Leukocytosis Case Study: Lab Interpretation for Nurse Practitioners 

These lab videos with case studies are amazing! I am 3/4 through NP school and these videos are the best resource I have found. I feel like I am so ahead of the game now, thank you!

I have limited experience with heme/onc so I very much appreciate your step/step analysis. Your video content and delivery is great! Would you be able to do one on renal disease? Ie when to refer, what to do/look for with rising bun/cr, analyzing microalbumin, etc. Appreciate you for time, expertise and love for new grads!!

Hello, I work in a Heme/Onc group and see all new Heme patients. Thank you so much for this video. I love nursing as we learn something new everyday. I have cheat sheets for new heme patients.. Leukocytosis workups for me include the four S's...Smoker? Steroids? Severe Stress? Of course any recent infection? (if >3 infections per season, I check an IgG with subclasses to r/o hypogammaglobulinemia). Also iron deficiency can cause mildly elevated WBC this so we check iron panel and ferritin. If any lymphocytes are present on the diff (#, not %) then my doc prefers FLOW cytometry + BCR-ABL. If WBC high with high platelets, then he wants a JAK2 mutation drawn (even if knowledge of asplenia). I also ask the "fever, chills, weakness, weight loss, loss of appetite or drenching night sweats (which happens with lymphomas, so add an LDH to the pile). If it appears to be a mild cause, chronic smoker etc...establish a trend of CBC monthly x 3 and order a smear as well. Our hospital asks for smear first before any FLOW or BCR-ABL for financial queries but the smear can lead directionally if pathology sees blasts or anything else that's crazy. No need to order a smear though if you are ordering a FLOW because it is redundant. Just my two cents to help add info!

That was great presentation! Thank you

Very helpful! I have a pretty good relationship with local heme/onc but tbh I have had conversations even with the RN's that work there. I work in a collaborative state and my collab physician is quick to refer. Of course I have done that in appropriate situations but have never before ordered flow cytometry. It seems obvious this could save some times when patients gets over to heme/oncology so I'll definitely consider this test in the future. Thanks for your lead on this!

PNP here. Thanks for the review. Very helpful and clear.

Thank you so much! Very clear presentation. This really helps me understand my lab results better.

You’re a god-send! Thank you for these videos :)

Thank you so much for this video. I'm currently an RN, and I'm thinking about pursing the NP field. Videos like this help me a ton because I'm able to see indirectly what you guys deal with on a daily basis. This helps me understand do I like this kind of problem solving, and if its something I want to pursue in the long term. Could you possible make a video about why you wanted to become an NP?

Thank you for the information! Question, can excessive Cold Plunges (3 days/week @ 6 minutes per plunge) cause elevated WBC? How about Sauna's (4 days/week @ 20 minutes per sauna)?

Great video! Thx for sharing

Thank you for this.

Great information, and very informative. Thank you for providing this. Would it be possible to speak slower? Some of the information is review, some of it is new information. Thank you!

Do kidney stones elevate lymphocytes? I read something like that and didn't understand how that would happen.

Thanks great information

Thank you!

What is your opinion of high WBC and RBC both with immature cells?

Low white blood cells i have would you explain this to me

Could something like Rheumatoid arthritis affect wbc's, specifically ( Lymphocytes)? Currently seeing a Hematologist and he even seems perplexed with the causation.

My lymphocytes level is 3.8 now and 20 days ago 2.6 plz tell me dr is normal

Can dental issues cause elevated wbc?

I had a UTI in my first month of pregnancy I took antibiotics and thought it was gone my first tests showed high neutrophils and low lymphocytes during the uti , 3 months later at 18 weeks pregnant I did another round of testing and now it show high white blood cell count but no infection the doctor kind of scared me and now I’m in panic mode not sure what is happening . Is it dangerous ?

mam my wbc 11.35 any problem please reply me

I need to slow down playback speed