Thrombocytopenic PurpuraIdiopathic Thrombocytopenic Purpura
Idiopathic Thrombocytopenic Purpura
 
Approach to anaemia
Approach to anaemiaApproach to anaemia
Approach to anaemia
 
SHOCK 12
 SHOCK 12 SHOCK 12
SHOCK 12
 
Leukemia
LeukemiaLeukemia
Leukemia
 
hematology summary; CK lecture notes & step up to medicine
hematology summary; CK lecture notes & step up to medicinehematology summary; CK lecture notes & step up to medicine
hematology summary; CK lecture notes & step up to medicine
 

More from MKashif39

first aid (5).pptx
first aid (5).pptxfirst aid (5).pptx
first aid (5).pptxMKashif39
 
DRUGS OF HYPERLIPIDEMIA.pptx
DRUGS OF HYPERLIPIDEMIA.pptxDRUGS OF HYPERLIPIDEMIA.pptx
DRUGS OF HYPERLIPIDEMIA.pptxMKashif39
 
angina & antianginal drugs.pptx
angina & antianginal drugs.pptxangina & antianginal drugs.pptx
angina & antianginal drugs.pptxMKashif39
 
Cardio pulmonary resuscitation (CPR).pptx
Cardio pulmonary resuscitation (CPR).pptxCardio pulmonary resuscitation (CPR).pptx
Cardio pulmonary resuscitation (CPR).pptxMKashif39
 
Blood Tests.pdf
Blood Tests.pdfBlood Tests.pdf
Blood Tests.pdfMKashif39
 
Presentation (14).pptx
Presentation (14).pptxPresentation (14).pptx
Presentation (14).pptxMKashif39
 
polygenic inheritance.pptx
polygenic inheritance.pptxpolygenic inheritance.pptx
polygenic inheritance.pptxMKashif39
 
Anti Coagulants.pptx
Anti Coagulants.pptxAnti Coagulants.pptx
Anti Coagulants.pptxMKashif39
 
Presentation (2).pptx
Presentation (2).pptxPresentation (2).pptx
Presentation (2).pptxMKashif39
 
Presentation1-1.pptx
Presentation1-1.pptxPresentation1-1.pptx
Presentation1-1.pptxMKashif39
 
anatomy and physiology.pptx
anatomy and physiology.pptxanatomy and physiology.pptx
anatomy and physiology.pptxMKashif39
 
Thalassemia _082309.pptx
Thalassemia _082309.pptxThalassemia _082309.pptx
Thalassemia _082309.pptxMKashif39
 
Translation.pptx
Translation.pptxTranslation.pptx
Translation.pptxMKashif39
 
isch_infarct2003.pdf
isch_infarct2003.pdfisch_infarct2003.pdf
isch_infarct2003.pdfMKashif39
 
Clinical Presentation Of Megaloblastic Anemia.pptx
Clinical Presentation Of Megaloblastic Anemia.pptxClinical Presentation Of Megaloblastic Anemia.pptx
Clinical Presentation Of Megaloblastic Anemia.pptxMKashif39
 
Pharmacology of Respiratory System.pptx
Pharmacology of Respiratory System.pptxPharmacology of Respiratory System.pptx
Pharmacology of Respiratory System.pptxMKashif39
 
lipid_metabolism.ppt
lipid_metabolism.pptlipid_metabolism.ppt
lipid_metabolism.pptMKashif39
 
Embolism & Hemorrhage.pptx
Embolism & Hemorrhage.pptxEmbolism & Hemorrhage.pptx
Embolism & Hemorrhage.pptxMKashif39
 
INFLAMMATION.pptx
INFLAMMATION.pptxINFLAMMATION.pptx
INFLAMMATION.pptxMKashif39
 

More from MKashif39 (20)

first aid (5).pptx
first aid (5).pptxfirst aid (5).pptx
first aid (5).pptx
 
DRUGS OF HYPERLIPIDEMIA.pptx
DRUGS OF HYPERLIPIDEMIA.pptxDRUGS OF HYPERLIPIDEMIA.pptx
DRUGS OF HYPERLIPIDEMIA.pptx
 
angina & antianginal drugs.pptx
angina & antianginal drugs.pptxangina & antianginal drugs.pptx
angina & antianginal drugs.pptx
 
Cardio pulmonary resuscitation (CPR).pptx
Cardio pulmonary resuscitation (CPR).pptxCardio pulmonary resuscitation (CPR).pptx
Cardio pulmonary resuscitation (CPR).pptx
 
Blood Tests.pdf
Blood Tests.pdfBlood Tests.pdf
Blood Tests.pdf
 
Presentation (14).pptx
Presentation (14).pptxPresentation (14).pptx
Presentation (14).pptx
 
polygenic inheritance.pptx
polygenic inheritance.pptxpolygenic inheritance.pptx
polygenic inheritance.pptx
 
Anti Coagulants.pptx
Anti Coagulants.pptxAnti Coagulants.pptx
Anti Coagulants.pptx
 
