Here is a quick mnemonic/memory aid to remember everything about Neutropenia
Causes of Neutropenia:
Triggers for Neutropenia:
- Mnemonic: “BIRD”
- B – Bacterial infections
- I – Idiopathic causes
- R – Radiation therapy
- D – Drug-induced (antibiotics, antipsychotics)
Risk Factors For Neutropenia:
- Mnemonic: “FISH”
- F – Family history of neutropenia
- I – Immunosuppressive therapy
- S – Splenomegaly
- H – Hematologic malignancies
Warning Signs of Neutropenia:
- Mnemonic: “OWL”
- O – Oral ulcers
- W – Wounds not healing
- L – Low-grade fever
Predisposing Factors of Neutropenia:
- Mnemonic: “RABBIT”
- R – Rheumatoid arthritis
- A – Aplastic anemia
- B – Bone marrow suppression
- B – B12 or folate deficiency
- I – Inherited disorders (e.g., Kostmann syndrome)
- T – Thyroid disorders
Signs & Symptoms of Neutropenia:
- Mnemonic: “DOG”
- D – Delayed wound healing
- O – Opportunistic infections
- G – Gingival infections
Characteristic Findings In Neutropenia:
- Mnemonic: “DUCK”
- D – Decreased neutrophil count
- U – Unexplained fever
- C – Chronic mouth ulcers
- K – Known predisposing factors
What Should Be Avoided In Neutropenia:
Drugs Used To Treat Neutropenia:
- Mnemonic: “PIGEON”
- P – Pegfilgrastim
- I – Immunosuppressants (in autoimmune neutropenia)
- G – G-CSF (Granulocyte-colony stimulating factor)
- E – Erythropoietin (if associated with anemia)
- O – Opioids (for severe pain management)
- N – Neupogen (Filgrastim)
Drugs To Avoid In Neutropenia:
- Mnemonic: “SNAKE”
- S – Sulfa drugs
- N – NSAIDs
- A – Anticonvulsants
- K – Ketoconazole
- E – Ethanol-containing medications
Radiological Features of Neutropenia:
- Mnemonic: “EAGLE”
- E – Enlarged spleen (splenomegaly on ultrasound)
- A – Absence of significant findings in mild cases
- G – Granuloma formation (in chronic neutropenia)
- L – Lymph node enlargement (lymphadenopathy)
- E – Evidence of bone marrow expansion (in MRI)
Diagnostic Tests for Neutropenia:
- Mnemonic: “OWL”
- O – Overall blood count (Complete Blood Count)
- W – Wright’s stain (to examine blood smear)
- L – Lymphocyte count (part of CBC)
Laboratory Findings In Neutropenia:
- Mnemonic: “HAWK”
- H – High susceptibility to infections
- A – Anemia (may coexist)
- W – White blood cell count (specifically, neutrophils) reduction
- K – Kinetics of neutrophil production and destruction (bone marrow examination)
Clinical Features of Neutropenia:
- Mnemonic: “FROG”
- F – Frequent infections
- R – Recurrent fever
- O – Oral lesions
- G – Gastrointestinal complications
Complications of Neutropenia:
- Mnemonic: “FOX”
- F – Fungal infections
- O – Overwhelming sepsis
- X – eXtensive tissue damage (due to unresolved infections)
Differential Diagnosis of Neutropenia:
- Mnemonic: “BEAR”
- B – Bone marrow disorders
- E – Endocrine disorders (e.g., hyperthyroidism)
- A – Autoimmune diseases
- R – Rare genetic conditions (e.g., cyclic neutropenia)