recommended for:
proper hydration to avoid tumor lysis syndrome
serym LDH, ESR, coobbs test, B2  microglobulin, bilirubin
ct chest, abd, pelvis with contrast , if normal serum creatinine
add solucortif 100 mg amp every 12 h
if the result would be matched with CLL, consider immunophenotyping on periphral blood
if ct showed lymph nodes, recommended for biopsy or PETscan