Presentation (2).pptx
Presentation (2).pptxPresentation (2).pptx
Presentation (2).pptx
 
Presentation1-1.pptx
Presentation1-1.pptxPresentation1-1.pptx
Presentation1-1.pptx
 
anatomy and physiology.pptx
anatomy and physiology.pptxanatomy and physiology.pptx
anatomy and physiology.pptx
 
Thalassemia _082309.pptx
Thalassemia _082309.pptxThalassemia _082309.pptx
Thalassemia _082309.pptx
 
Translation.pptx
Translation.pptxTranslation.pptx
Translation.pptx
 
isch_infarct2003.pdf
isch_infarct2003.pdfisch_infarct2003.pdf
isch_infarct2003.pdf
 
Clinical Presentation Of Megaloblastic Anemia.pptx
Clinical Presentation Of Megaloblastic Anemia.pptxClinical Presentation Of Megaloblastic Anemia.pptx
Clinical Presentation Of Megaloblastic Anemia.pptx
 
Pharmacology of Respiratory System.pptx
Pharmacology of Respiratory System.pptxPharmacology of Respiratory System.pptx
Pharmacology of Respiratory System.pptx
 
lipid_metabolism.ppt
lipid_metabolism.pptlipid_metabolism.ppt
lipid_metabolism.ppt
 
Embolism & Hemorrhage.pptx
Embolism & Hemorrhage.pptxEmbolism & Hemorrhage.pptx
Embolism & Hemorrhage.pptx
 
INFLAMMATION.pptx
INFLAMMATION.pptxINFLAMMATION.pptx
INFLAMMATION.pptx
 
akash.pptx
akash.pptxakash.pptx
akash.pptx
 

Recently uploaded

Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfAdmir Softic
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17Celine George
 
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptxExploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptxPooja Bhuva
 
HMCS Vancouver Pre-Deployment Brief - May 2024 (Web Version).pptx
HMCS Vancouver Pre-Deployment Brief - May 2024 (Web Version).pptxHMCS Vancouver Pre-Deployment Brief - May 2024 (Web Version).pptx
HMCS Vancouver Pre-Deployment Brief - May 2024 (Web Version).pptxmarlenawright1
 
On_Translating_a_Tamil_Poem_by_A_K_Ramanujan.pptx
On_Translating_a_Tamil_Poem_by_A_K_Ramanujan.pptxOn_Translating_a_Tamil_Poem_by_A_K_Ramanujan.pptx
On_Translating_a_Tamil_Poem_by_A_K_Ramanujan.pptxPooja Bhuva
 
Towards a code of practice for AI in AT.pptx
Towards a code of practice for AI in AT.pptxTowards a code of practice for AI in AT.pptx
Towards a code of practice for AI in AT.pptxJisc
 
Single or Multiple melodic lines structure
Single or Multiple melodic lines structureSingle or Multiple melodic lines structure
Single or Multiple melodic lines structuredhanjurrannsibayan2
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxRamakrishna Reddy Bijjam
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxAreebaZafar22
 
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptxMaritesTamaniVerdade
 
SOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning PresentationSOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning Presentationcamerronhm
 
FSB Advising Checklist - Orientation 2024
FSB Advising Checklist - Orientation 2024FSB Advising Checklist - Orientation 2024
FSB Advising Checklist - Orientation 2024Elizabeth Walsh
 
ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.MaryamAhmad92
 
Interdisciplinary_Insights_Data_Collection_Methods.pptx
Interdisciplinary_Insights_Data_Collection_Methods.pptxInterdisciplinary_Insights_Data_Collection_Methods.pptx
Interdisciplinary_Insights_Data_Collection_Methods.pptxPooja Bhuva
 
Wellbeing inclusion and digital dystopias.pptx
Wellbeing inclusion and digital dystopias.pptxWellbeing inclusion and digital dystopias.pptx
Wellbeing inclusion and digital dystopias.pptxJisc
 
How to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptxHow to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptxCeline George
 
Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and ModificationsMJDuyan
 
Graduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - EnglishGraduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - Englishneillewis46
 
REMIFENTANIL: An Ultra short acting opioid.pptx
REMIFENTANIL: An Ultra short acting opioid.pptxREMIFENTANIL: An Ultra short acting opioid.pptx
REMIFENTANIL: An Ultra short acting opioid.pptxDr. Ravikiran H M Gowda
 
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptx
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptxHMCS Max Bernays Pre-Deployment Brief (May 2024).pptx
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptxEsquimalt MFRC
 

Recently uploaded (20)

Key note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdfKey note speaker Neum_Admir Softic_ENG.pdf
Key note speaker Neum_Admir Softic_ENG.pdf
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17
 
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptxExploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
Exploring_the_Narrative_Style_of_Amitav_Ghoshs_Gun_Island.pptx
 
