instruction: hello doctor I am 24 a male recently I had some intense shoulder pain and a full panic attack I suffer from panic attacks and depression I went to the er and I had a 2100 total abc count chest ray abdominal ecography and urine tests all were okay the rest of the abc I believe was okay since the er doctor was not concerned and gave me some painkillers for the shoulder after day I went back because I was worrying for that high abc count and this time it was 1500 abc but again I did not see the rest of the abc and then I went back a week later and the abc was 750 with 38 lymphocytes 40 is the limit it says and platelets were 350 within normal rangeand the rest of the abc was normal clinically I feel good but as I have depression I cannot stop worrying about the abc and I am scared it might be leukemia I had a head it scan years ago and I read some inconclusive studies that it might slightly increase the chance of leukemia please if you can answer
output: hello this pattern in which abc has behaved does not fit into leukemia is an uncommon cause for abc elevation other common causes are infection steroids or any bodily stress can lead to this it not expected to go down in leukemia and counts are usually much higher than this also you are asymptomatic so does not appear like a leukemia to me you can get your count repeated after a week or so and also request to do peripheral smear to look for morphology of the cells so does not look like a worrisome to me hope this helps you and get back if you have any doubts