HMCS Vancouver Pre-Deployment Brief - May 2024 (Web Version).pptx
HMCS Vancouver Pre-Deployment Brief - May 2024 (Web Version).pptxHMCS Vancouver Pre-Deployment Brief - May 2024 (Web Version).pptx
HMCS Vancouver Pre-Deployment Brief - May 2024 (Web Version).pptx
 
On_Translating_a_Tamil_Poem_by_A_K_Ramanujan.pptx
On_Translating_a_Tamil_Poem_by_A_K_Ramanujan.pptxOn_Translating_a_Tamil_Poem_by_A_K_Ramanujan.pptx
On_Translating_a_Tamil_Poem_by_A_K_Ramanujan.pptx
 
Towards a code of practice for AI in AT.pptx
Towards a code of practice for AI in AT.pptxTowards a code of practice for AI in AT.pptx
Towards a code of practice for AI in AT.pptx
 
Single or Multiple melodic lines structure
Single or Multiple melodic lines structureSingle or Multiple melodic lines structure
Single or Multiple melodic lines structure
 
Python Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docxPython Notes for mca i year students osmania university.docx
Python Notes for mca i year students osmania university.docx
 
ICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptxICT Role in 21st Century Education & its Challenges.pptx
ICT Role in 21st Century Education & its Challenges.pptx
 
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
2024-NATIONAL-LEARNING-CAMP-AND-OTHER.pptx
 
SOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning PresentationSOC 101 Demonstration of Learning Presentation
SOC 101 Demonstration of Learning Presentation
 
FSB Advising Checklist - Orientation 2024
FSB Advising Checklist - Orientation 2024FSB Advising Checklist - Orientation 2024
FSB Advising Checklist - Orientation 2024
 
ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.
 
Interdisciplinary_Insights_Data_Collection_Methods.pptx
Interdisciplinary_Insights_Data_Collection_Methods.pptxInterdisciplinary_Insights_Data_Collection_Methods.pptx
Interdisciplinary_Insights_Data_Collection_Methods.pptx
 
Wellbeing inclusion and digital dystopias.pptx
Wellbeing inclusion and digital dystopias.pptxWellbeing inclusion and digital dystopias.pptx
Wellbeing inclusion and digital dystopias.pptx
 
How to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptxHow to setup Pycharm environment for Odoo 17.pptx
How to setup Pycharm environment for Odoo 17.pptx
 
Understanding Accommodations and Modifications
Understanding  Accommodations and ModificationsUnderstanding  Accommodations and Modifications
Understanding Accommodations and Modifications
 
Graduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - EnglishGraduate Outcomes Presentation Slides - English
Graduate Outcomes Presentation Slides - English
 
REMIFENTANIL: An Ultra short acting opioid.pptx
REMIFENTANIL: An Ultra short acting opioid.pptxREMIFENTANIL: An Ultra short acting opioid.pptx
REMIFENTANIL: An Ultra short acting opioid.pptx
 
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptx
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptxHMCS Max Bernays Pre-Deployment Brief (May 2024).pptx
HMCS Max Bernays Pre-Deployment Brief (May 2024).pptx
 

aplastic anemia.pptx

  • 1. Adeel Khan & Musa Khan
  • 2.  Introduction A rare but serious blood condition that occurs when your bone marrow cannot make enough new blood cells for your body to work normally
  • 3.   Autoimmune disorders+Idiopathic}  Inherited gene changes (falconi anemia)  Chemical Toxic substances(pesticides, arsenic and benzene)  Radiation and chemotherapy for cancer  Viral infections such as(epstein-bar virus,hepatitis)  pregnancy Causes
  • 4.  No age prediction Ne gender prediction Initial symptoms depend upon which blood line decreases initially which will eventually lead to pancytopenia. Fatigue fever Weakness Shortness of breath Easy bruising or bleeding Clinical features
  • 5.  Initial diagnosis by complete blood count All blood line decrease Hemoglobin <6 Platelets<30,000 Bone marrow biopsy shows hypo cellularity <25% Diagnosis
  • 6.  Stem cell may be altered by any etiological agent. This provokes an immune response which activate t-cells to produce cytokines such as interforen-ꙋ (INF-ꙋ) and TNF that suppress and kill hematopoietic progenitors reduced proliferative and differentiative capacity Pathogenisis
  • 8.  Treatment will be based on how severe the anemia is and what is causing it Medicines to reduce your immune response Cyclosporine used to suppress T-cells activity Blood transfusion Bone marrow stem cell transplant treatment
  • 9.  Aplastic anemia may be classified according to blood cell counts into 3 subgroups: Moderately severe aplastic anemia or non severe AA (mSAA) Severe aplastic anemia (SAA) Very severe aplastic anemia(vSAA) classification
  • 10.  There are three possibilities on the basis of which we classify aplastic anemia Bone marrow cellularity<25% Neutrophil count <500 Reticulocyte count <60,000 Platelets count <20,000 Neutrophil count<200 Marrow cellularity
  • 11.   https://youtu.be/7Xu3nzHhlyg  https://youtu.be/A-00_iuwFUo  Hoffbrand’s essential Haematology Reference